Outcome of Surgical Treatment of Medial Tibial Stress Syndrome

Prevention and treatment of exercise related leg pain in young soldiers; a review of the literature and current practice in the Dutch Armed Forces

“…In the Dutch CMH, no surgical treatment is offered if the diagnosis is MTSS, because the results reported in the literature are poor:127 patients report reduction of pain after surgery, but only 41% fully return to the presymptom level of sports participation.…”

Medial tibial stress syndrome – A case report

“…However, Yates et al (2003) found a significant decrease in symptoms following surgical intervention (p < 0.001) with a mean reduction in pain of 71.6%. Although these two studies have their weaknesses (Detmer (1986) had a relatively small study while no purpose for the cauterisation was noted.…”

“…Complete cures as follows: type II 78%, type III 75%, type II/III 57% (Detmer 1986). Yates et al (2003) enrolled patients with a positive TPBS for MTSS (diffuse linear uptake consistent with periostitis) and a 12 month history of failed conservative treatment.…”

“…Although these two studies have their weaknesses (Detmer (1986) had a relatively small study while no purpose for the cauterisation was noted. Yates et al (2003) had only a 59% response rate to follow up) results show that if conservative methods fail then surgery can be offered as a treatment with an evidence based foundation of improving symptoms.…”

Medial Tibial Stress Syndrome in Athletes: Diagnostic and Therapeutic Approach

“…This intervention includes posterior fasciotomy or removal of a periosteal strip from the posteromedial border of the tibia which reduces the traction over the periosteum. Both general and local anaesthesia techniques have been utilized [16,18,21].…”