Hip Pelvis.  2016 Sep;28(3):169-172. 10.5371/hp.2016.28.3.169.

Bilateral Femoral Neck Stress Fracture in Child: A Case Report

Affiliations
  • 1Center for Joint Disease, Chonnam National University Hwasun Hospital, Hwasun, Korea. chiasma@hanmail.net
  • 2Departments of Traumatology, Neurosurgery, and Military Field Surgery, Samarkand State Medical Institute, Samarkand, Uzbekistan.

Abstract

A femoral neck stress fracture in child is rare, particularly in bilateral case. It is easy to miss initially or may be misdiagnosed. The authors experienced a case of bilateral femoral neck stress fracture in a 10-year-old boy with bilateral hip. The patient was successfully healed by conservative treatment. We report this rare case with a review of the literature. A femoral neck stress fracture should be included in the differential diagnosis in children who present with sustained hip or groin pain.

Keyword

Femur neck; Stress fractures; Child; Bilateral

MeSH Terms

Child*
Diagnosis, Differential
Femur Neck*
Fractures, Stress*
Groin
Hip
Humans
Male

Figure

  • Fig. 1 Radiographs were obtained at 4 weeks from the start of pain. (A) Antero-posterior radiographs of the hip joint showed sclerotic line along the left femoral neck (arrowhead). (B) Close-up of right femoral neck showed inferomedial cortical interruption which was typically seen in compression type of fracture by Devas classification (arrow).

  • Fig. 2 (A) Stress fracture of the left femoral neck indicated low signal intensity in T1-weighted image. (B) T2-weighted image showed fracture line along the left femoral neck and interruption of cortex at inferomedial portion of the right femoral neck. (C) Sagittal T2-weighted image of the right femoral neck.

  • Fig. 3 (A) Radiograph, 6 weeks after the onset of pain, showed callus formation along the bilateral femoral neck. (B) After 10 weeks from the initial pain, radiograph demonstrate nearly complete bony union bilaterally.

  • Fig. 4 Radiographs obtained 4 months (A) and 12 months (B) after the initial pain developed.


Reference

1. Devas MB. Stress fractures of the femoral neck. J Bone Joint Surg Br. 1965; 47:728–738.
Article
2. Moroney P, O'Connor PA, Ali W, Brady OH. Stress fracture of the femoral neck in a 24-year-old female with anorexia nervosa induced osteoporosis. Ir Med J. 2007; 100:542–543.
3. Devas MB. Stress fractures in children. J Bone Joint Surg Br. 1963; 45:528–541.
Article
4. Fiévez EF, Hanssen NM, Schotanus MG, van Haaren EH, Kort NP. Stress fracture of the femoral neck in a child: a case report. J Pediatr Orthop B. 2013; 22:45–48.
5. Er MS, Eroglu M, Altinel L. Femoral neck stress fracture in children: a case report, up-to-date review, and diagnostic algorithm. J Pediatr Orthop B. 2014; 23:117–121.
6. Scheerlinck T, De Boeck H. Bilateral stress fractures of the femoral neck complicated by unilateral displacement in a child. J Pediatr Orthop B. 1998; 7:246–248.
Article
7. Azouz EM, Karamitsos C, Reed MH, Baker L, Kozlowski K, Hoeffel JC. Types and complications of femoral neck fractures in children. Pediatr Radiol. 1993; 23:415–420.
Article
8. Román M, Recio R, Moreno JC, Fuentes S, Collantes F. Stress fracture of the femoral neck in a child. Case report and review of the literature. Acta Orthop Belg. 2001; 67:286–289.
9. Tins BJ, Garton M, Cassar-Pullicino VN, Tyrrell PN, Lalam R, Singh J. Stress fracture of the pelvis and lower limbs including atypical femoral fractures-a review. Insights Imaging. 2015; 6:97–110.
Article
10. Kiuru MJ, Pihlajamaki HK, Hietanen HJ, Ahovuo JA. MR imaging, bone scintigraphy, and radiography in bone stress injuries of the pelvis and the lower extremity. Acta Radiol. 2002; 43:207–212.
Article
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