Presentation
Left hip pain in a physically active child.
Patient Data
Age: 12 years
Gender: Male
From the case:
Femoral neck stress fracture
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The left femoral neck shows marrow edema extending to the subtrochanteric region. There is a medial medullary sclerotic line reaching the medial cortex of the femoral neck consistent with a stress fracture. It shows low signal intensity on T1 and T2 with mild irregularity.
From the case:
Femoral neck stress fracture
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Cortical fissure at the medial aspect of the femoral neck surrounded by a sclerotic band and edema.
Case Discussion
Stress fractures in children are rare. Osteoid osteoma would be the main differential in this region.