scholarly journals Medial Tibial Stress Syndrome: Muscles Located at the Site of Pain

Scientifica ◽  
2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Ato Ampomah Brown
Keyword(s):  
Tibialis Posterior ◽  
Medial Tibial Stress Syndrome ◽  
Medical Sciences ◽  
Flexor Digitorum Longus ◽  
Cape Coast ◽  
Crural Fascia ◽  
Stress Syndrome ◽  
Flexor Digitorum ◽  
The Relationship

Objective. The purpose of this study was to examine the relationship between the location of the MTSS pain (posteromedial border of tibia) and the muscles that originate from that site.Method. The study was conducted in the Department of Anatomy of the School of Medical Sciences, University of Cape Coast, and involved the use of 22 cadaveric legs (9 paired and 4 unpaired) from 11 males and 2 females.Findings. The structures that were thus observed to attach directly to the posteromedial border of the tibia were the soleus, the flexor digitorum longus, and the deep crural fascia. The soleus and flexor digitorum longus muscles were observed to attach directly to the posteromedial border of the tibia. The tibialis posterior muscle had no attachment to this site.Conclusion. The findings of this study suggest that if traction is the cause of MTSS then soleus and the flexor digitorum muscles and not the tibialis posterior muscle are the likely cause of MTSS.

Medial Tibial Stress Syndrome (Tibial Fasciitis)

2007 ◽  
Vol 97 (1) ◽  
pp. 31-36 ◽  
Author(s):  
Richard T. Bouché ◽  
Cherie H. Johnson
Keyword(s):  
Strain Gauges ◽  
Overuse Injuries ◽  
Medial Tibial Stress Syndrome ◽  
Flexor Digitorum Longus ◽  
Posterior Tibial ◽  
Stress Syndrome ◽  
Fresh Cadaver ◽  
Flexor Digitorum ◽  
Linear Manner

Although medial tibial stress syndrome is one of the most common lower-extremity overuse injuries, its pathomechanics remain controversial. Two popular theories have been proposed to account for this condition: tibial bending and fascial traction. This article evaluates the role of fascial traction in medial tibial stress pathomechanics. We hypothesized that with contraction of the deep leg flexors tension would be imparted to the tibial fascial attachment at the medial tibial crest. We also speculated that circumferential straps would dampen tension directed to the medial tibial crest. The amount of strain present in the tibial fascia adjacent to its distal medial tibial crest insertion during loading of the leg was investigated as a descriptive laboratory pilot study using three fresh cadaver specimens. Strain in the distal tibial fascia was measured using strain gauges placed in the fascia at its medial tibial crest insertion. As tension on the posterior tibial, flexor digitorum longus, and soleus tendons increased, strain in the tibial fascia increased in a consistent linear manner (P < .0001). We conclude that fascial tension may play a role in the pathomechanics of medial tibial stress syndrome. The tenting effect of the posterior tibial, flexor digitorum longus, and soleus tendons caused by muscle contraction exerts a force on the distal tibial fascia that is directed to its tibial crest insertion. Circumferential straps provided no dampening effect on tension directed to the medial tibial crest. (J Am Podiatr Med Assoc 97(1): 31–36, 2007)

Tibialis Posterior and Flexor Digitorum Longus Rupture Associated with Open Fracture of the Ankle

2010 ◽  
Vol 31 (2) ◽  
pp. 172-174 ◽  
Author(s):  
Hiromasa Fujii ◽  
Tsukasa Kumai ◽  
Tetsuya Kadota ◽  
Toshichika Takeshima ◽  
Yasushi Doi ◽  
...  
Keyword(s):  
Open Fracture ◽  
Tibialis Posterior ◽  
Flexor Digitorum Longus ◽  
Flexor Digitorum

Die Kalkaneusverschiebeosteotomie

2011 ◽  
Vol 31 (01) ◽  
pp. 33-39
Author(s):  
J. Dohle
Keyword(s):  
Tibialis Posterior ◽  
Flexor Hallucis Longus ◽  
Flexor Digitorum Longus ◽  
Operative Maßnahmen ◽  
Flexor Digitorum

ZusammenfassungBei der Kalkaneusverschiebeosteotomie handelt es sich um eine komplexe mehrdimensionale Korrekturosteotomie des hinteren Kalkaneusabschnitts. Durch Verschiebung des posterioren Fragments mit dem Tuber calcanei und dem Ansatz der Achillessehne nach medial kann ein Fersenvalgus in eine neutrale Rückfußachse überführt werden. Damit eignet sich das Verfahren als ein wesentliches Korrekturelement in der operativen Behandlung eines „erworbenen Plattfußes des Erwachsenen“. Der „erworbene Plattfuß des Erwachsenen“, früher auch als Tibialis-posterior-Dysfunktion beschrieben, ist eine progrediente Fehlstellung des gesamten Fußes mit Verlust der medialen Fußwölbung, mit Abduktion des Vorfußes gegenüber dem Rückfuß und Funktionsverlust des Fußes in der Belastungsphase. Von Johnson und Strom wurden für dieses Krankheitsbild drei Stadien unterschiedlicher Ausprägung der Pathologie beschrieben. Während im ersten Stadium noch konservative Behandlungsregime möglich sind, ist spätestens im Stadium II eine dauerhafte Korrektur der Fehlstellung nur durch komplexe operative Maßnahmen möglich. Die insuffiziente Tibialis-posterior-Sehne muss dann durch die Flexor-digitorum-longus-Sehne oder die Flexor-hallucis-longus-Sehne augmentiert werden. Zur mechanischen Entlastung der transponierten Sehne muss eine Korrekturosteotomie des Kalkaneus hinzugefügt werden. In diesem Zusammenhang hat sich die medialisierende Kalkaneus osteotomie als technisch vergleichsweise einfaches und relativ komplikationsarmes Verfahren etabliert.

Crural Fascia and Muscle Origins Related to Medial Tibial Stress Syndrome Symptom Location

2009 ◽  
Vol 41 (11) ◽  
pp. 1991-1996 ◽  
Author(s):  
CHRISTOPHER D. STICKLEY ◽  
RONALD K. HETZLER ◽  
IRIS F. KIMURA ◽  
SCOTT LOZANOFF
Keyword(s):  
Medial Tibial Stress Syndrome ◽  
Crural Fascia ◽  
Stress Syndrome ◽  
Syndrome Symptom
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