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Medial Tibial Stress Syndrome: A Tibial Bone-Bending Injury The animation below demonstrates how a lateral forefoot strike during running, due to varus alignment of the forefoot to the ground at footstrike, can cause increased valgus bending of the tibia during the initial phases of ground contact during running. The valgus tibial bending moment creates a valgus bend within the tibia (magnified in the video below for demonstration purposes) due to the lateral forefoot loading force from ground r
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