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CASE REPORT
Bilateral femoral neck stress fractures in a high-performance young female runner
  1. Salomon Jasqui-Remba1,
  2. Alan Jasqui-Bucay2,
  3. Ariel Jasqui-Bucay2 and
  4. Yeni Fernández-De-Lara-Barrera1
  1. 1 Department of Orthopaedic Surgery, American British Cowdray Medical Center, Ciudad de Mexico, Mexico
  2. 2 Department of Orthopaedic Surgery, Hospital Ángeles Lomas, Huixquilucan, Mexico
  1. Correspondence to Dr Salomon Jasqui-Remba, drsjasqui{at}gmail.com

Abstract

A 16-year-old female patient showed up at the orthopaedics unit complaining of intolerable pain on her left hip. While being questioned and her clinical history written down, she shared that as part of her daily exercise routine, she ran 10 miles (16 km) daily at a speed of 9.5–10.5 mph (15–17 km/hour). MRI was consequently ordered, confirming the presence of a stress fracture. Therefore, immediate suspension of physical activity was indicated, followed by the prescription of crutches as well as restricted weight bearing. Gradually, she recovered complete functionality and approximately a month after she had entirely healed. While on a skiing trip, again she abruptly developed an acute pain on her right hip. Another MRI was ordered; its result confirmed a new stress fracture. Her previous treatment has proved so successful, a conservative approach was once again prescribed for her, showing optimum results 6 months later.

  • orthopaedics
  • sports and exercise medicine
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Footnotes

  • Contributors SJ-R worked up and diagnosed the patient. AlJ-B, ArJ-B and SJ-R wrote the script. YF-D-L-B performed imaging. SJ-R is overall guarantor of the paper. All people named as authors meet all four ICMJE Recommendations criteria. All authors approved the manuscript for publication.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

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

  • Patient consent for publication Obtained.

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