Tibial cortical lesions: a multimodality pictorial review
P A Tyler1, P Mohaghegh1, J Foley2
1Department of Radiology, Royal National Orthopaedic Hospital, Brockley Hill, Stanmore HA7 4LP, UK.
European Journal of Radiology
|December 3, 2014
Summary
Shin pain in active individuals often stems from tibial lesions. This review covers common and rare causes, detailing their natural history and imaging characteristics for accurate diagnosis.
Area of Science:
- Radiology
- Orthopedics
- Medical Imaging
Background:
- Shin pain is a frequent complaint, especially in young, active populations.
- Tibial lesions represent a diverse group of pathologies with significant clinical implications.
Purpose of the Study:
- To review the natural history of cortically-based tibial lesions.
- To describe multimodality imaging findings for common and rare tibial pathologies.
- To aid radiologists in diagnosing the causes of shin pain.
Main Methods:
- Literature review focusing on cortically-based tibial lesions.
- Analysis of multimodality imaging findings (e.g., MRI, CT, X-ray).
- Synthesis of information on natural history and diagnostic criteria.
Main Results:
- Common causes of tibial lesions include stress fractures and periostitis.
- Rarer pathologies such as osteoid osteoma and osteoblastoma are also discussed.
- Imaging findings are correlated with specific diagnoses and disease progression.
Conclusions:
- Accurate diagnosis of shin pain relies on understanding the spectrum of tibial lesions.
- Multimodality imaging is crucial for characterizing these lesions.
- Radiologists play a key role in differentiating common from rare causes of tibial pathology.
