Open AccessCrural Fascia and Muscle Origins Related to Medial Tibial Stress Syndrome Symptom Location
Author(s) -
Christopher D. Stickley,
Ronald K. Hetzler,
Iris F. Kimura,
Scott Lozanoff
Publication year - 2009
Publication title -
medicine and science in sports and exercise
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.703
H-Index - 224
eISSN - 1530-0315
pISSN - 0195-9131
DOI - 10.1249/mss.0b013e3181a6519c
Subject(s) - anatomy , medicine , flexor digitorum longus , aponeurosis , tibia , cadaver , fascia , medial malleolus , distal tibia , ankle
Traction-induced injury, related to muscles of the superficial and deep posterior compartments, has been implicated as the cause of medial tibial stress syndrome (MTSS) with symptoms commonly occurring in the distal third of the posteromedial tibia. Standard anatomic texts do not identify this region as an attachment site for these structures. Research into the anatomical arrangement of these structures has been inconclusive. The deep crural fascia (DCF) has been implicated as a cause of traction-induced injury in MTSS but not fully researched. The purpose of this study was to define the tibial origins of the DCF and the muscles of the superficial and deep posterior compartments relative to MTSS-related pain commonly reported along the distal one half to one third of the diaphysis of the medial tibial border and to identify the prevalence of a soleal aponeurosis.