Medial tibial stress syndrome

Case contributed by Dr Matt Skalski

Presentation

Patient presented to a family physician with typical "shin splint" symptoms with running. These radiographs were obtained and initially read as normal. The films were brought to our imaging center for an over read by her chiropractor who thought the films were abnormal.

Patient Data

Age: 15 years
Gender: Female
X-ray

Periosteal callus is appreciated along the dorsomedial surface of the tibia.

Annotated image

AP and lateral views with the red arrows indicating the periosteal reaction.

Case Discussion

Clinical and radiographic findings are consistent with medial tibial stress syndrome.

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