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Adolescent bone stress injury — MRCPCH AKP MCQ

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HardPaediatric SportAdolescent bone stress injuryMRCPCH AKP

A 14-year-old distance runner has recurrent tibial pain and low calcium intake. Menarche has not occurred and training volume has increased rapidly. What is the most appropriate investigation?

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Correct answer: D — MRI tibia and assessment of energy availability and bone health

Recurrent bone pain in an adolescent endurance athlete requires evaluation for bone stress injury and risk factors. Delayed menarche, low calcium intake and training load suggest low energy availability or impaired bone health. MRI detects early stress injury.

Reference: IOC RED-S consensus 2023; BJSM bone stress injury