Alessa Mohammed, Almutairi Yazeed O, Alquhayz Mohammed, Alothman Abdullah, Alajlan Fahad, Alajlan Alhanoof, AbuDujain Nasser M, Alrabai Hamza M
Department of Family and Community Medicine, Security Forces Hospital, Riyadh, SAU.
Department of Family and Community Medicine, King Saud University Medical City, Riyadh, SAU.
Cureus. 2024 Dec 9;16(12):e75376. doi: 10.7759/cureus.75376. eCollection 2024 Dec.
Medial tibial stress syndrome (MTSS), commonly known as shin splints, is characterized by pain and inflammation in the shin caused by repetitive stress. While often associated with sports and physical activity, MTSS can significantly impact daily life, particularly in military recruits, making it a pertinent concern for this population. This narrative review synthesizes findings from a comprehensive search of databases to explore the prevalence, risk factors, and management of MTSS among military recruits. The search identified 35 studies discussing these aspects. MTSS is highly prevalent among military recruits, with an incidence ranging from 35% to 56%. Key risk factors include female sex, higher BMI, low aerobic fitness, smoking, and specific anatomical characteristics. Various treatments, including extracorporeal shockwave therapy (ESWT), compression therapy, pneumatic leg braces, and shock-absorbing insoles, have been shown to effectively accelerate recovery. Early identification of at-risk individuals could significantly reduce MTSS incidence and related healthcare costs. Emerging artificial intelligence tools also hold promise for delivering precise risk assessments. In conclusion, MTSS is a common issue among military personnel, driven by the physical demands of their training and specific risk factors. Further research into predictors of MTSS across diverse military populations is essential to improve outcomes.
胫骨内侧应力综合征（MTSS），俗称胫骨夹板，其特征是由反复应力导致的胫骨疼痛和炎症。虽然MTSS通常与运动和体育活动有关，但它会对日常生活产生重大影响，尤其是在新兵中，这使其成为该人群的一个相关关注点。这篇叙述性综述综合了对数据库全面检索的结果，以探讨新兵中MTSS的患病率、风险因素和管理方法。检索确定了35项讨论这些方面的研究。MTSS在新兵中非常普遍，发病率在35%至56%之间。关键风险因素包括女性、较高的体重指数、低有氧适能、吸烟和特定的解剖特征。各种治疗方法，包括体外冲击波疗法（ESWT）、压迫疗法、气动腿部支架和减震鞋垫，已被证明能有效加速康复。早期识别高危个体可显著降低MTSS的发病率和相关医疗成本。新兴的人工智能工具也有望提供精确的风险评估。总之，由于训练的身体需求和特定风险因素，MTSS是军人中的一个常见问题。对不同军人群体中MTSS预测因素的进一步研究对于改善结果至关重要。
