{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T20:17:03Z","timestamp":1770754623672,"version":"3.50.0"},"reference-count":28,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2021,10,7]],"date-time":"2021-10-07T00:00:00Z","timestamp":1633564800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Ultrasound Medicine"],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>We aimed to explore, which muscle stiffness changes may be related to medial tibial stress syndrome (MTSS) and the correlation between the medial tibial periosteal thickness and lower leg muscle stiffness.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This study included 63 subjects distributed into 3 groups: the symptomless group, the MTSS group, and the control group. The lower leg muscle stiffness of the tibialis anterior (TA), extensor digitorum longus (EDL), peroneus longus (PL), soleus (SOL), lateral gastrocnemius (LG), medial gastrocnemius (MG), tibialis posterior (TP), and flexor digitorum longus (FDL) in the 3 groups was obtained by two\u2010dimensional shear wave elastography. Differences in the muscle stiffness and medial tibial periosteal thickness in the 3 groups were determined by one\u2010way analysis of variance (ANOVA) and least significant difference tests. The relationships between the periosteal thickness and the muscle stiffness were assessed using Pearson correlations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The shear wave velocity (SWV) of all lower leg muscles except the EDL was higher in the symptomless and MTSS groups than in the control group (TA, <jats:italic>P<\/jats:italic>\u00a0=\u00a0.001; PL, <jats:italic>P<\/jats:italic>\u00a0=\u00a0.006; SOL, <jats:italic>P<\/jats:italic>\u2009&lt;\u2009.001; LG, <jats:italic>P<\/jats:italic>\u2009&lt;\u2009.001; MG, <jats:italic>P<\/jats:italic>\u2009&lt;\u2009.001; TP, <jats:italic>P<\/jats:italic>\u2009&lt;\u2009.001; FDL, <jats:italic>P<\/jats:italic>\u00a0=\u00a0.013; and ANOVA). A significant difference was found in the SWV of the SOL, TP, and FDL between the control and symptomless groups (<jats:italic>P<\/jats:italic>\u00a0=\u00a0.041, <jats:italic>P<\/jats:italic>\u2009&lt;\u2009.001, and <jats:italic>P<\/jats:italic>\u00a0=\u00a0.013, respectively). Moreover, the medial tibial periosteum was thickened after running training, and its thickness was positively correlated with muscle stiffness.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The medial tibia periosteal thickness is positively correlated with the lower leg muscles stiffness. Changes in SOL, TP, and FDL stiffness may be related to the occurrence of MTSS.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jum.15842","type":"journal-article","created":{"date-parts":[[2021,10,9]],"date-time":"2021-10-09T06:21:54Z","timestamp":1633760514000},"page":"1633-1642","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Lower Leg Muscle Stiffness on Two\u2010Dimensional Shear Wave Elastography in Subjects With Medial Tibial Stress Syndrome"],"prefix":"10.1002","volume":"41","author":[{"given":"Haixiang","family":"Zhang","sequence":"first","affiliation":[{"name":"Department of Ultrasound The Third Medical Centre of Chinese PLA General Hospital, The Training Site for Postgraduate of Jinzhou Medical University  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Weiping","family":"Peng","sequence":"additional","affiliation":[{"name":"Department of Wounded and Sick Management The Third Medical Centre of Chinese PLA General Hospital  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chi","family":"Qin","sequence":"additional","affiliation":[{"name":"Department of Ultrasound The Third Medical Centre of Chinese PLA General Hospital  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuqian","family":"Miao","sequence":"additional","affiliation":[{"name":"Department of Ultrasound The Third Medical Centre of Chinese PLA General Hospital  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fan","family":"Zhou","sequence":"additional","affiliation":[{"name":"Department of Ultrasound The Third Medical Centre of Chinese PLA General Hospital  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yutong","family":"Ma","sequence":"additional","affiliation":[{"name":"Department of Ultrasound The Third Medical Centre of Chinese PLA General Hospital  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0411-4924","authenticated-orcid":false,"given":"Yongyan","family":"Gao","sequence":"additional","affiliation":[{"name":"Department of Ultrasound The Third Medical Centre of Chinese PLA General Hospital  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,10,7]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2016-097037"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.csm.2011.09.008"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.2165\/00007256-200939070-00002"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.5312\/wjo.v6.i8.577"},{"key":"e_1_2_7_6_1","first-page":"1991","article-title":"Distance travelled by military recruits during basic training is a significant risk factor for lower limb overuse 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