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Related Experiment Videos

[Internal tibial pain in runners].

P Sepulchre1, P Blaimont, J L Pasteels

  • 1Département d'Orthopédie et de Traumatologie IMC d'Ixelles, Overijse, Belgique.

Phlebologie
|July 1, 1988
PubMed
Summary

Medial tibial stress syndrome, often seen in late-starting young athletes, involves pain at the flexor digitorum longus and soleus muscle insertions. Treatment includes orthotics and gradual training, with surgery as a last resort.

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Area of Science:

  • Orthopedics
  • Sports Medicine
  • Biomechanics

Context:

  • Medial tibial pain in young athletes, particularly those starting racing later.
  • Pain is exacerbated by intensive training and tiptoe propulsion exercises.
  • Associated symptoms include tarsal pronation, hindfoot valgisation, and lower limb torsion disorders.

Purpose:

  • To describe the clinical presentation, diagnostic findings, and treatment of a specific tibial pain syndrome in athletes.
  • To investigate the underlying biomechanical and pathological factors contributing to the pain.
  • To evaluate the effectiveness of conservative and surgical interventions.

Summary:

  • This condition presents with pain along the internal tibia, specifically at the insertions of the flexor digitorum longus and soleus muscles.
  • Radiography may reveal moniliform cortical adaptations, while bone scintigraphy shows longitudinal hypercaptation.
  • Pathological findings suggest an ischemic phenomenon, potentially due to excessive use of the flexor digitorum longus and partial soleus aponeurosis rupture.

Impact:

  • Highlights the importance of understanding foot pressure mechanics in racing athletes.
  • Emphasizes the role of corrective footwear and gradual training in management.
  • Suggests surgical intervention (aponeurotomy with partial disinsertion) for refractory cases.

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