Aetiology and mechanisms of injury in medial tibial stress syndrome: Current and future developments

doi:10.5312/wjo.v6.i8.577

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World Journal of Orthopedics

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2218-5836

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Orthop. Sep 18, 2015; 6(8): 577-589
Published online Sep 18, 2015. doi: 10.5312/wjo.v6.i8.577

Aetiology and mechanisms of injury in medial tibial stress syndrome: Current and future developments

Melanie Franklyn, Barry Oakes

Melanie Franklyn, Department of Mechanical Engineering, the University of Melbourne, Parkville, VIC 3010, Australia

Barry Oakes, Cheltenham Sports Medicine Clinic, Cheltenham, Melbourne, VIC 3192, Australia

Author contributions: Both authors contributed to this manuscript.

Conflict-of-interest statement: Both authors, Dr. Melanie Franklyn and Associate Professor Barry Oakes, declare that there is no conflict of interest for this work. They have received no funds from any commercial party in relation to this work.

Correspondence to: Dr. Melanie Franklyn, PhD, Department of Mechanical Engineering, the University of Melbourne, Engineering Block E Building Level 4, Parkville, VIC 3010, Australia. melanief@unimelb.edu.au

Telephone: +61-3-96267171 Fax: +61-3-96267830

Received: March 31, 2015
Peer-review started: April 4, 2015
First decision: April 27, 2015
Revised: July 1, 2015
Accepted: July 24, 2015
Article in press: July 27, 2015
Published online: September 18, 2015
Processing time: 171 Days and 3.9 Hours

Core Tip

Core tip: Medial tibial stress syndrome (MTSS) is an overuse injury characterised by diffuse tibial anteromedial or posteromedial surface subcutaneous periostitis, usually in conjunction with underlying cortical bone microtrauma. Nuclear bone scans or magnetic resonance imaging findings need to be considered in conjunction with clinical symptoms and patient history for an accurate diagnosis. Compared to exercising controls, MTSS patients have low bone mineral density and low values of a number of tibial cortical bone geometric parameters such a cross-sectional area. Recent research includes the development of computational models for studying tibial stress injuries. These models offer a tool to study the exact causes of MTSS, which are still unknown.