title: Young man with sudden severe hip pain secondary to femoral neck stress fracture.
abstract: Femoral neck stress fractures have been described in military recruits and athletes. Early recognition and aggressive treatment are important, as femoral neck stress fractures have a high potential for complications and even uncomplicated fractures require an extensive course of rehabilitation. Tension-side (superolateral) stress fractures of the femoral neck are at high risk for complications such as displacement, non-union and avascular necrosis, and need to be treated surgically, while compression-side (inferomedial) fractures can be treated conservatively. We describe a case illustrating a typical presentation of insidious hip pain culminating in sudden onset of severe hip pain in a healthy young man. We perform a literature review of studies showing epidemiology, treatment algorithms and rehabilitation.
authors: Department of Physical Medicine and Rehabilitation, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
authors: Ziva
authors: Z
authors: Petrin
authors: Department of PM&R, Rothman Institute, Philadelphia, Pennsylvania, USA.
authors: Anupam
authors: A
authors: Sinha
authors: Rothman Institute, Philadelphia, Pennsylvania, USA.
authors: Sunny
authors: S
authors: Gupta
authors: Rothman Institute, Philadelphia, Pennsylvania, USA.
authors: Mitesh K
authors: MK
authors: Patel
mesh_terms: D059787:Acute Pain / Q000209:etiology*; D000328:Adult; D001265:Athletic Injuries / Q000000981:diagnostic imaging* / Q000209:etiology*; D003937:Diagnosis, Differential; D005265:Femoral Neck Fractures / Q000000981:diagnostic imaging* / Q000209:etiology*; D015775:Fractures, Stress / Q000000981:diagnostic imaging* / Q000209:etiology*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D010147:Pain Measurement