Journal of Sports Science and Medicine
Journal of Sports Science and Medicine
ISSN: 1303 - 2968   
Ios-APP Journal of Sports Science and Medicine
Androit-APP Journal of Sports Science and Medicine
from September 2014
©Journal of Sports Science and Medicine (2011) 10, 743 - 747

Research article
Tibial Bone Density in Athletes With Medial Tibial Stress Syndrome: A Controlled Study
Cengizhan Özgürbüz1, , Oğuz Yüksel1, Metin Ergün1, Çetin İşlegen1, Emin Taskiran2, Nevzad Denerel1, Oğuz Karamizrak1
Author Information
1 Sports Medicine,
2 Orthopedics and Traumatology Departments, Ege University School of Medicine, Izmir, Turkey

Cengizhan Özgürbüz
✉ Ege University School of Medicine, Sports Medicine Department, Izmir, Turkey
Publish Date
Received: 19-09-2011
Accepted: 25-10-2011
Published (online): 01-12-2011
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Medial tibial stress syndrome (MTSS) is a common overuse injury of the lower extremity predominantly observed in weight bearing activities. Knowledge about the pathological lesions and their pathophysiology is still limited. Only a single study was found to have investigated tibial bone density in the pain region, revealing lower density in athletes with long standing (range, 5-120 month) MTSS. In a follow-up study, bone density was determined to return to normal levels after recovery. The purpose of the present study was to investigate tibial bone density in athletes with shorter MTSS history (range, 3-10 weeks). A total of 11 athletes (7 males, 4 females) diagnosed with medial tibial stress syndrome were included in the study. The control group consisted of 11 regularly exercising individuals (7 males, 4 females). Tibial, femoral and vertebral bone densities were measured by dual energy x-ray absorptiometry. Total calcium intake was calculated by evaluating detailed nutrition history. No statistically significant differences were found in the tibial, femoral and vertebral bone densities between the groups. No statistically significant difference was found among groups, considering for calcium intake. Tibial bone densities were not lower in athletes with MTSS of 5.0 weeks mean duration (range, 3-10 weeks) compared to the healthy control group. Longitudinal studies with regular tibial bone density measurements in heavily trained athletes are necessary to investigate tibial density alterations in MTSS developing athletes during the course of the symptoms.

Key words: Medial tibial stress syndrome, tibial bone density, calcium intake, athletes, exercise, bone mineral density, overuse injury

           Key Points
  • Tibial, femoral and vertebral bone densities were measured by dual energy x-ray absorptiometry.
  • No differences were found between the MTSS group (MTSS history 3-10 weeks) and the healthy athletes group.
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