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Medial tibial stress syndrome

Case contributed by Tim Luijkx
Diagnosis certain

Presentation

Athlete. Bilateral distal medial tibia pain.

Patient Data

Age: 25 years
Gender: Male
mri

Bone marrow edema in the mid-portion of the left tibia visible on both T1 and T2 images, accompanied by subtle edema adjacent anteromedially to the cortex. Similar minimal changes are noted in the mid-portion of the right tibia as well.

Case Discussion

Findings are in keeping with medial tibial stress syndrome, grade 3.

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