Osteochondritis dissecans is most common in the tibia, which is usually due to long-term heavy labor or strenuous exercise such as bouncing and running in the lower limbs. This is because the muscles at the back of the calf, such as the gastrocnemius and flounder muscles, often pull on the bones at the front of the calf, such as the tibial bone, resulting in chronic laceration injuries, leading to chronic aseptic inflammation of the periosteum. Pressing on the anterior medial tibia will result in soreness, tenderness, and pressure pain, and symptoms will appear or worsen when running or walking.