A prospective controlled study of diagnostic imaging for acute shin splints

Batt, Mark E; Ugalde, Viviane; Anderson, Mark; Shelton, David K.

doi:10.1097/00005768-199811000-00002

Cited by 89 publications

(81 citation statements)

References 30 publications

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“…In the present study we asked athletes to report his- The most common presentation of ERLP was bilateral medial leg pain, in agreement with the findings of previous studies. 3,39,40 This symptom presentation is most consistent with medial tibial stress syndrome, a common pathoanatomic presentation of ERLP. 4,5,53 The second most common presentation was lateral leg pain, which is most consistent with the location of anterior or lateral chronic exertional compartment syndrome symptoms.…”

Section: Discussionmentioning

confidence: 55%

Exercise-Related Leg Pain in Collegiate Cross-Country Athletes: Extrinsic and Intrinsic Risk Factors

Reinking¹,

Austin²,

Hayes³

2007

J Orthop Sports Phys Ther

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Section: Discussionmentioning

confidence: 55%

Exercise-Related Leg Pain in Collegiate Cross-Country Athletes: Extrinsic and Intrinsic Risk Factors

Reinking¹,

Austin²,

Hayes³

2007

J Orthop Sports Phys Ther

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“…Anecdotally, the authors believe this test provides greater sensitivity and specificity than the other aforementioned tests when assessing for tibial stress fracture. Although the percussion test, percussing the heel with the examiner's palm, has been reported 1,15,21 as useful in the diagnosis of lower extremity stress fractures, no studies have reported on the sensitivity, specificity, or likelihood ratios of this test. Localized point tenderness over an area no larger than 5 cm has been recommended as a differentiating test in comparison to a larger region of tenderness, which would be suggestive of shin splints.…”

Section: Discussionmentioning

confidence: 99%

“…Localized point tenderness over an area no larger than 5 cm has been recommended as a differentiating test in comparison to a larger region of tenderness, which would be suggestive of shin splints. 1 Due to the lack of a proven clinical test for diagnosing tibial stress fractures, clinicians should rely upon a thorough patient history, palpatory examination, ancillary testing, and serial examinations in a patient who fails to respond to early management.…”

Section: Discussionmentioning

confidence: 99%

Diagnosis of Medial Knee Pain: Atypical Stress Fracture About the Knee Joint

Rosenthal¹,

Moore²,

DeBerardino³

2006

J Orthop Sports Phys Ther

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Study Design: Resident's case problem. Background: A 19-year-old female, currently enrolled in a military training program, sought medical care for a twisting injury to her right knee. The patient reported her symptoms as similar to an injury she incurred 1 year previously while enrolled in the same military program. The patient's past medical history included a nondepressed fracture of the medial tibial plateau and complete tear of the deep fibers of the medial collateral ligament. Diagnosis: Physical exam revealed nonlocalized anterior and medial knee pain without evidence of internal derangement. Initial knee and tibia radiographs were unremarkable. Referral for orthopedic physician evaluation resulted in concurrence with the therapist's diagnosis and plan of care, and the patient was allowed to continue with limited physical training demands. Despite periods of rest, the patient's symptoms progressively worsened upon attempts to resume running. The examining therapist referred the patient for magnetic resonance imaging (MRI) due to the patient's worsening symptoms, normal radiographs, and concern for a proximal tibia stress fracture. MRI revealed a severe proximal tibial metaphysis stress fracture. Discussion: Stress fractures are commonly encountered injuries in individuals subjected to increased physical training demands. Early evaluation may not yield well-localized findings and may mimic other conditions. Nonmusculoskeletal conditions should be considered in the management of patients with stress fractures. This resident's case problem illustrates the importance of serial physical examinations and collaboration with other healthcare practitioners in the comprehensive assessment and management of a patient with a severe stress fracture.

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“…Radiograph is unreliable in early diagnosis where MR imaging is better modality as it detects early changes of osseous stress injury. Bone scan is extremely sensitive but suffer from false positive rates of up to 11-23% [5,6]. All our cases were subjected to plain radiograph of affected and opposite limb and findings suggestive of stress fracture was seen in 23 cases (39%).…”

Section: Discussionmentioning

confidence: 97%

Low Level Laser Therapy in Treatment of Stress Fractures Tibia: A Prospective Randomized Trial

Chauhan

Sarin

2006

Medical Journal Armed Forces India

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Background: Standard treatment of Stress fracture includes rest, compression, elevation and passive stretching. Low level laser therapy (LLLT) has been described in treatment of joint conditions, tendophaties, musculofascial pains and dermatological conditions. A prospective randomized control study was carried out to assess efficacy of LLLT in treatment of stress fractures in tibia. Method: 68 cases were enrolled. 34 each in control and test group. Control cases were treated with placebo and test group with laser-therapy. Complete resolution of pain and tenderness, and return to painless ambulation was taken as end point of therapy in both groups. Result: The test group showed earlier resolution of symptoms and painless ambulation with fewer recurrence. Conclusion: LLLT appears beneficial in treatment of stress fracture in this preliminary study. A larger multicentric study is indicated to prove the benefit conclusively. MJAFI 2006; 62 : 27-29

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A prospective controlled study of diagnostic imaging for acute shin splints

Cited by 89 publications

References 30 publications

Exercise-Related Leg Pain in Collegiate Cross-Country Athletes: Extrinsic and Intrinsic Risk Factors

Exercise-Related Leg Pain in Collegiate Cross-Country Athletes: Extrinsic and Intrinsic Risk Factors

Diagnosis of Medial Knee Pain: Atypical Stress Fracture About the Knee Joint

Low Level Laser Therapy in Treatment of Stress Fractures Tibia: A Prospective Randomized Trial

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