AUTHOR=Chung Jane S. , Sabatino Meagan J. , Fletcher Amanda L. , Ellis Henry Bone 

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

JOURNAL=Frontiers in Pediatrics

VOLUME=7

YEAR=2019

URL=https://www.frontiersin.org/journals/pediatrics/articles/10.3389/fped.2019.00397

DOI=10.3389/fped.2019.00397

ISSN=2296-2360

ABSTRACT=<p><bold>Case:</bold> 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.</p><p><bold>Discussion:</bold> 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.</p><p><bold>Level of Evidence:</bold> Level V- case report.</p>