Ankle: Pathologies 5

Question 1

Stress fractures vs. MTSS

Similarities: both diagnoses have

Answer 1

• Same MOI

- Tibial tenderness

Question 2

Stress fractures vs. MTSS

What might aid in diagnosing a tibial stress fx?

Answer 2

• Location of tibial tenderness

- unable to differentiate medial tibial pain without imaging

Question 3

Stress fractures vs. MTSS

Imaging

Answer 3

MRI

Bone scan

Question 4

Stress fractures vs. MTSS

Radiographs?

Answer 4

Often cannot pick up a stress fx but may show healing around the stress fx

Question 5

Factors contributing to development of MTSS: women vs men

Answer 5

Women > men

Question 6

Factors contributing to development of MTSS: 74% overall prediction accuracy with these factors

Answer 6

• female

- excessive pronation

Question 7

Factors contributing to development of MTSS: 68% overall prediction accuracy with what test

Answer 7

Navicular drop test

Question 8

Treatment for MTSS: low level of evidence for these interventions

Answer 8

• treat biomechanical faults
• relative rest
• avoid training on hard, uneven surfaces
• avoid training at higher duration, intensity, or frequency
• appropriate footwear
• gastroc/soleus flexibility

Question 9

Treatment for MTSS: Low level of evidence for relative rest…

Answer 9

4 mos OR until activity is pain free