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Diagnosis of medial tibial stress syndrome

Can a diagnosis of medial tibial stress syndrome be established reliably?

This 2017 cross-sectional study found medial tibial stress syndrome (MTSS) can be diagnosed with almost perfect reliability within clinical practice, using history and physical examination. Concurrent lower leg injuries were found to be present (32%) in athletes with MTSS and could also be identified reliably. 

 

Where the pathogenesis of sports injuries is unclear, there is a need for a shift in the diagnostic paradigm away from medical imaging techniques. The pathogenesis of MTSS remains equivocal with bony overload and periosteal traction inflammation being reported. Currently, the history and clinical examination is the gold standard of the diagnostic process in MTSS. The role of imaging in MTSS may be to rule out other entities with a known pathogenesis such as stress fractures, or suspicion of other rare conditions like osteosarcoma.

> From: Winters et al., Br J Sports Med (2017-04-19 07:24:42) (Epub ahead of print). All rights reserved to Winters et al.. Click here for the online summary.

Want to read deeper into this topic? You can find the related publications by Yates & White and Edwards here!

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