Tibial Shaft Stress Fracture
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A 15-year-old male initially presented with left lower leg pain and radiographs consistent with an anterior tibial cortex stress fracture. Pain persisted despite nonoperative measures including rest from activities and protected weight-bearing. Surgical treatment was offered and the patient underwent intramedullary (IM) nailing of the left tibia shaft stress fracture as this option allowed immediate weight-bearing. The stress fracture healed uneventfully within 5 months.