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Shin splint pain is described as a recurring dull ache, sometimes becoming an intense pain, along the inner part of the lower two-thirds of the tibia. [4] The pain increases during exercise, and some individuals experience swelling in the pain area. [5] In contrast, stress fracture pain is localized to the fracture site. [6]
Anterior tibial stress fractures can have a particularly poor prognosis and can require surgery. On radiographic imaging, these stress fractures are referred to as the "dreaded black line." [5] When compared to other stress fractures, anterior tibial fractures are more likely to progress to complete fracture of the tibia and displacement. [4]
A stress fracture is a fatigue-induced bone fracture caused by repeated stress over time. Instead of resulting from a single severe impact, stress fractures are the result of accumulated injury from repeated submaximal loading, such as running or jumping. Because of this mechanism, stress fractures are common overuse injuries in athletes. [18]
Medial tibial stress syndrome: Pain occurs over the shin bone (the tibia) with running or other sport-related activity. [17] Fibular and tibial stress fracture: Non-displaced microscopic fracture of the fibular and tibia occurs in many athletes, especially runners, and also in non-athletes who suddenly increase their activity level. [18]
Its vascular and biomechanical properties make it susceptible to injury. This may partly explain a higher risk of stress fractures and osteonecrosis in this location. Athletes who run, cut and pivot are particularly susceptible to injuries in this area. It is known as the keystone of the foot [10] and injuries to it can be "exasperating." [11]
Acute periostitis is due to infection, characterized by diffuse formation of pus, severe pain, and constitutional symptoms, and usually results in necrosis.It can be caused by excessive physical activity as well, as in the case of medial tibial stress syndrome (also referred to as tibial periostalgia, soleus periostalgia, or shin splints).
This stage appears on MRI as an isolated bone marrow edema pattern without a fracture line and is called stress reaction. Then, periosteal new bone forms and may be visible on radiography. Full cortical fractures occur if the repetitive stress continues. Only timely detection and appropriate management can interrupt this sequence. [1]
V-shaped distal tibia fracture extending into the tibial plafond: Gosselin's fracture at TheFreeDictionary.com: Hangman's fracture: Hangman: fracture of both pedicles of C2: distraction and extension of neck: Hangman's fracture at Wheeless' Textbook of Orthopaedics online Hill–Sachs fracture: Harold Arthur Hill Maurice David Sachs