Bilateral Shin Bumps In A 14-year-old Football Player - Page #3
 

Lab Studies:
Vitamin D 25-OH 12.
TSH, CMP, CBC within normal limits.

Other Studies:
Point of Care ultrasound at initial visit showed periosteal reaction and fracture line present at the area of pain on the left and right tibias.

Left tib/fib X-ray: Incomplete fracture of the mid to distal left tibia. Marginal sclerosis and new bone formation consistent with changes of healing. Growth plates remain open proximally and distally. Case Photo #1

CT Left Leg: Stress fracture involving anterior tibial cortex 14cm above the ankle with 11mm transverse fracture line. Cortical thickening and periosteal reaction. Fracture lines consistent with healing. Case Photo #2

Right tib/fib X-ray: Incomplete fracture of the mid to distal right tibia. Sclerosis and new bone formation consistent with changes of healing. Growth plates remain open proximally and distally. Case Photo #3

CT Right Leg: Stress fracture involving anterior tibial cortex 15cm above the ankle with 13mm transverse fracture line. Smooth healing callus present, suggesting chronicity. Evidence of trabecular bridging consistent with healing. Case Photo #4

Consultations:
Orthopedic colleagues consulted; opted for aggressive conservative treatment due to risks of surgery with open growth plates.

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NOTE: For more information, please contact the AMSSM, 4000 W. 114th Street, Suite 100, Leawood, KS 66211 (913) 327-1415.
 

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