The Medial Tibial Syndrome

概要

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The clinical feature of the anterior tibial syndrome has been well known. It's chronic type was initially reported by Mayor in 1956. It is less known that the mascles of the deep crural compartment may be affected in a similar way: only eleven cases have reported by Puranen in 1974. He called the condition caused of chronic athletic injury as the Medial Tibial Syndrome. We have made the field study of this condition among high school students and founded that main complaint of questionable cases was pain over the inner border of the tibia. The incidence of the condition was 0.07%: six cases (eight legs) in 9015 students.The pain may be so sever as to make training impossible. Clinical and laboratory examination of these cases were free. Though the pathogenesis is not perfectly understood, it seemed to us that main facters have been local ischemia and traction periostitis secondary to exercise. We experienced one cases which was operated (decompression fasciotomy as described by Puranen), and was obtained in good result. The other cases are scheduled to be followed.
西日本整形・災害外科学会の論文