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

  • 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.


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.


Femur neck; Stress fractures; Child; Bilateral

MeSH Terms

Diagnosis, Differential
Femur Neck*
Fractures, Stress*


  • 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.


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