Display options
Cite
Collins DW, Antekeier DP. The Use a Prophylactic Intramedullary Tibial Nail for a Stress Fracture in a High-Level Athlete. J Orthop Case Rep. 2020;10(9):114-117doi: 10.13107/jocr.2020.v10.i09.1928.
Collins, D. W., & Antekeier, D. P. (2020). The Use a Prophylactic Intramedullary Tibial Nail for a Stress Fracture in a High-Level Athlete. Journal of orthopaedic case reports, 10(9), 114-117. https://doi.org/10.13107/jocr.2020.v10.i09.1928
Collins, Devin W, and Antekeier, David P. "The Use a Prophylactic Intramedullary Tibial Nail for a Stress Fracture in a High-Level Athlete." Journal of orthopaedic case reports vol. 10,9 (2020): 114-117. doi: https://doi.org/10.13107/jocr.2020.v10.i09.1928
Collins DW, Antekeier DP. The Use a Prophylactic Intramedullary Tibial Nail for a Stress Fracture in a High-Level Athlete. J Orthop Case Rep. 2020 Dec;10(9):114-117. doi: 10.13107/jocr.2020.v10.i09.1928. PMID: 34169031; PMCID: PMC8046457.
Copy Download .nbib Format: NLM
Share it on

J Orthop Case Rep. 2020 Dec;10(9):114-117. doi: 10.13107/jocr.2020.v10.i09.1928.

The Use a Prophylactic Intramedullary Tibial Nail for a Stress Fracture in a High-Level Athlete.

Journal of orthopaedic case reports

Devin W Collins, David P Antekeier

Affiliations

  1. Department of Orthopaedics, Jack Hughston Memorial Hospital, The Hughston Clinic 4401 River Chase Drive, Phenix City, AL 36867, United States.

PMID: 34169031 PMCID: PMC8046457 DOI: 10.13107/jocr.2020.v10.i09.1928

Abstract

INTRODUCTION: Mid-diaphyseal anterior tibial stress fractures can be debilitating injuries. They have been described occurring in athletes due to repetitive lower extremity trauma. The purpose of our study was to highlight a case of an athlete sustaining a tibial stress fracture with multiple cortical defects.

CASE REPORT: We present an 18-year-old collegiate bound athlete who sustained a tibial stress fracture with multiple cortical defects. The clinical decision, after failure of conservative treatment, was made to treat the patient with tibial intramedullary nailing. She was able to return to full unrestricted activities, including high-level sports participation. Our case report specifically describes a case of a high-level athlete with multiple anterior tibial linear cortical defects from a chronic stress fracture.

CONCLUSION: When conservative management for mid-diaphyseal anterior stress fractures fails, the utilization of prophylactic tibial nailing is a viable option. The decision for surgical intervention is dependent on many factors including patient's activity level and characteristics, failure of conservative management, and radiographic evidence of non-healing stress fractures.

Copyright: © Indian Orthopaedic Research Group.

Keywords: Tibial; intramedullary nail; sports medicine; stress fractures; trauma

Conflict of interest statement

Conflict of Interest: Nil

References

  1. J Orthop Case Rep. 2014 Jan-Mar;4(1):39-43 - PubMed
  2. Am J Sports Med. 2005 Jul;33(7):1071-6 - PubMed
  3. Clin Sports Med. 2006 Jan;25(1):37-52, viii - PubMed
  4. Clin Orthop Relat Res. 2007 Mar;456:254-8 - PubMed
  5. J Bone Joint Surg Br. 1987 Mar;69(2):326-9 - PubMed
  6. Med Sci Sports Exerc. 2006 Feb;38(2):323-8 - PubMed
  7. Clin J Sport Med. 1995;5(1):58-61; discussion 61-2 - PubMed
  8. Am J Sports Med. 2019 Jan;47(1):232-240 - PubMed
  9. Am J Sports Med. 1996 Sep-Oct;24(5):688-92 - PubMed
  10. J Am Acad Orthop Surg. 2000 Nov-Dec;8(6):344-53 - PubMed
  11. Open Access J Sports Med. 2015 Mar 27;6:87-95 - PubMed

Publication Types