Author(s): Yates B, Allen MJ, Barnes MR
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Abstract BACKGROUND: Medial tibial stress syndrome is a common chronic sports injury characterized by exercise-induced pain along the posteromedial border of the tibia. The reported outcomes of surgical treatment of this condition have varied. METHODS: Of seventy-eight patients who underwent surgery for medial tibial stress syndrome, forty-six (thirty-one men and fifteen women) returned for follow-up. The outcomes of the surgery were determined by comparing preoperative and postoperative pain levels as indicated on a visual analog pain scale and ascertaining the ability of the athletes to return to presymptom levels of exercise. RESULTS: The mean duration of postoperative follow-up was thirty months (range, six to sixty-three months). Surgery significantly reduced pain levels (p < 0.001) by an average of 72\% as indicated on the visual analog pain scale. An excellent result was achieved in 35\% of the limbs; a good result, in 34\%; a fair result, in 22\%; and a poor result, in 9\%. Despite the success with regard to pain reduction, for a variety of reasons only nineteen (41\%) of the athletes fully returned to their presymptom sports activity. CONCLUSIONS: Surgery can significantly reduce the pain associated with medial tibial stress syndrome. Despite this reduction in pain, athletes should be counseled that a full uninhibited return to sports is not always achieved.
This article was published in J Bone Joint Surg Am
and referenced in Journal of Novel Physiotherapies