Abstract
Summary MRI findings were analyzed to determine their value in the differential diagnosis of tibial stress fractures and shin splints. The study subjects were the long-distance runners who complained of pain on the posteromedial side of the tibia. They had undergone plain radiographs and MRI. The diagnosis of stress fracture was possible if a patch-shaped high-intensity area distributed entirely or partially in the bone marrow was accompanied by thick periosteal edema in the posterior region. Shin splints presented no specific feature on MRI. MRI seems to be useful in the differential diagnosis of these conditions.
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