Case Report

Volume: 1 | Issue: 3 | Published: Jan 01, 1970 | Pages: 126 - 130 | DOI: 10.24911/ejmcr/1/30

Fredericson Type IIIi medial tibial stress syndrome (Shin Splints): a case report


Authors: Bharat Bhushan Sharma , Naveen Bhardwaj , Sakshi Dewan , Sandeep Sharma , Priya Ramachandran , Hira Lal Kakria , Mir Rizwan Aziz


Article Info

Authors

Bharat Bhushan Sharma

Department of Radio-diagnosis, SGT Medical College, Hospital and Research Institute, Budhera (Gurgaon) Haryana, India.

Naveen Bhardwaj

Department of Radio-diagnosis, SGT Medical College, Hospital and Research Institute, Budhera (Gurgaon) Haryana, India.

Sakshi Dewan

Department of Radio-diagnosis, SGT Medical College, Hospital and Research Institute, Budhera (Gurgaon) Haryana, India.

Sandeep Sharma

Speciality Doctor (Anaesthetics), Heartlands Hospital, Birmingham West Midlands B9 555, United Kingdom

Priya Ramachandran

Speciality Doctor (Anaesthetics), Heartlands Hospital, Birmingham, West Midlands B9 555, United Kingdom

Hira Lal Kakria

Department of Orthopaedics, SGT Medical College, Hospital and Research Institute, Budhera (Gurgaon) Haryana, India

Mir Rizwan Aziz

Department of Radio-diagnosis, SGT Medical College, Hospital and Research Institute, Budhera (Gurgaon) Haryana, India.

Publication History

Received: May 24, 2017

Accepted: June 27, 2017

Published: January 01, 1970


Abstract


Background: Medial tibial stress syndrome (MTSS) or shin splints is the result of soft tissue injuries surrounding the tibial shaft. The most common causative factor is that of repetitive trauma while doing exertional exercises and maneuvers. These injuries cause pain in the lower leg and affect the lower part of the tibia shaft. This is frequently encountered in athletes and dancers. Case presentation: We present a 22 year old college student who happened to be in the athletic team and reported with the left leg pain. Various radiological investigations diagnosed him as a case of medial tibial stress syndrome (MTSS). Magnetic resonance imaging played a pivot role in grading the injury and patient was advised accordingly. Conclusion: MTSS may remain unnoticed until the time it causes concern of non-resolving pain of the lower leg. The case requires careful evaluation for the management purpose. Fredericson MRI classification helps in deciding about the conservative or surgical management.

Keywords: MTSS, shin splints, soft tissue, repetitive trauma, magnetic resonance imaging, case report, green