Vitamin D3 Supplementation and Stress Fracture Occurrence in High-Risk Collegiate Athletes

Williams, Kevin; Askew, Christian; Mazoue, Christopher; Guy, Jeffrey A.; Torres-McGehee, Toni M.; Jackson, J. Benjamin

doi:10.1249/01.mss.0000519597.35267.9a

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2021

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“…A high index of suspicion with a liberal use of MRI is vital for early recognition and treatment initiation. With any stress injury, laboratory and radiographic evaluation of bone health is paramount, given the known association of poor bone density and hypovitaminosis D with stress fracture development [53][54][55][56] , as well as the preventative role of targeted intervention 57,58 . Serologic testing of calcium, parathyroid hormone, and vitamin D can aide in identifying underlying deficiencies, along with bone density assessment.…”

Section: Treatment Optionsmentioning

confidence: 99%

Femoral Neck Stress Fractures in Athletes and the Military

Shaw

Moreland

Hunt

et al. 2021

Journal of Bone and Joint Surgery

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ä Femoral neck stress fractures (FNSFs) are an infrequent condition in athletic and military populations.ä A high index of suspicion with liberal use of magnetic resonance imaging (MRI) is vital for early recognition and treatment initiation.ä An associated hip effusion on MRI is a risk factor for an evolving stress injury and requires close assessment and consideration for repeat MRI.ä Stress reactions and stable, incomplete FNSFs (<50% of femoral neck width) can be treated nonsurgically.ä Surgical intervention is accepted for high-risk, incomplete ( ‡50% of femoral neck width), and complete FNSFs.ä Overall, there is a paucity of high-quality literature on the rates of return to activity following FNSF.

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