Symptomatic herniation pit of the femoral neck: a case report.
OBJECTIVE
To discuss herniation pits of the femoral neck as a possible source of hip pain in a young athletic population.


METHODS
A 25-year-old former varsity volleyball player sought treatment for recurrent episodes of sharp left hip pain after intense physical activity. Radiographs revealed a small, oval, lobulated radiolucency with a thin sclerotic border in the superolateral aspect of the left femoral neck. Passive internal rotation of the left hip reproduced the complaint. Iliopsoas tendinitis/bursitis tests did not reproduce the complaint.


RESULTS
The patient reported no significant reduction of hip pain after a variety of conservative therapies including soft tissue therapy, stretching, interferential current, and long-axis distraction.


CONCLUSIONS
There is evidence to suggest that herniation pits of the femoral neck are a result of mechanical stress from the overlying joint capsule and iliopsoas tendon. Herniation pits of the femoral neck should be considered a potential cause of hip pain, particularly if the patient is physically active.
Borody
Cameron
C
Department of Clinical Education, Canadian Memorial Chiropractic College, Toronto, Ontario, Canada. cborody@cmcc.ca
D000328:Adult; D018771:Arthralgia / Q000209:etiology* / Q000503:physiopathology / Q000628:therapy; D001847:Bone Diseases / Q000150:complications* / Q000000981:diagnostic imaging; D005272:Femur Neck / Q000000981:diagnostic imaging; D006621:Hip Joint; D006801:Humans; D008297:Male; D009043:Motor Activity; D011859:Radiography; D017211:Treatment Failure