Risk factors associated with exertional medial tibial pain: a 12 month prospective clinical study

Burne, S. G., Khan, K. M., Boudville, P. B., Mallet, R. J., Newman, P. M., Steinman, L. J. and Thornton, E. (2004) Risk factors associated with exertional medial tibial pain: a 12 month prospective clinical study. British Journal of Sports Medicine, 38 4: 441-445. doi:10.1136/bjsm.2002.004499

Author Burne, S. G.
Khan, K. M.
Boudville, P. B.
Mallet, R. J.
Newman, P. M.
Steinman, L. J.
Thornton, E.
Title Risk factors associated with exertional medial tibial pain: a 12 month prospective clinical study
Journal name British Journal of Sports Medicine   Check publisher's open access policy
ISSN 0306-3674
Publication date 2004-01-01
Sub-type Article (original research)
DOI 10.1136/bjsm.2002.004499
Open Access Status DOI
Volume 38
Issue 4
Start page 441
End page 445
Total pages 5
Place of publication England
Publisher BMJ Publishing Group
Language eng
Subject 1106 Human Movement and Sports Science
Formatted abstract
To investigate in a military setting the potential role of intrinsic biomechanical and anthropometric risk factors for, and the incidence of, exertional medial tibial pain (EMTP).

A prospective clinical outcome study in a cohort of 122 men and 36 women at the Australian Defence Force Academy. Each cadet underwent measurements of seven intrinsic variables: hip range of motion, leg length discrepancy, lean calf girth, maximum ankle dorsiflexion range, foot type, rear foot alignment, and tibial alignment. Test–retest reliability was undertaken on each variable. A physician recorded any cadet presenting with diagnostic criteria of EMTP. Records were analysed at 12 months for EMTP presentation and for military fitness test results.

23 cadets (12 men, 11 women) met the criteria for EMTP after 12 months, with a cross gender (F/ M) odds ratio of 3.1. In men, both internal and external range of hip motion was greater in those with EMTP: left internal (12˚, p = 0.000), right internal (8˚, p = 0.014), left external (8˚, p = 0.042), right external (9˚, p = 0.026). Lean calf girth was lower by 4.2% for the right leg (p = 0.040) but by only 2.9% for the left leg (p = 0.141). No intrinsic risk factor was associated with EMTP in women. EMTP was the major cause for non-completion of the run component of the ADFA fitness test in both men and women.

Greater internal and external hip range of motion and lower lean calf girth were associated with EMTP in male military cadets. Women had high rates of injury, although no intrinsic factor was identified. Reasons for this sex difference need to be identified
Keyword medial tibial stress syndrome
military medicine
risk factors
shin pain
shin splints
Q-Index Code C1

Document type: Journal Article
Sub-type: Article (original research)
Collections: Excellence in Research Australia (ERA) - Collection
School of Human Movement and Nutrition Sciences Publications
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 30 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 36 times in Scopus Article | Citations
Google Scholar Search Google Scholar
Created: Fri, 13 Mar 2009, 00:21:19 EST by Alexandra Cooney on behalf of Library Corporate Services