The purpose of this study was to examine the relationship between the location of the Medial Tibial Stress Syndrome pain (posteromedial border of tibia) and the muscles that originate from that site.
Twenty-two cadaveric legs (9 paired and 4 unpaired) from 11 males and 2 females were used in the study.
The two heads of the gastrocnemius were transected and the muscle was reflected inferiorly to expose the underlying structures, the ligaments and tendons that attach to the medial aspect of the knee were removed, and the joint capsule was opened and the medial meniscus removed to expose the superior articular surface of the medial condyle of the tibia.
The flexor retinaculum of the ankle and the deltoid (medial) ligament of the ankle were also removed to expose the tip of the medial malleolus.
The length of the tibia was then measured using anthropometric calipers from the middle of tibial plateau proximally to the tip of the medial malleolus distally.
The muscles and structures that attach to the posteromedial border of the tibia were noted.
All measurements were converted into percentages of the length of their respective tibia bones in order to make comparisons between bones.
In this study, the flexor digitorum longus (FDL) muscle was found to be attached to the medial part of posterior surface of tibia inferior to soleal line, the soleus muscle attached to the posterior surface of proximal part of fibula, soleal line, and the posteromedial aspect of the tibial, while the tibialis posterior (TP) muscle was found to attach to the posterior surface of interosseous membrane, the lateral aspect of the posterior surface of the tibia, and the medial part of the posterior fibular surface.
These findings suggest that if traction is the cause of MTSS then soleus and the flexor digitorum muscles and not the tibialis posterior muscle are the likely cause of MTSS.
Copyright 2017 MASS4D® All rights reserved.
Rehabilitation of Your Foot and Lower Back Conditions.
Long Lasting Wear
Strong Foot Support
Easy to use
Handmade MASS4D® Quality
Sign up for free recommended foot exercises, stretching, medical news and everything good for your feet
Please have a a look at our medical reviews and clinical articles on everything about lower biomechanics.
You should always seek the advice of a physician or other qualified healthcare provider with any questions regarding personal health or medical conditions.
The content, products and services offered herein, are here to educate consumers on healthcare and medical issues that may affect their daily lives. Nothing in the content, products or services should be considered, or used as a substitute for, medical advice, diagnosis or treatment. This site and its services do not constitute the practice of any medical, nursing or other professional healthcare advice, diagnosis or treatment.
The marks "MASS4D" and the MASS4D logo are trademarks. The content and design of MASS4D.com is protected by U.S. and international copyright laws. You may not copy, reproduce, republish, upload, post, display, transmit or frame any of these materials without prior written consent from MASS4D®.
The content, products or services on this site should not be considered or used as a substitute for medical advice, diagnosis or treatment and is not intended to provide individual medical advice. Included materials and conversations do not imply a personalised doctor-patient relationship.
Copyright and Intellectual property
MASS4D® and Logo are registered trademarks of MASS4D Inc. All content, trademarks, artwork, and associated imagery are trademarks and/or copyright material of MASS4D® Inc.