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Femoral Neck Stress Fracture

 

synonyms:

Femoral Neck Stress Fracture ICD-9

  • 733.95 (stress fracture of Bone)

Femoral Neck Stress Fracture Etiology / Epidemiology / Natural History

  • Associated with the Female Athlete Triad.

Femoral Neck Stress Fracture Anatomy

Femoral Neck Stress Fracture Clinical Evaluation

  • hip pain, groin pain, generally in long distance runner.

Femoral Neck Stress Fracture Xray / Diagnositc Tests

  • Bone scan or MRI: the diagnosis of femoral neck stress fracture must be ruled out with bone scan or MRI in any patient suspected of having a femoral neck stress fracture before return to any sporting activity to decrease the risk of a displaced fracture.

Femoral Neck Stress Fracture Classification / Treatment

  • compression-side fx: crutches and non-weight bearing.
  • tension-side fx-on the superior side of the femoral neck.  High risk of displacement even if non-weight bearing=ORIF.  If fx displaces prognosis for return to sport is poor even after fixation

Femoral Neck Stress Fracture Associated Injuries / Differential Diagnosis

  • Female Athlete Triad
  • Acetabular Impingement
  • Hip Arthritis
  • Hip Joint Loose Body
  • Iliopsoas Tendonitis
  • Labral Tear
  • Osteitis Pubis
  • Pelvic Stress Fracture
  • Piriformis Syndrome
  • Pubalgia
  • Snapping Hip Syndrome
  • Spinal Pathology
  • Trochanteric Bursitis
  • Femoral Neck stress fracture

Femoral Neck Stress Fracture Complications

  • Displaced femorl neck fracture
  • AVN

Femoral Neck Stress Fracture Follow-up Care

Femoral Neck Stress Fracture Review References

  • Boden BP, JAAOS 8:344;2000
  • Mora SaA OKU-Sports Medicine 3, 139-153
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