Medial tibial stress syndrome

Case contributed by Maulik S Patel
Diagnosis certain


Recently started running up to 5 km/day during last month. Complainting of pain in the right proximal medial third of leg - Few days. No fever. No local skin changes. Plain radiograph - Not available.

Patient Data

Age: 25 years
Gender: Male

An anechoic rim is abutting the tibial cortex at the site of pain pointed by the patient. There is mild local soft tissue thickening along with hypervascularity.

No erosion of tibial cortex locally. No mass lesion.

The contralateral asymptomatic side was examined for comparison; which shows normal ultrasound findings.

Case Discussion

Ultrasound findings are consistent with shin splints (medial tibial stress syndrome) in a patient who recently started running as physical activity.

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