Fredericson MRI classification of medial tibial stress syndrome

Discussion:

MRI classification of medial tibial stress syndrome (MTSS) is an accurate way to correlate the extent of bone involvement with clinical symptoms, which leads to more accurate recommendations for rehab and return to sports activity.

The estimated delay in returning to impact activity based on this classification is 2:

  • Grade 1: 2-3 weeks 

  • Grades 2-4a: 6-7 weeks 

  • Grade 4b: 9-10 weeks or more

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