Local multipunctual corticosteroid injections for medial tibial stress syndrome: a novel approach
DOI:
https://doi.org/10.24310/riccafd.2013.v2i3.6196Keywords:
medial tibial stress syndrome, shin splint, corticosteroid injectionAbstract
Medial stress tibial syndrome (MTSS) has been and remains one of the most common pathologic conditions of the lower extremity. The results of conventional therapies for this condition have been inconsistent. Local corticosteroid injection has been shown to have favourable effects in treating musculoskeletal disorders. The effect of local multipunctual injections of a corticosteroid combined with an anaesthetic was studied in 47 patients (29 male and 18 female subjects, with an average age of 23.8 years) with MTSS. Direct consultation and examination was used to assess outcome. Patients were evaluated once a week after first injection for the first 4 weeks, and 3 months after treatment as well. Level of symptoms-free activity was recorded for each patient. The outcomes of the multipunctual injections were determined by comparing preintervention and posintervention level of symptoms-free activity and ability of the athletes to return to presymptom levels of exercise. The results suggest that the treatment reduces the recovery time and improves functional outcomes.
Downloads
Metrics
References
Plisky MS, Rauh MJ, Heiderscheit B, Underwood FB, Tank RT. Medial tibial stress
syndrome in high school cross-country runners: incidence and risk factors. J Orthop Sports Phys
Ther. 2007 Feb;37(2):40-7.
Clement DB, Taunton JE, Smart GW, McNicol KL. A survey of overuse running injuries.
Physician Sportsmed. 1981;9:47-58.
Yates B, White S. The incidence and risk factors in the development of medial tibial
stress syndrome among naval recruits. Am J Sports Med. 2004 Apr-May;32(3):772-80.
Taunton JE, Ryan MB, Clement DB, McKenzie DC, Lloyd-Smith DR, Zumbo BD. A
retrospective case-control analysis of 2002 running injuries. Br J Sports Med. 2002 Apr;36(2):95-101.
Magnusson HI, Ahlborg HG, Karlsson C, Nyquist F, Karlsson MK. Low regional tibial
bone density in athletes with medial tibial stress syndrome normalizes after recovery from
symptoms. Am J Sports Med. 2003 Jul-Aug; 31(4):596-600.
Bennett JE, Reinking MF, Pluemer B, Pentel A, Seaton M, Killian C. Factors contributing
to the development of medial tibial stress syndrome in high school runners. J Orthop Sports Phys Ther. 2001 Sep;31(9):504-10.
Moore MP. Shin splints. Diagnosis, management, prevention. Postgrad Med. 1988
Jan;83(1):199-200, 3-5, 8-10.
Melberg PE, Styf J. Posteromedial pain in the lower leg. Am J Sports Med. 1989 Nov-Dec; 17 (6):747-50.
Batt ME. Shin splints--a review of terminology. Clin J Sport Med. 1995;5(1):53-7.
Bates P. Shin splints--a literature review. Br J Sports Med. 1985 Sep;19(3):132-7.
Kortebein PM, Kaufman KR, Basford JR, Stuart MJ. Medial tibial stress syndrome. Med
Sci Sports Exerc. 2000 Mar;32(3 Suppl):S27-33.
James SL, Bates BT, Osternig LR. Injuries to runners. Am J Sports Med. 1978 Mar-Apr; 6 (2) :40-50.
Thacker SB, Gilchrist J, Stroup DF, Kimsey CD. The prevention of shin splints in sports: a
systematic review of literature. Med Sci Sports Exerc. 2002 Jan;34(1):32-40.
Slocum DB. The shin splint syndrome. Medical aspects and differential diagnosis. Am J
Surg. 1967 Dec;114(6):875-81.
Schepsis AA, Martini D, Corbett M. Surgical management of exertional compartment
syndrome of the lower leg. Long-term followup. Am J Sports Med. 1993 Nov-Dec;21(6):811-7;
discussion 7.
Clement DB. Tibial stress syndrome in athletes. J Sports Med. 1974 Mar-Apr;2(2):81-5.
Batt ME, Ugalde V, Anderson MW, Shelton DK. A prospective controlled study of diagnostic imaging for acute shin splints. Med Sci Sports Exerc. 1998 Nov;30(11):1564-71.
Wallenstein R. Results of fasciotomy in patients with medial tibial syndrome or chronic
anterior-compartment syndrome. J Bone Joint Surg Am. 1983 Dec;65(9):1252-5.
Puranen J. The medial tibial syndrome: exercise ischaemia in the medial fascial
compartment of the leg. J Bone Joint Surg Br. 1974 Nov;56-B(4):712-5.
Fredericson M, Bergman AG, Hoffman KL, Dillingham MS. Tibial stress reaction in runners. Correlation of clinical symptoms and scintigraphy with a new magnetic resonance
imaging grading system. Am J Sports Med. 1995 Jul-Aug;23(4):472-81.
Story J, Cymet TC. Shin splints: painful to have and to treat. Compr Ther. 2006 Fall; 32 (3):192-5.
Beck BR. Tibial stress injuries. An aetiological review for the purposes of guiding
management. Sports Med. 1998 Oct;26(4):265-79.
Smith W, Winn F, Parette R. Comparative studv using four modalities in shinsplint
treatments. J Orthop Sports Phys Ther. 1986;8:77-80.
Fick DS, Albright JP, Murray BP. Relieving painful shin splints. Physician Sportsmed.
;20:105-13.
Delacerda FG. Iontophoresis for treatment of shinsplints. J Orthop Sports Phys Ther. 1982;3:183-5.
Andrish JT, Bergfeld JA, Walheim J. A prospective study on the management of shin
splints. J Bone Joint Surg Am. 1974 Dec;56(8):1697-700.
Yu CM, Chen CH, Liu HT, Dai MH, Wang IC, Wang KC. Subacromial injections of
corticosteroids and xylocaine for painful subacromial impingement syndrome. Chang Gung Med J. 2006 Sep-Oct;29(5):474-9.
Gunter P, Schwellnus MP. Local corticosteroid injection in iliotibial band friction syndrome in runners: a randomised controlled trial. Br J Sports Med. 2004 Jun;38(3):269-72; discussion 72.
Shrier I, Matheson GO, Kohl HW, 3rd. Achilles tendonitis: are corticosteroid injections
useful or harmful? Clin J Sport Med. 1996 Oct;6(4):245-50.
Holt MA, Keene JS, Graf BK, Helwig DC. Treatment of osteitis pubis in athletes. Results
of corticosteroid injections. Am J Sports Med. 1995 Sep-Oct;23(5):601-6.
Assendelft WJ, Hay EM, Adshead R, Bouter LM. Corticosteroid injections for lateral epicondylitis: a systematic overview. Br J Gen Pract. 1996 Apr;46(405):209-16.
Smidt N, van der Windt DA, Assendelft WJ, Deville WL, Korthals-de Bos IB, Bouter LM.
Corticosteroid injections, physiotherapy, or a wait-and-see policy for lateral epicondylitis: a
randomised controlled trial. Lancet. 2002 Feb 23;359(9307):657-62.
Michael RH, Holder LE. The soleus syndrome. A cause of medial tibial stress (shin
splints). Am J Sports Med. 1985 Mar-Apr;13(2):87-94.
Detmer DE. Chronic shin splints. Classification and management of medial tibial stress syndrome. Sports Med. 1986 Nov-Dec;3(6):436-46.
Nissen LR, Astvad K, Madsen L. [Low-energy laser therapy in medial tibial stress
syndrome]. Ugeskr Laeger. 1994 Dec 5;156(49):7329-31.
Mubarak SJ, Gould RN, Lee YF, Schmidt DA, Hargens AR. The medial tibial stress
syndrome. A cause of shin splints. Am J Sports Med. 1982 Jul-Aug;10(4):201-5.
Beck BR, Osternig LR. Medial tibial stress syndrome. The location of muscles in the leg
in relation to symptoms. J Bone Joint Surg Am. 1994 Jul;76(7):1057-61.
Saxena A, O'Brien T, Bunce D. Anatomic dissection of the tibialis posterior muscle and its
correlation to medial tibial stress syndrome. J Foot Surg. 1990 Mar-Apr;29(2):105-8.
James T. Chronic lower leg pain in sport. Aust Fam Physician. 1988 Dec;17(12):1041-5.
Holen KJ, Engebretsen L, Grontvedt T, Rossvoll I, Hammer S, Stoltz V. Surgical
treatment of medial tibial stress syndrome (shin splint) by fasciotomy of the superficial posterior
compartment of the leg. Scand J Med Sci Sports. 1995 Feb;5(1):40-3.
Abramowitz AJ, Schepsis A, McArthur C. The medial tibial syndrome. The role of surgery.
Orthop Rev. 1994 Nov;23(11):875-81.
Gottlieb NL, Riskin WG. Complications of local corticosteroid injections. Jama. 1980 Apr
;243(15):1547-8.
Fricker PA, Taunton JE, Ammann W. Osteitis pubis in athletes. Infection, inflammation or injury? Sports Med. 1991 Oct;12(4):266-79.
Downloads
Published
How to Cite
Issue
Section
License
All the contents published in Revista Iberoamericana de Ciencias de la Actividad Física y el Deporte are subject to the Creative Commons Reconocimento-NoComercia-Compartirigual 4.0 license, the full text of which can be found at <http://creativecommons.org/licenses/by-nc-sa/4.0>
They may be copied, used, disseminated, transmitted and publicly exposed, provided that:
The authorship and original source of your publication (Journal, editorial and URL of the work) are cited.
They are not used for commercial purposes.
The existence and specifications of this use license are mentioned.
Copyright is of two kinds: moral rights and patrimonial rights. Moral rights are perpetual, inalienable, inalienable, inalienable, inalienable and imprescriptible prerogatives.
In accordance with copyright legislation, Revista Eviterna recognizes and respects the moral rights of the authors, as well as the ownership of the economic right, which will be transferred to the University of Malaga for dissemination in open access.
The economic rights refer to the benefits obtained by the use or disclosure of the works. Revista Iberoamericana de Ciencias de la Actividad Física y el Deporte is published in open access and is exclusively authorized to carry out or authorize by any means the use, distribution, disclosure, reproduction, adaptation, translation or transformation of the work.
It is the responsibility of the authors to obtain the necessary permissions of the images that are subject to copyright.
.png)
9.png)
