Abstract
Introduction: Medial tibial stress syndrome (MTSS) is an overuse injury that predominately affects runners and military personal. MTSS is thought to be caused by a bone stress reaction, whereby bony adaptations of the tibia cannot keep pace with repetitive loading of the lower limb. Although tibial bone density has been implicated in the development of MTSS, whether it is a cause or effect remains unclear. Therefore, the aim of this study was to determine whether tibial bone mineral status (BMS) differed between active MTSS symptomatic and asymptomatic long-distance runners, as well as to present a prospective case study, to determine the role BMS plays in the development of MTSS.
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