The purpose of this review is to critically evaluate experimental evidence
describing the pathology associated with shin splints. Shin splints are defined as
medial or posteromedial leg pain which is brought about by walking, running, or
related activities and which decreases with rest. The evidence indicates that shin
splints may be due to pathology of the posteromedial tibia1 cortex, the periosteum of
the posteromedial tibia, or the crural fascia of the deep posterior compartment of the
leg. Research is needed to determine if increased pressure in the deep posterior
compartment of the leg or pathology of the muscles, tendons, or interosseous
membrane of the leg are associated with shin splints.