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Medial tibial stress syndrome

Case contributed by Dr Domenico Nicoletti


Young runner with pain localized longitudinally and medially on the distal tibia, radiated to the knee with slight swelling.

Patient Data

Age: 30
Gender: Female

Rx right leg  

Medially at the level of the distal tibia, is visible periosteal reaction laminated multilayer


Tc right leg  confirms lamellar periosteal reaction multilayer with integrity of cortical


RM right leg

Periosteal reaction with edema of the bone marrow and surrounding soft tissue at the level of the posterior-medial tibia to the tendon insertion level soleus muscle. No fractures and cortical is intact

Case Discussion

Tibial stress syndrome occurs when the muscles of the medial region and the periosteum as a result of repeated efforts become inflamed procuring pain. Usually it coincides with changes of physical activity or workload as an increase in the frequency or intensity of training.


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Case information

rID: 46304
Published: 30th Jun 2016
Last edited: 14th Aug 2019
Inclusion in quiz mode: Excluded

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