ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2013
Incidence and risk factors for medial tibial stress syndrome and tibial stress fracture in high school runners.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 4 of them syntheses that pooled it.
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Who cites it
26 citing papers in PubMed, 4 syntheses or guidelines pooled it, 103 citations in OpenAlex.
- Are Leg Muscle, Tendon and Functional Characteristics Associated with Medial Tibial Stress Syndrome? A Systematic Review.Sports medicine - open · 2021Pooled it
- Sex-Specific Differences in Running Injuries: A Systematic Review with Meta-Analysis and Meta-Regression.Sports medicine (Auckland, N.Z.) · 2021Pooled it
- Risk factors for overuse injuries in short- and long-distance running: A systematic review.Journal of sport and health science · 2021Pooled it
- Medial Tibial Stress Syndrome in Active Individuals: A Systematic Review and Meta-analysis of Risk Factors.Sports healthPooled it
- Minimalist Footwear Acutely Alters Running Kinematics in Runners With Medial Tibial Stress Syndrome.Arthroscopy, sports medicine, and rehabilitation · 2026Article
- Ground Reaction Forces and Impact Loading Among Runners with Different Acuity of Tibial Stress Injuries: Advanced Waveform Analysis for Running Mechanics.Bioengineering (Basel, Switzerland) · 2025Article
- Effects of Integrating Lower-Leg Exercises Into a Multimodal Therapeutic Approach on Medial Tibial Stress Syndrome Management Among Recreational Runners: A Randomized Controlled Study.Orthopaedic journal of sports medicine · 2025Article
- Normative Running Kinematics in Healthy Adolescent Runners: A 2-Dimensional Video Analysis.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2024Article
- Comparison of optimized machine learning approach to the understanding of medial tibial stress syndrome in male military personnel.BMC research notes · 2023Article
- Female Athlete Triad Risk Factors Are More Strongly Associated With Trabecular-Rich Versus Cortical-Rich Bone Stress Injuries in Collegiate Athletes.Orthopaedic journal of sports medicine · 2022Article
- Tibial bone forces can be monitored using shoe-worn wearable sensors during running.Journal of sports sciences · 2022Article
- Risk Factors, Diagnosis and Management of Bone Stress Injuries in Adolescent Athletes: A Narrative Review.Sports (Basel, Switzerland) · 2021Review
- Article
- Adolescent Running Biomechanics - Implications for Injury Prevention and Rehabilitation.Frontiers in sports and active living · 2021Article
- Combining wearable sensor signals, machine learning and biomechanics to estimate tibial bone force and damage during running.Human movement science · 2020Article
- MRI of tibial stress fractures: relationship between Fredericson classification and time to recovery in pediatric athletes.Pediatric radiology · 2020Article
- Stress fractures: diagnosis and management in the primary care setting.The British journal of general practice : the journal of the Royal College of General Practitioners · 2019Article
- Do alterations in muscle strength, flexibility, range of motion, and alignment predict lower extremity injury in runners: a systematic review.Archives of physiotherapy · 2019Review
- Article
- LEG-LENGTH INEQUALITY AND RUNNING-RELATED INJURY AMONG HIGH SCHOOL RUNNERS.International journal of sports physical therapy · 2018Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeMedial tibial stress syndrome (MTSS) and tibial stress fracture (SF) are common lower leg disorders in runners. A prospective study was done to identify the incidence of MTSS and SF in high school runners and to determine risk factors.
methodsA total of 230 runners participating in high school running teams were evaluated. All runners aged 15 years as first grade of high school were involved in the study. They were followed up for 3 years. The measured items included height, weight, body mass index (BMI), range of hip and ankle motion, straight leg raising (SLR), intercondylar and intermalleolar interval, Q-angle, navicular drop test, hip abductor strength and physical conditioning. Each runner was followed for 3 years to report occurrence of MTSS and SF.
resultsA total number of 102 MTSS (0.29 athlete exposures) and 21 SF (0.06 athlete exposures) were identified. In females, BMI significantly increased the risk of MTSS after adjustment for the other variables in this study (adjusted odds ratio, 0.51; 95 % confidence interval, 0.31-0.86). Increased internal rotation of the hip significantly increased the risk of MTSS (adjusted odds ratio, 0.91; 95 % confidence interval, 0.85-0.99). In males, limited SLR also significantly increased the risk of SF with adjustment for the other variables in this study (adjusted odds ratio, 1.38; 95 % confidence interval, 1.04-1.83).
conclusionA significant relationship was found between BMI, internal hip rotation angle and MTSS in females, and between limited SLR and SF in males. LEVEL OF EVIDENCE: Prospective cohort study, Level II.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.