Presentation
Young runner with pain localized longitudinally and medially on the distal tibia, radiated to the knee with slight swelling.
Patient Data
Medially at the level of the distal tibia, laminated multilayer periosteal reaction is visible.
CT of the right leg confirms multilayer lamellar periosteal reaction with the integrity of bone cortex.
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 the bone cortex is intact.
Case Discussion
Medial 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 in physical activity or workload as an increase in the frequency or intensity of training.
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