BMJ Case Reports 2016; doi:10.1136/bcr-2016-216820

Young man with sudden severe hip pain secondary to femoral neck stress fracture

  1. Mitesh K Patel3
  1. 1Department of Physical Medicine and Rehabilitation, Thomas Jefferson University, Philadelphia, Pennsylvania, USA
  2. 2Department of PM&R, Rothman Institute, Philadelphia, Pennsylvania, USA
  3. 3Rothman Institute, Philadelphia, Pennsylvania, USA
  1. Correspondence to Dr Anupam Sinha, anupam.sinha{at}
  • Accepted 17 October 2016
  • Published 26 October 2016


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.


  • Contributors All authors contributed a significant amount to the data collection, write-up and editing of the article. SG, AS and MKP collected initial data including history, examination and imaging. SG and ZP obtained patient consent. ZP wrote the initial document version, which was edited by SG, AS and MKP. Final version was agreed on and vetted by ZP, AS, SG and MKP.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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