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Case Report ARTICLE Provisionally accepted The full-text will be published soon. Notify me

Front. Pediatr. | doi: 10.3389/fped.2019.00397

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

Jane S. Chung1*,  Meagan J. Sabatino1, Amanda L. Fletcher1 and  Henry B. Ellis1
  • 1Texas Scottish Rite Hospital for Children, United States

Abstract
Case:
A 16-year-old African American multi-sport female athlete presents with bilateral worsening activity-related leg pain for five 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

Keywords: anterior tibial diaphyseal stress fractures, intramedullary nailing, Vitamin D Deficiency, high risk stress fractures, Pediatric athlete

Received: 25 Apr 2019; Accepted: 12 Sep 2019.

Copyright: © 2019 Chung, Sabatino, Fletcher and Ellis. 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.

* Correspondence: Dr. Jane S. Chung, Texas Scottish Rite Hospital for Children, Dallas, Texas, United States, jane.chung@tsrh.org