Evidence map›Paper›PMID 41831134›Full record

ReviewMusculoskeletal surgery2026

Medial tibial stress syndrome.

Antonio Mazzotti, Gianmarco Di Paola, Alberto Arceri, Federico Sgubbi, Laura Langone, Simone Ottavio Zielli, Gianmarco Gemini, Cesare Faldini

Abstract readReview
PubMed Publisher
In one paragraph

Review in Musculoskeletal surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Antonio MazzottiIRCCS Istituto Ortopedico Rizzoli, Istituto Ortopedico Rizzoli, Bologna, Italy.
Gianmarco Di PaolaIRCCS Istituto Ortopedico Rizzoli, Istituto Ortopedico Rizzoli, Bologna, Italy. gianmarco.dipaola@ior.it.
Alberto ArceriIRCCS Istituto Ortopedico Rizzoli, Istituto Ortopedico Rizzoli, Bologna, Italy.
Federico SgubbiIRCCS Istituto Ortopedico Rizzoli, Istituto Ortopedico Rizzoli, Bologna, Italy.
Laura LangoneIRCCS Istituto Ortopedico Rizzoli, Istituto Ortopedico Rizzoli, Bologna, Italy.
Simone Ottavio ZielliIRCCS Istituto Ortopedico Rizzoli, Istituto Ortopedico Rizzoli, Bologna, Italy.
Gianmarco GeminiIRCCS Istituto Ortopedico Rizzoli, Istituto Ortopedico Rizzoli, Bologna, Italy.
Cesare FaldiniIRCCS Istituto Ortopedico Rizzoli, Istituto Ortopedico Rizzoli, Bologna, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Medial Tibial Stress Syndrome (MTSS) is an overuse pathological condition, characterized by pain and tenderness along the posteromedial border of the tibia. The duration and severity of symptoms, in some cases, may lead to marked functional impairment and undermine athletic performance.There is a lack of consensus across literature regarding several aspects of MTSS. The purpose of this narrative review is to synthesize current evidence and highlight key elements related to MTSS.Findings indicate that MTSS is a multifactorial condition involving periosteal traction, bone overload and impaired remodeling. Epidemiological data are heterogeneous, but MTSS remains prevalent among athletes and military personnel. Multiple intrinsic and extrinsic risk factors contribute to its onset. Diagnosis is primarily clinical, supported by imaging. Conservative management, consisting of rest, anti-inflammatory medications and physiotherapy, remains the cornerstone, while the evidence for surgical intervention is limited and methodologically weak.

Indexed as

Bone stress injuryBSIMTSSPeriostitisShin splintTibial overuse periostitisTibial painTOP

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.