Medial tibial stress syndrome

Case contributed by Bahman Rasuli
Diagnosis almost certain

Presentation

Left leg pain

Patient Data

Age: 50 years
Gender: Female
mri

Mild periosteal edema on the medial cortex of the mid to lower third tibial diaphysis on the left.

Bone marrow shows normal signal intensity.

The right leg shows the normal high signal of the fat adjacent to the cortex. 

Case Discussion

Periosteal edema is the most frequent imaging finding for stress injury. Nowadays, MRI is a very sensitive tool for detecting edema. However, the final diagnosis of tibial stress injury, also known as "shin splints", depends on both imaging findings and clinical features.

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