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Medialt tibialt stressyndrom

Sist revidert:
Sist revidert av:


Definisjon:
Betennelse i muskel og senefeste langs postero-mediale kant av tibia
Forekomst:
Hyppig forekommende kronisk belastningsskade hos idrettsutøvere
Symptomer:
Smerter i mediale del av leggen under og etter trening (eks. løping)
Funn:
Tydelig palpasjonsømhet langs tibias mediale kant. Plagene typisk lokalisert i midtre og nedre 1/3 av tibia
Diagnostikk:
Tilleggsundersøkelser er vanligvis ikke påkrevd
Behandling:
Konservativ behandling med avlastning fra utløsende årsaker, ev. NSAID. Usikker effekt av øvelsesbehandling
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  2. Hamstra-Wright KL, Bliven KC, Bay C. Risk factors for medial tibial stress syndrome in physically active individuals such as runners and military personnel: a systematic review and meta-analysis. Br J Sports Med 2015; 49:362. British Journal of Sports Medicine  
  3. Franklyn M, Oakes B. Aetiology and mechanisms of injury in medial tibial stress syndrome: Current and future developments. World J Orthop. 2015 Sep 18;6(8):577-89. PubMed  
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  7. Menéndez C, Batalla L, Prieto A, Rodríguez MÁ, Crespo I, Olmedillas H. Medial Tibial Stress Syndrome in Novice and Recreational Runners: A Systematic Review. Int J Environ Res Public Health. 2020;17(20):7457. Published 2020 Oct 13. PMID: 33066291 PubMed  
  8. Craig DI. Medial tibial stress syndrome: evidence-based prevention. J Athl Train 2008; 43:316. PubMed  
  9. Mazieres B, Rouanet S, Guillon Y, Scarsi C, Reiner V. Topical ketoprofen patch in the treatment of tendinitis: a randomized, double blind, placebo controlled study. J Rheumatol 2005; 32: 1563-70. PubMed  
  10. Strakowski JA, Jamil T.. Management of common running injuries.. Physical medicine and rehabiltation clinics of north america 2006; 17: 537-52. PubMed  
  11. Rompe JD, Cacchio A, Furia JP, Maffulli N.. Low-energy extracorporeal shock wave therapy as a treatment for medial tibial stress syndrome.. The american journal of sports medicine 2010; 38: 125-32. PubMed  
  • Terje Johannessen, professor i allmennmedisin, Trondheim

Tidligere fagmedarbeidere

  • Arild Aamodt, overlege/professor, Ortopedisk avdeling, Lovisenberg Sykehus, Oslo