Examination On The Case of Shin Splint
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Examination On The Case of Shin Splint



The case injury to the shins or collectively, the Shin splint or stress Syndrome mostly occurs in runners, dancers and trauma cases, regarding clinical examination we will explain below.


Shin splint is inflammation of the muscles, tendons and bone tissue around the Shin (tibial) due to overuse and repetitive injury in the anteromedial and posteromedial areas.

The pain generally occurs at the boundary between the tibia or Shin bone where muscles attached to bones.


Epidemiology 

  1. 10-15% occur on the runners, dancers
  2. 60% occur in trauma in limbs


Anamnesa patients complain of pain in the distal posteromedial and tibia after a hobby in the running, all of a sudden bone dry patients get sick.


Physical Examination

  • Inspection: the soles of the feet into a flat (flat foot)
  • Quick test: there is not a clear sign
  • Motion test active: pain at dorsofleksi movement
  • Test of motion passive: passive toward pain plantar fleksi
  • Test: Isometric isometric Motion motion pain at dorso fleksi moment
  • Special test: palpation of the tibia bone at edge of a high pain occurs

Enforcement Of Diagnosis

  • Limitation of Motion (ROM): the strength and endurance of muscles on the Poor (weak)
  • The patient is not able to do sport and run in a long time because holding sick
  • Diagnosis of a case of Shin splint/Tibial Stress Syndrome
  • The presence of disorders of stability on the heels (ankle) where the patient is incapable in the run with a long time.




Treatment Therapies

Purpose:

  • The relief of pain
  • Increase the value of the ROM
  • Anatomical adaptation and Hypertrophy
  • Patients can run and walk with a balanced




Principles of therapy:

  • Stretching tibialis and gastrocnemius muscle (Calf Muscle)
  • Strengthening the muscles of the calf muscle that is evertor and gastrocnemius muscle Strengthening invertor calf muscle
  • Patient education to train up and balance the body
  • Education in the prevention of disease and contraindications
  • doing therapy programs for the case of shin splint

Criteria reference

  • Doctor
  • Physiotherapy


Prognosis of cases

Prognosis cases of shin splint depending on light weight case and the degree of the pain felt by the patient where the patient on phase break and do the therapy program is recommended doctor, then a quick injury recovery is performed.


Treatment facilities and infrastructure:


  • Bed
  • Ice
  • taping





 ICD code case of Shin Splint was 844.9



Source:



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