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JOURNAL
OF
SPORTS SCIENCE &
MEDICINE
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Research
article
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TIBIAL BONE DENSITY IN ATHLETES WITH MEDIAL TIBIAL STRESS SYNDROME: A CONTROLLED STUDY |
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Cengizhan Özgürbüz1  ,
Oğuz Yüksel1, Metin Ergün1, Çetin İşlegen1,
Emin Taşkıran2, Nevzad Denerel1 and Oğuz Karamızrak1 |
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1Sports Medicine, and 2Orthopedics and Traumatology Departments, Ege University School of Medicine, Izmir, Turkey |
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© Journal of Sports Science and Medicine (2011) 10, 743 - 747 |
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| ABSTRACT | |||
| 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. |
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