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Femoral Neck Stress Fracture

Aka: Femoral Neck Stress Fracture
  1. See Also
    1. Groin Injuries in Athletes
    2. Stress Fracture
  2. Symptoms: Groin Pain or anterior thigh pain
    1. Provoked by activity (weight bearing)
    2. Relieved with rest
  3. Signs
    1. Antalgic Gait
    2. Pain on internal hip rotation
  4. 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)
  5. 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
  6. References
    1. Morelli (2001) Am Fam Physician 64(8):1405-1414

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