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Concurrent Bilateral Anterior Tibial Stress Fractures and Vitamin D Deficiency in an Adolescent Female Athlete: Treatment With Early Surgical Intervention

Case: A 16-year-old African American multi-sport female athlete presents with bilateral worsening activity-related leg pain for 5 months. Multiple bilateral anterior tibial diaphyseal stress fractures and significant vitamin D deficiency were identified. She was treated with a combination of vitamin...

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Autores principales: Chung, Jane S., Sabatino, Meagan J., Fletcher, Amanda L., Ellis, Henry Bone
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6787143/
https://www.ncbi.nlm.nih.gov/pubmed/31637224
http://dx.doi.org/10.3389/fped.2019.00397
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author Chung, Jane S.
Sabatino, Meagan J.
Fletcher, Amanda L.
Ellis, Henry Bone
author_facet Chung, Jane S.
Sabatino, Meagan J.
Fletcher, Amanda L.
Ellis, Henry Bone
author_sort Chung, Jane S.
collection PubMed
description Case: A 16-year-old African American multi-sport female athlete presents with bilateral worsening activity-related leg pain for 5 months. Multiple bilateral anterior tibial diaphyseal stress fractures and significant vitamin D deficiency were identified. She was treated with a combination of vitamin D supplements and static intramedullary nailing of the bilateral tibias resulting in clinical and radiographic healing and return to sports. Discussion: Vitamin D deficiency and high level of activity in a young athlete may be the etiology to atypical multiple stress fractures. In athletes who may want to return to sport rapidly, early operative intervention and correction of vitamin D deficiency may be treatment options. Level of Evidence: Level V- case report.
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spelling pubmed-67871432019-10-21 Concurrent Bilateral Anterior Tibial Stress Fractures and Vitamin D Deficiency in an Adolescent Female Athlete: Treatment With Early Surgical Intervention Chung, Jane S. Sabatino, Meagan J. Fletcher, Amanda L. Ellis, Henry Bone Front Pediatr Pediatrics Case: A 16-year-old African American multi-sport female athlete presents with bilateral worsening activity-related leg pain for 5 months. Multiple bilateral anterior tibial diaphyseal stress fractures and significant vitamin D deficiency were identified. She was treated with a combination of vitamin D supplements and static intramedullary nailing of the bilateral tibias resulting in clinical and radiographic healing and return to sports. Discussion: Vitamin D deficiency and high level of activity in a young athlete may be the etiology to atypical multiple stress fractures. In athletes who may want to return to sport rapidly, early operative intervention and correction of vitamin D deficiency may be treatment options. Level of Evidence: Level V- case report. Frontiers Media S.A. 2019-10-04 /pmc/articles/PMC6787143/ /pubmed/31637224 http://dx.doi.org/10.3389/fped.2019.00397 Text en Copyright © 2019 Chung, Sabatino, Fletcher and Ellis. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Pediatrics
Chung, Jane S.
Sabatino, Meagan J.
Fletcher, Amanda L.
Ellis, Henry Bone
Concurrent Bilateral Anterior Tibial Stress Fractures and Vitamin D Deficiency in an Adolescent Female Athlete: Treatment With Early Surgical Intervention
title Concurrent Bilateral Anterior Tibial Stress Fractures and Vitamin D Deficiency in an Adolescent Female Athlete: Treatment With Early Surgical Intervention
title_full Concurrent Bilateral Anterior Tibial Stress Fractures and Vitamin D Deficiency in an Adolescent Female Athlete: Treatment With Early Surgical Intervention
title_fullStr Concurrent Bilateral Anterior Tibial Stress Fractures and Vitamin D Deficiency in an Adolescent Female Athlete: Treatment With Early Surgical Intervention
title_full_unstemmed Concurrent Bilateral Anterior Tibial Stress Fractures and Vitamin D Deficiency in an Adolescent Female Athlete: Treatment With Early Surgical Intervention
title_short Concurrent Bilateral Anterior Tibial Stress Fractures and Vitamin D Deficiency in an Adolescent Female Athlete: Treatment With Early Surgical Intervention
title_sort concurrent bilateral anterior tibial stress fractures and vitamin d deficiency in an adolescent female athlete: treatment with early surgical intervention
topic Pediatrics
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6787143/
https://www.ncbi.nlm.nih.gov/pubmed/31637224
http://dx.doi.org/10.3389/fped.2019.00397
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