Medial tibia stress syndrome

Case submitted by Nazim Coskun

55-year-old female


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Anterior planar and whole body images showing longitudinally increased radiotracer uptake along the anterior crest of right and left tibia.

Medial tibial stress syndrome (MTSS), also known as shin splints, describes a spectrum of exercise-induced stress injury that occurs at the medial tibial mid-to-distal shaft. MDP bone scan typically demonstrates longitudinally increased uptake on the delayed phase, characteristically along the posteromedial tibial aspect on lateral views. Unlike stress fracture, no pathological uptake is observed in perfusion and bloodpool phases.

Updated on Mar 30, 2024