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

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

Research output: Contribution to journalArticle


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.

Original languageEnglish (US)
Article number397
JournalFrontiers in Pediatrics
Publication statusPublished - Oct 4 2019



  • adolescent athlete
  • anterior tibial diaphyseal stress fractures
  • bone health
  • high risk stress fractures
  • intramedullary nailing
  • vitamin D deficiency

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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