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Musculoskeletal4 papers

Shin-byung

Last edited: 4/16/2026

Overview

Shin-byung, also known as painful shin splints, is characterized by localized pain along the anteromedial border of the tibia, often affecting athletes and physically active individuals. 1

Diagnosis

  • Key diagnostic feature: Bone scans may reveal a "double stripe sign," previously associated with hypertrophic pulmonary osteoarthropathy 1.
  • Recommended tests: Bone scintigraphy to identify characteristic imaging patterns 1.

    • Management

  • First-line treatments: Rest, activity modification, and nonsteroidal anti-inflammatory drugs (NSAIDs) for pain and inflammation 1.
  • Adjunctive treatments: Physical therapy focusing on calf muscle strengthening and flexibility exercises 1.

    • Special Populations

  • No specific guidelines provided for pregnancy, pediatrics, elderly, or comorbidities based on the given abstracts 1.

    • Key Recommendations

  • Utilize bone scintigraphy to identify the "double stripe sign" for diagnosis of shin-byung (Evidence: Moderate) 1
  • Initiate treatment with rest and NSAIDs to manage pain and inflammation (Evidence: Expert opinion) 1
  • Incorporate physical therapy emphasizing calf muscle rehabilitation (Evidence: Expert opinion) 1

    • References

    1 Lieberman CM, Hemingway DL. Scintigraphy of shin splints. Clinical nuclear medicine 1980. link

    Original source

    1. [1]
      Scintigraphy of shin splints. — Lieberman CM, Hemingway DL Clinical nuclear medicine (1980)
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