Shear Modulus of the Lower Leg Muscles in Patients with Medial Tibial Stress Syndrome

Kei Akiyama, Ryota Akagi, Kuniaki Hirayama, Norikazu Hirose, Hideyuki Takahashi, Toru Fukubayshi

Research output: Contribution to journalArticle

7 Citations (Scopus)


This study aimed to investigate the in vivo kinematics of shear modulus of the lower leg muscles in patients with medial tibial stress syndrome (MTSS). The study population included 46 limbs with MTSS and 40 healthy limbs. The shear modulus of the medial head of the gastrocnemius, lateral head of the gastrocnemius, soleus, peroneus longus and tibialis anterior muscles were measured using shear wave ultrasound elastography. As a result, the shear modulus of the lower leg muscles was significantly greater in patients with MTSS than in healthy patients (p < 0.01). Based on the differences in shear modulus of lower leg muscles between the patients with MTSS and healthy patients, the measurements obtained via shear wave ultrasound elastography could be used to evaluate risk factors of MTSS.

Original languageEnglish
JournalUltrasound in Medicine and Biology
Publication statusAccepted/In press - 2015 Jul 17



  • Ankle dorsiflexion
  • Athletes
  • Injury
  • Medial tibial stress syndrome
  • Shear wave ultrasound elastography

ASJC Scopus subject areas

  • Radiological and Ultrasound Technology
  • Biophysics
  • Radiology Nuclear Medicine and imaging

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