Hip Pelvis.  2017 Mar;29(1):77-80. 10.5371/hp.2017.29.1.77.

Bilateral Femoral Neck Stress Fracture Presented with Unilateral Symptoms in a Shipman Laborer: A Case Report

Affiliations
  • 1Center for Joint Disease, Chonnam National University Hwasun Hospital, Hwasun, Korea. chiasma@hanmail.net
  • 2Department of Orthopaedic and Traumatology, Faculty of Medicine, Sebelas Maret University, Prof.Dr.R.Soeharso Orthopaedic Hospital, Solo, Indonesia.

Abstract

Femoral neck stress fracture occured commonly in athlete and military recruit populations, some of them are bilateral. Bilateral femoral neck stress fracture that associated with other occupation is very uncommon. We report a bilateral femoral neck stress fracture case that presented with unilateral symptoms in a male shipman laborer. The patient was successfully treated conservatively. Stress fracture sometimes occur associated with an unexpected specific occupation. Consideration of bilateral involvement is highly important in managing stress fracture.

Keyword

Femur neck; Stress fractures; Symptom

MeSH Terms

Athletes
Femur Neck*
Fractures, Stress*
Humans
Male
Military Personnel
Occupations

Figure

  • Fig. 1 Anteroposterior radiographs of the hip joint showed sclerotic changes at subcapital inferomedial area (arrows) of both femoral neck.

  • Fig. 2 Both right (A) and left (B) lateral radiograph of the hip showed relatively sclerotic changes on subcapital. (B) Herniation pit showed at anterior subcapital area of left femoral neck.

  • Fig. 3 Pelvic computed tomography image. (A) Fracture line was not clearly showed. (B) Herniation pit showed clearly on left femoral neck.

  • Fig. 4 (A) Stress fracture of both femoral neck showed as hypointensity line at T1-weighted image on subcapital area. (B) T2-weighted image showed hyperintensity around both subcapital fracture line.


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