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Shin splints: MR appearance in a preliminary study

M W Anderson1, V Ugalde, M Batt

  • 1Department of Radiology, University of California, Davis Medical Center, Sacramento 95817, USA.

Radiology
|July 1, 1997
PubMed
Summary
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Magnetic resonance (MR) imaging reveals diverse findings in shin splints, from normal to stress fractures. Chronic symptoms correlate with normal MR imaging, suggesting limited utility in these cases.

Area of Science:

  • Radiology
  • Orthopedics
  • Sports Medicine

Background:

  • Activity-related lower leg pain, commonly known as shin splints syndrome, affects athletes and active individuals.
  • Understanding the imaging characteristics of shin splints is crucial for accurate diagnosis and management.

Purpose of the Study:

  • To investigate the magnetic resonance (MR) imaging appearance of activity-related lower leg pain (shin splints syndrome).
  • To evaluate the relative involvement of bone and soft tissues in shin splints.

Main Methods:

  • Nineteen patients with shin splints underwent clinical examination and MR imaging.
  • Five patients also had plain radiography for comparison.
  • MR findings were correlated with clinical data and radiographic results.

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Main Results:

  • Four distinct MR patterns were identified: normal (n=7), periosteal fluid (n=5), abnormal marrow signal (n=5), and stress fracture (n=2).
  • Increased symptom duration was strongly associated with a normal MR image (P=.002).
  • Plain radiographs were normal in all five patients who underwent the procedure.

Conclusions:

  • Shin splints represent a spectrum of bone stress responses, visible through various MR imaging findings.
  • MR imaging may have limited utility in diagnosing chronic shin splints due to the high rate of normal findings.