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Femoral Neck Stress Fracture

See Also
1. Groin Injuries in Athletes
2. Stress Fracture
Symptoms: Groin Pain or anterior thigh pain
1. Provoked by activity (weight bearing)
2. Relieved with rest
Signs
1. Antalgic gait
2. Pain on internal hip rotation
Radiology
1. XRay changes lag symptoms by 2-4 weeks
2. MRI preferred over nuclear bone scan
  1. High Test Sensitivity (similar to bone scan)
  2. High Test Specificity (better than bone scan)
Management
1. Risk Modification
  1. See Stress Fracture
2. Inferior femoral neck Stress Fractures
  1. Period of non-weight bearing
  2. Conservative management
  3. Return to Running and sport in 8-12 weeks
3. Superior femoral neck Stress Fractures
  1. Risk of complete Fracture and avascular necrosis
  2. Open reduction and internal fixation recommended
References
1. Morelli (2001) Am Fam Physician 64(8):1405

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This page was written by Scott Moses, MD. This page was last revised before 5/10/08, prior to consistent tracking of revision date. This page was last published on 6/1/2008. Please send comments and questions to the editor. Contact information may be found on the page About the Family Practice Notebook. These pages are best viewed with Microsoft Internet Explorer 6.0.