Periostitis blade of a horned dinosaur. Periostitis Periostitis, also known as periostalgia, is a medical condition caused by inflammation of the periosteum, a layer of connective tissue that surrounds bone. The condition is generally chronic, and is marked by tenderness and swelling of the bone and pain. Acute periostitis is due to infection, is characterized by diffuse formation of pus, severe pain, constitutional symptoms, and usually results in necrosis. It can be caused by excessive physical activity as well, as in the case of medial tibial stress syndrome (also referred to as tibial periostalgia, soleus periostalgia, or shin splints). Congenital infection
Medial knee injuries proper alignment is achieved, reconstruction can be performed. This technique, described in detail by LaPrade et al., uses two grafts in four separate tunnels. An incision is made over the medial knee 4 cm medial to the patella, and extended distally 7 to 8 cm past the joint line, directly over the pes anserinus tendons. Within the distal borders of the incision, the semitendinosus and gracilis tendons are found beneath the sartorius muscle fascia. The distal tibial attachment of the sMCL can be found under these identified tendons, making up the floor of the pes anserine bursa, 6 cm distal