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Delayed-Union of Acetabular Stress Fracture in Female Gymnast

Use of Teriparatide to Augment Healing

Gende, Alecia DO*; Thomsen, Timothy W. MD*,†; Marcussen, Britt MD†,‡; Hettrich, Carolyn MD, MPH§

doi: 10.1097/JSM.0000000000000739
Case Report: PDF Only

Abstract: Pelvic stress fractures are rare and present unique challenges for medical personnel. Delayed healing can lead to increased physical, psychological, and social stress for athletes. Recent literature suggests effective use of a synthetic derivative of parathyroid hormone, teriparatide, to augment healing of delayed-union stress fractures. We present a case of a female National Collegiate Athletic Association Division I gymnast successfully returned to play after a 12-week course of teriparatide injections for an ischioacetabular stress fracture.

Departments of *Emergency Medicine;

Orthopedics and Rehabilitation;

Family Medicine; and

§Orthopedic Surgery and Rehabilitation, University of Iowa Hospitals and Clinics, Iowa City, Iowa.

Corresponding Author: Alecia Gende, DO, Department of Orthopedics and Rehabilitation, University of Iowa Sports Medicine, 2701 Prairie Meadow Dr, Iowa City, IA 52242 (

The authors report no conflicts of interest.

Received August 17, 2017

Accepted February 07, 2019

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