{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,2]],"date-time":"2026-11-02T23:12:32Z","timestamp":1793661152152,"version":"4.5.1"},"reference-count":35,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2012,4,20]],"date-time":"2012-04-20T00:00:00Z","timestamp":1334880000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Scandinavian Med Sci Sports"],"published-print":{"date-parts":[[2014,2]]},"abstract":"In medial tibial stress syndrome (MTSS<\/jats:styled-content>) bone marrow and periosteal edema of the tibia on the magnetic resonance imaging (MRI<\/jats:styled-content>) is frequently reported. The relationship between these MRI<\/jats:styled-content> findings and recovery has not been previously studied. This prospective study describes MRI<\/jats:styled-content> findings of 52 athletes with MTSS<\/jats:styled-content>. Baseline characteristics were recorded and recovery was related to these parameters and MRI<\/jats:styled-content> findings to examine for prognostic factors. Results showed that 43.5% of the symptomatic legs showed bone marrow or periosteal edema. Absence of periosteal and bone marrow edema on MRI<\/jats:styled-content> was associated with longer recovery (P<\/jats:styled-content><\/jats:italic>\u2009=\u20090.033 and P<\/jats:styled-content><\/jats:italic>\u2009=\u20090.013). A clinical scoring system for sports activity (SARS<\/jats:styled-content> score) was significantly higher in the presence of bone marrow edema (P<\/jats:styled-content><\/jats:italic>\u2009=\u20090.027). When clinical scoring systems (SARS<\/jats:styled-content> score and the L<\/jats:styled-content>ower E<\/jats:styled-content>xtremity F<\/jats:styled-content>unctional S<\/jats:styled-content>cale) were combined in a model, time to recovery could be predicted substantially (explaining 54% of variance, P<\/jats:styled-content><\/jats:italic>\u2009=\u20090.006). In conclusion, in athletes with MTSS<\/jats:styled-content>, bone marrow or periosteal edema is seen on MRI<\/jats:styled-content> in 43,5% of the symptomatic legs. Furthermore, periosteal and bone marrow edema on MRI<\/jats:styled-content> and clinical scoring systems are prognostic factors. Future studies should focus on MRI<\/jats:styled-content> findings in symptomatic MTSS<\/jats:styled-content> and compare these with a matched control group.<\/jats:p>","DOI":"10.1111\/j.1600-0838.2012.01467.x","type":"journal-article","created":{"date-parts":[[2012,4,20]],"date-time":"2012-04-20T11:07:34Z","timestamp":1334920054000},"page":"204-210","source":"Crossref","is-referenced-by-count":37,"title":["A prospective study on MRI<\/scp> findings and prognostic factors in athletes with MTSS<\/scp>"],"prefix":"10.1111","volume":"24","author":[{"given":"M. H.","family":"Moen","sequence":"first","affiliation":[{"name":"Rehabilitation and Sports Medicine University Medical Center Utrecht Utrecht the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S. 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