DIFFERENTIAL DIAGNOSIS ALGORITHM OF MTSS CLINICAL EXAMINATION Diagnostic imaging MRI ? + Linear Focal Atypical MTSS Stress fracture
eg. training errors
DIAGNOSTIC ALGORITHM Diagnostic algorithms have been used exten- sively in the literature to assist the allied health professional in differential diagnosis and guidance in choosing the appropriate test. Above is such an algorithm summarising the findings of this literature review to assist in the differential diagnosis of MTSS.
Possible differential diagnosis ■ Periostitis (tibial and tractional) ■ Tibial bone stress reaction ■ Tibialis posterior tendonitis ■ Soleus tendonitis ■ Flexor hallucis longus tendonitis ■ Flexor digitorum longus tendonitis