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. 1985 Sep;19(3):132–137. doi: 10.1136/bjsm.19.3.132

Shin splints--a literature review.

P Bates
PMCID: PMC1478261  PMID: 3907743

Abstract

"Shin splints" is not a specific diagnosis. It is merely a descriptive term that describes chronic exertional shin pain in an athlete. The evidence seems clear that shin splint pain has many different causes and this reflects the variation in the anatomy. It would be preferable to describe shin splint pain by location and aetiology, for example, lower medial tibial pain due to periostitis or upper lateral tibial pain due to elevated compartment pressure. This would aid communication between physicians and also direct therapy more accurately.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Andrish J. T., Bergfeld J. A., Walheim J. A prospective study on the management of shin splints. J Bone Joint Surg Am. 1974 Dec;56(8):1697–1700. [PubMed] [Google Scholar]
  2. Brill D. R. Sports nuclear medicine. Bone imaging for lower extremity pain in athletes. Clin Nucl Med. 1983 Mar;8(3):101–106. doi: 10.1097/00003072-198303000-00002. [DOI] [PubMed] [Google Scholar]
  3. Clement D. B. Tibial stress syndrome in athletes. J Sports Med. 1974 Mar-Apr;2(2):81–85. doi: 10.1177/036354657400200203. [DOI] [PubMed] [Google Scholar]
  4. D'Ambrosia R. D., Zelis R. F., Chuinard R. G., Wilmore J. Interstitial pressure measurements in the anterior and posterior compartments in athletes with shin splints. Am J Sports Med. 1977 May-Jun;5(3):127–131. doi: 10.1177/036354657700500306. [DOI] [PubMed] [Google Scholar]
  5. DEVAS M. B. Stress fractures of the tibia in athletes or shin soreness. J Bone Joint Surg Br. 1958 May;40-B(2):227–239. doi: 10.1302/0301-620X.40B2.227. [DOI] [PubMed] [Google Scholar]
  6. Devas M. B. Stress fractures in athletes. Proc R Soc Med. 1969 Sep;62(9):933–937. [PMC free article] [PubMed] [Google Scholar]
  7. FREEDMAN B. J. Dr. Edward Wilson of the Antarctic; a biographical sketch, followed by an inquiry into the nature of his last illness. Proc R Soc Med. 1954 Mar;47(3):183–189. [PMC free article] [PubMed] [Google Scholar]
  8. Gehlsen G. M., Seger A. Selected measures of angular displacement, strength, and flexibility in subjects with and without shin splints. Res Q Exerc Sport. 1980 Oct;51(3):478–485. doi: 10.1080/02701367.1980.10608070. [DOI] [PubMed] [Google Scholar]
  9. Gershuni D. H., Gosink B. B., Hargens A. R., Gould R. N., Forsythe J. R., Mubarak S. J., Akeson W. H. Ultrasound evaluation of the anterior musculofascial compartment of the leg following exercise. Clin Orthop Relat Res. 1982 Jul;(167):185–190. [PubMed] [Google Scholar]
  10. Gudas C. J. Patterns of lower-extremity injury in 224 runners. Compr Ther. 1980 Sep;6(9):50–59. [PubMed] [Google Scholar]
  11. James S. L., Bates B. T., Osternig L. R. Injuries to runners. Am J Sports Med. 1978 Mar-Apr;6(2):40–50. doi: 10.1177/036354657800600202. [DOI] [PubMed] [Google Scholar]
  12. Lilletvedt J., Kreighbaum E., Phillips R. L. Analysis of selected alignment of the lower extremity related to the shin splint syndrome. J Am Podiatry Assoc. 1979 Mar;69(3):211–217. doi: 10.7547/87507315-69-3-211. [DOI] [PubMed] [Google Scholar]
  13. MAVOR G. E. The anterior tibial syndrome. J Bone Joint Surg Br. 1956 May;38-B(2):513–517. doi: 10.1302/0301-620X.38B2.513. [DOI] [PubMed] [Google Scholar]
  14. Martens M. A., Backaert M., Vermaut G., Mulier J. C. Chronic leg pain in athletes due to a recurrent compartment syndrome. Am J Sports Med. 1984 Mar-Apr;12(2):148–151. doi: 10.1177/036354658401200211. [DOI] [PubMed] [Google Scholar]
  15. Matsen F. A., 3rd, Mayo K. A., Sheridan G. W., Krugmire R. B., Jr Monitoring of intramuscular pressure. Surgery. 1976 Jun;79(6):702–709. [PubMed] [Google Scholar]
  16. Matsen F. A., 3rd, Winquist R. A., Krugmire R. B., Jr Diagnosis and management of compartmental syndromes. J Bone Joint Surg Am. 1980 Mar;62(2):286–291. [PubMed] [Google Scholar]
  17. Milgrom C., Chisin R., Giladi M., Stein M., Kashtan H., Margulies J., Atlan H. Negative bone scans in impending tibial stress fractures. A report of three cases. Am J Sports Med. 1984 Nov-Dec;12(6):488–491. doi: 10.1177/036354658401200615. [DOI] [PubMed] [Google Scholar]
  18. Mubarak S. J., Gould R. N., Lee Y. F., Schmidt D. A., Hargens A. R. The medial tibial stress syndrome. A cause of shin splints. Am J Sports Med. 1982 Jul-Aug;10(4):201–205. doi: 10.1177/036354658201000402. [DOI] [PubMed] [Google Scholar]
  19. Mubarak S. J., Hargens A. R., Owen C. A., Garetto L. P., Akeson W. H. The wick catheter technique for measurement of intramuscular pressure. A new research and clinical tool. J Bone Joint Surg Am. 1976 Oct;58(7):1016–1020. [PubMed] [Google Scholar]
  20. Orava S., Puranen J. Athletes' leg pains. Br J Sports Med. 1979 Sep;13(3):92–97. doi: 10.1136/bjsm.13.3.92. [DOI] [PMC free article] [PubMed] [Google Scholar]
  21. Paton D. F. The pathogenesis of anterior tibial syndrome. An illustrative case. J Bone Joint Surg Br. 1968 May;50(2):383–385. [PubMed] [Google Scholar]
  22. Puranen J., Alavaikko A. Intracompartmental pressure increase on exertion in patients with chronic compartment syndrome in the leg. J Bone Joint Surg Am. 1981 Oct;63(8):1304–1309. [PubMed] [Google Scholar]
  23. Puranen J. The medial tibial syndrome: exercise ischaemia in the medial fascial compartment of the leg. J Bone Joint Surg Br. 1974 Nov;56-B(4):712–715. doi: 10.1302/0301-620X.56B4.712. [DOI] [PubMed] [Google Scholar]
  24. Rorabeck C. H., Bourne R. B., Fowler P. J. The surgical treatment of exertional compartment syndrome in athletes. J Bone Joint Surg Am. 1983 Dec;65(9):1245–1251. [PubMed] [Google Scholar]
  25. Scholander P. F., Hargens A. R., Miller S. L. Negative pressure in the interstitial fluid of animals. Fluid tensions are spectacular in plants; in animals they are elusively small, but just as vital. Science. 1968 Jul 26;161(3839):321–328. doi: 10.1126/science.161.3839.321. [DOI] [PubMed] [Google Scholar]
  26. Slocum D. B. The shin splint syndrome. Medical aspects and differential diagnosis. Am J Surg. 1967 Dec;114(6):875–881. doi: 10.1016/0002-9610(67)90410-2. [DOI] [PubMed] [Google Scholar]
  27. Spencer R. P., Levinson E. D., Baldwin R. D., Sziklas J. J., Witek J. T., Rosenberg R. Diverse bone scan abnormalitites in "shin splints". J Nucl Med. 1979 Dec;20(12):1271–1272. [PubMed] [Google Scholar]
  28. Whitesides T. E., Jr, Haney T. C., Harada H., Holmes H. E., Morimoto K. A simple method for tissue pressure determination. Arch Surg. 1975 Nov;110(11):1311–1313. doi: 10.1001/archsurg.1975.01360170051006. [DOI] [PubMed] [Google Scholar]

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