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Blount disease is a growth disorder of the shin bone which causes the lower leg to angle inward, resembling a bowleg. It can present in boys under 4-years in both legs, or in adolescents usually on one side. Causes are thought to be genetic and environmental, like obesity, African-American lineage, and early walkers. [4]
Hecht Scott syndrome effects the tibia and fibula. [1] Common physical symptoms show a short leg, the ankle and foot being short and deformed, absence of rays and bowing of the tibia. [4] Another physical symptom is the presence of contralateral oligosyndactyly of the hand. [1]
Magnetic resonance image of the lower leg in the coronal plane showing high signal (bright) areas around the tibia as signs of shin splints. Shin splints are generally diagnosed from a history and physical examination. [3] The important factors on history are the location of pain, what triggers the pain, and the absence of cramping or numbness. [3]
At initial symptom onset pain typically occurs following activity, but as the condition progresses pain is frequently felt during activities and may be present at rest. [6] Pain may also be present above and below the knee, where the ITB attaches to the tibia. [7] Pain is frequently worsened by running up or downhill or by stride lengthening. [8]
The bones that make up the knee are the femur, patella, tibia, and fibula. In the posterolateral corner, the bony landmarks of the tibia, fibula and femur serve as the attachment sites of the ligaments and tendons that stabilize this portion of the knee. The patella plays no significant role in the posterolateral corner.
It is worse in the morning (after sleeping and not moving). The muscle insertion hurts very focally as it joins into the bone, but there is little to no pain at all with passive motion. Symptoms include multiple points of tenderness at the heel, tibial tuberosity, iliac crest, and other tendon insertion sites.