Ankle & Foot Bone, Fracture & Joint Pathology Evidence: suggestive

Shin Palpation Test Special Test

Orthopedic Physical Examination & Clinical Assessment Guide

Shin Palpation Test Orthopedic Special Test

What is it used for?

  • Diagnosing Medial Tibial Stress Syndrome (MTSS / Shin Splints).

How to Perform

  • Position: Patient sits or lies supine.
  • Action: Palpate the distal two-thirds of the posteromedial border of the tibia (shin bone).
  • Pressure: Apply firm pressure along the bone edge.

Interpretation of Results

  • Positive Test: Pain that is widespread (diffuse) along the medial border (covering at least 5 cm).
  • Note: Focal (pinpoint) tenderness suggests a stress fracture instead of MTSS.

References

  • Magee, D. J. (2021). Orthopedic Physical Assessment (7th ed.). Elsevier.