All Stressed Out: A Runner’s Story
Author: Liana Meffert, MD
Peer Reviewer: Alex Tomesch, MD, CAQ-SM
Final Editor: Justine Ko, MD, CAQ-SM, R. Conner Dixon, MD, CAQ-SM
A 19-year-old female collegiate cross-country runner presents with calf pain that has progressed from pain with running to pain when walking. She has increased training throughout the summer, running approximately 50 miles a week. She is diagnosed with a tibial stress fracture, what underlying disorder should you consider?
References
[1] Nazem TG, Ackerman KE. The female athlete triad. Sports Health. 2012;4(4):302-311. doi:10.1177/1941738112439685.
[2] Williams, Nancy I.; Koltun, Kristen J.; Strock, Nicole C. A.; De Souza, Mary Jane. Female Athlete Triad and Relative Energy Deficiency in Sport: A Focus on Scientific Rigor. Exercise and Sport Sciences Reviews 47(4):p 197-205, October 2019. | DOI: 10.1249/JES.0000000000000200.
[3] Dave, S. C., & Fisher, M. (2022). Relative energy deficiency in sport (RED–S). Current Problems in Pediatric and Adolescent Health Care, 101242.
[4] Mountjoy M, Sundgot-Borgen J, Burke L, et al. RED-S CAT. Relative Energy Deficiency in Sport (RED-S) Clinical Assessment Tool (CAT). Br J Sports Med. 2015;49(7):421-423. doi:10.1136/bjsports-2015-
[5] Mountjoy M, Sundgot-Borgen JK, Burke LM, et al. IOC consensus statement on relative energy deficiency in sport (RED-S): 2018 update