Medial Tibial Stress Syndrome (MTSS, Shin splints) is very common in military personnel accounting for up to 35% of incidences, which is almost twice the incidence seen in the average active individual. Each year there is in increase number of injuries in Army recruits. Though Army Reserve Officer Training Corps (ROTC) programs are known for commissioning approximately 60% of 2nd Lieutenants and 40% of generals on active Army duty, no research has been done examining MTSS occurrences in relation to military management practices. Therefore, the purpose of this study is to explore the relationship between military management practices and the prevalence of shin splints in Army ROTC cadets. The study consisted of 63 Army ROTC cadets. The data was explored by addressing frequencies, descriptive statistics, crosstabs and correlations of the data. MTSS incidences had a significant relationship with days missed, endurance training, ROTC classification and ROTC club participation.