Medial tibial stress syndrome

Case contributed by Dr Roberto Schubert

Presentation

Painful distal shin bone over 6 weeks in an active long-distance runner.

Patient Data

Age: 30 years
Gender: Male
X-ray

Minimal thickening and unsharp contour of the cortical bone at the distal tibia shaft.

MRI

Marrow and periosteal edema on MRI.

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