Skip to main content
Log in

Inspanningsgerelateerde klachten aan de mediale zijde van het onderbeen bij sporters

  • Klinische Vraag
  • Published:
Stimulus

Samenvatting

Een grote verscheidenheid aan medische diagnosen wordt gehanteerd om de klachten te omschrijven, onder meer benamingen als shin splints, periostitis, spieroverbelasting, mediale tibia stress syndroom, tibia stress syndroom. Een gemeenschappelijk kenmerk van deze beschrijvende diagnosen is dat zij geen inzicht geven welk pathologisch-anatomisch substraat is aangedaan. Het gevolg daarvan is dat de behandeling niet altijd adequaat is, wat voor sporter en behandelaar frustrerend kan zijn.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Figuur 1
Figuur 2

Literatuur

  • Alfredson H. Chronic tendon pain – implications for treatment: an update. Curr Drug Targets 2004;5(5):407-10.

    Google Scholar 

  • Alfredson H, Cook J. A treatment algorithm for managing Achilles tendinopathy: new treatment options. Br J Sports Med 2007;41(4):211-6.

    Google Scholar 

  • Anderson J, Read J. Atlas of imaging in sports medicine. Philadelphia: McGraw-Hill, 2007.

  • Andrish JT, Bergfeld JA, e.a. A prospective study on the management of shin splints. J Bone Joint Surg Am 1974;56(8):1697-700.

    Google Scholar 

  • Bates P. Shin splints – a literature review. Br J Sports Med 1985;19(3):132-7.

    Google Scholar 

  • Beck BR. Tibial stress injuries. An aetiological review for the purposes of guiding management. Sports Med 1998;26(4):265-79.

    Google Scholar 

  • Beck BR, Osternig LR. Medial tibial stress syndrome. The location of muscles in the leg in relation to symptoms. J Bone Joint Surg Am 1994;76(7):1057-61.

    Google Scholar 

  • Bennell K, Matheson G, e.a. Risk factors for stress fractures. Sports Med 1999;28(2):91-122.

    Google Scholar 

  • Bennell KL, Malcolm SA, e.a. Risk factors for stress fractures in track and field athletes. A twelve-month prospective study. Am J Sports Med 1996;24(6):810-8.

    Google Scholar 

  • Bennett JE, Reinking MF, e.a. Factors contributing to the development of medial tibial stress syndrome in high school runners. J Orthop Sports Phys Ther 2001;31(9):504-10.

    Google Scholar 

  • Bensel CK, Kaplan DB. Wear test of boot inserts: memorandum for the record. Massachusets: United States Army Natrick Research and Development Laboratories, 1986.

  • Bensel CK, Kish RN. Lower extremity disorders among men and women in army basic training and effects of two types of boots. Massachusets: United States Army Natrick Research and Development Laboratories, 1983.

  • Bhatt R, Lauder I, e.a. Correlation of bone scintigraphy and histological findings in medial tibial syndrome. Br J Sports Med 2000;34(1):49-53.

    Google Scholar 

  • Blackman PG. A review of chronic exertional compartment syndrome in the lower leg. Med Sci Sports Exerc 2000;32(3 Suppl):S4-10.

    Google Scholar 

  • Brody DM. Running injuries. Clinical Symposia 1987;39(3):24.

  • Brukner P. Exercise-related lower leg pain: an overview. Med Sci Sports Exerc 2000;32(3 Suppl):S1-3.

    Google Scholar 

  • Brukner P, Bennell K, e.a. Stress fractures. Champaign, IL: Blackwell Science, 1999.

  • Brukner P, Khan K. Clinical sports medicine. Philadelphia: McGraw-Hill, 2007.

  • Burne SG, Khan KM, e.a. Risk factors associated with exertional medial tibial pain: a 12 month prospective clinical study. Br J Sports Med 2004;38(4):441-5.

    Google Scholar 

  • Cook J, Khan K. The treatment of resistant, painful tendinopathies results in frustration for athletes and health professionals alike. Am J Sports Med 2003;31(2):327-8; author reply, p. 328.

    Google Scholar 

  • Cooper R, Allwright S, e.a. Atlas of nuclear imaging in sports medicine. Philadelphia: McGraw-Hill Publishing Co, 2003.

  • Couture CJ, Karlson KA. Tibial stress injuries. Physician Sportsmed 2002;30(6):29-37.

    Google Scholar 

  • Delacarda FG. A study of anatomical factors involved in shin splints. Orthop Sports Phys Ther 1980;2(Fall):55-59.

    Google Scholar 

  • Detmer DE. Chronic shin splints. Classification and management of medial tibial stress syndrome. Sports Med 1986;3(6):436-46.

    Google Scholar 

  • Detmer DE, Sharpe K, e.a. Chronic compartment syndrome: diagnosis, management, and outcomes. Am J Sports Med 1985;13(3):162-70.

    Google Scholar 

  • Edwards P, Myerson MS. Exertional compartment syndrome of the leg. Physician Sportsmed 1996;24(4):31-46.

    Google Scholar 

  • Edwards Jr PH, Wright ML, e.a. A practical approach for the differential diagnosis of chronic leg pain in the athlete. Am J Sports Med 2005;33(8):1241-9.

  • Garth Jr WP, Miller ST. Evaluation of claw toe deformity, weakness of the foot intrinsics, and posteromedial shin pain. Am J Sports Med 1989;17(6):821-7.

  • Gehlsen GM, Seger A. Selected measures of angular displacement, strength, and flexibility in subjects with and without shin splints. Res Q Exerc Sport 1980;51(3):478-85.

    Google Scholar 

  • Johnell O, Rausing A, e.a. Morphological bone changes in shin splints. Clin Orthop Relat Res 1982;167:180-4.

    Google Scholar 

  • Korkola M, Amendola A. Exercise-induced leg pain. Physician Sportsmed 2001;29(6):35-50.

    Google Scholar 

  • Kortebein PM, Kaufman KR, e.a. Medial tibial stress syndrome. Med Sci Sports Exerc 2000;32(3 Suppl):S27-33.

    Google Scholar 

  • Krivickas LS. Anatomical factors associated with overuse sports injuries. Sports Med 1997;24(2):132-46.

    Google Scholar 

  • Larsen K, Weidich F, e.a. Can custom-made biomechanic shoe orthoses prevent problems in the back and lower extremities? A randomized, controlled intervention trial of 146 military conscripts. J Manipulative Physiol Ther 2002;25(5):326-31.

    Google Scholar 

  • Lilletvedt J, Kreighbaum E, e.a. Analysis of selected alignment of the lower extremity related to the shin splint syndrome. J Am Podiatry Assoc 1979;69(3):211-7.

    Google Scholar 

  • Macera CA, Pate RR, e.a. Predicting lower-extremity injuries among habitual runners. Arch Intern Med 1989;149(11):2565-8.

    Google Scholar 

  • Messier SP, Pittala KA. Etiologic factors associated with selected running injuries. Med Sci Sports Exerc 1988;20(5):501-5.

    Google Scholar 

  • Michael RH, Holder LE. The soleus syndrome. A cause of medial tibial stress (shin splints). Am J Sports Med 1985;13(2):87-94.

    Google Scholar 

  • Moeyersoons JP, Martens M. Chronic compartment syndrome: diagnosis and management. Acta Orthop Belg 1992;58(1):23-7.

    Google Scholar 

  • Myburgh KH, Grobler N, e.a. Factors associated with shin soreness in athletes. Physician Sportsmed 1988;16:129-34.

    Google Scholar 

  • Ohberg L, Lorentzon R, e.a. Neovascularisation in Achilles tendons with painful tendinosis but not in normal tendons: an ultrasonographic investigation. Knee Surg Sports Traumatol Arthrosc 2001;9(4):233-8.

    Google Scholar 

  • Pedowitz RA, Hartgens AR, e.a. Modified criteria for the objective diagnosis of chronic compartment syndrome of the leg. Am J Sports Med 1990;18(1):35-40.

    Google Scholar 

  • Richie DH, Kelso SF, e.a. Aerobic dance injuries: a retrospective study of instructors and participants. Physician Sportsmed 1985;13:130-40.

    Google Scholar 

  • Rorabeck CH, Bourne RB, e.a. The surgical treatment of exertional compartment syndrome in athletes. J Bone Joint Surg Am 1983;65(9):1245-51.

    Google Scholar 

  • Rorabeck CH, Fowler PJ, e.a. The results of fasciotomy in the management of chronic exertional compartment syndrome. Am J Sports Med 1988;16(3):224-7.

    Google Scholar 

  • Ross DG. Chronic compartment syndrome. Orthop Nurs 1996;15(3):23-7.

    Google Scholar 

  • Ross J. A review of lower limb overuse injuries during basic military training. Part 2: Prevention of overuse injuries. Mil Med 1993;158(6):415-20.

    Google Scholar 

  • Saxena A, O'Brien T, e.a. Anatomic dissection of the tibialis posterior muscle and its correlation to medial tibial stress syndrome. J Foot Surg 1990;29(2):105-8.

    Google Scholar 

  • Schwellnus MP, Jordaan G, e.a. Prevention of common overuse injuries by the use of shock absorbing insoles. A prospective study. Am J Sports Med 1990;18(6):636-41.

    Google Scholar 

  • Shrier I, Gossal K. Myths and truths of stretching. Physician Sportsmed 2000;28(8):57-63.

    Google Scholar 

  • Slimmon D, Bennell K, e.a. Long-term outcome of fasciotomy with partial fasciectomy for chronic exertional compartment syndrome of the lower leg. Am J Sports Med 2002;30(4):581-8.

    Google Scholar 

  • Sommer HM, Vallentyne SW. Effect of foot posture on the incidence of medial tibial stress syndrome. Med Sci Sports Exerc 1995;27(6):800-4.

    Google Scholar 

  • Stacy RJ, Hungerford RL. A method to reduce work-related injuries during basic recruit training in the New Zealand Army. Mil Med 1984;149(6):318-20.

    Google Scholar 

  • Styf J. Compartment syndromes. Diagnosis, treatment and complications. Londen: CRC Press, 2004.

  • Thacker SB, Gilchrist J, e.a. The prevention of shin splints in sports: a systematic review of literature. Med Sci Sports Exerc 2002;34(1):32-40.

    Google Scholar 

  • Touliopolous S, Hershman EB. Lower leg pain. Diagnosis and treatment of compartment syndromes and other pain syndromes of the leg. Sports Med 1999;27(3):193-204.

    Google Scholar 

  • Viitasalo JT, Kvist, M. Some biomechanical aspects of the foot and ankle in athletes with and without shin splints. Am J Sports Med 1983;11(3):125-30.

    Google Scholar 

  • Walter SD, Hart LE, e.a. The Ontario cohort study of running-related injuries. Arch Intern Med 1989;149(11):2561-4.

    Google Scholar 

  • Yates B, White S. The incidence and risk factors in the development of medial tibial stress syndrome among naval recruits. Am J Sports Med 2004;32(3):772-80.

    Google Scholar 

  • Young AJ, McAllister DR. Evaluation and treatment of tibial stress fractures. Clin Sports Med 2006;25(1):117-28.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Additional information

Sportarts, academisch ziekenhuis Maastricht, capaciteitsgroep Algemene Chirurgie, polikliniek Sportgeneeskunde Maastricht; Sportmedisch Adviescentrum Maastricht, Maastricht.

Sportarts, Maxima Medisch Centrum, afdeling Sportgeneeskunde, Veldhoven.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Hartgens, F., Hoogeveen, A.R. Inspanningsgerelateerde klachten aan de mediale zijde van het onderbeen bij sporters. STIM 26, 181 (2007). https://doi.org/10.1007/BF03063079

Download citation

  • DOI: https://doi.org/10.1007/BF03063079

Navigation