Medial tibial stress syndrome

Case contributed by Bahman Rasuli
Diagnosis almost certain


Two-month history of pain in the left anterior medial tibia.

Patient Data

Age: 35 years
Gender: Male

Mild periosteal edema on the medial cortex of the mid to lower third tibial diaphysis on the left side

No cortical fracture or surrounding soft tissue edema

No other gross abnormality seen.

Case Discussion

Medial tibial stress syndrome (shin splints) is a kind of stress injury that occurs at the medial tibia. MRI is the most sensitive radiological examination. It may demonstrate a spectrum of findings ranging from normal to marrow edema or stress fracture.

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