Date: Wed, 15 Jul 1998 00:42:13 +1000
Subject: Medial Tibial Stress Syndrome
From: Matt McEwan <[log in to unmask]>
To: [log in to unmask]
Reply-to: [log in to unmask]
I am interested in list members experience with surgical management of
medial tibial stress syndrome, particularly fasciotomy for relief of tibial
periostitis. Ideas re indications for surgical Mx, procedures used,
operative findings, postop rehab and success rates, anecdotal or empirical
evidence would be greatly appreciated. I am covering this topic as part of
my Masters in Sports Physiotherapy and have found very few published papers
regarding surgical intervention.
I would be interested to hear members ideas re: etiology, differential Dx
and treatment of MTSS and exertional compartment syndrome.
Thanks in advance
Matt McEwan
University of Sydney,
Australia
Fundamental to the problem is the definition of MTSS. Some medical
practitioners and physiotherapists are not specific in the
terminology that they use. In our practice we reserve fasciotomy for
those patients who meet certain criteria for chronic compartment
syndrome based in intracompartmental muscle pressure measurement. It
has been my understanding that fasciotomy does not "cure" MTSS. If
you have any evidence or references to the contrary please could you
let me know, as I find the athlete with true MTSS to be a major
problem problem.
Regards,
Maurice Mars
---------------------------------------------------------
Prof Maurice Mars ph +27 31 260 4364
Dept of Physiology fax +27 31 260 4455
University of Natal Medical School
Private Bag 7
Congella 4013
South Africa e-mail [log in to unmask]
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