Bilateral femoral neck stress fractures

Case contributed by Dr Ammar Haouimi

Presentation

Athlete with 1 year history of bilateral groin pain.

Patient Data

Age: 17 years
Gender: Female

Bilateral transcervical fracture line of the femoral neck seen as a linear low signal extending from the medial to the superior femoral neck within an area of bone marrow edema of high signal on T2-STIR sequences. Note mild bilateral joint effusion with edematous infiltration of the adjacent soft tissues.

Case Discussion

Femoral neck stress fracture is a rare condition, especially in its bilateral form, and is usually observed in high-level athletes. MRI is the best modality to detect the fracture line and its extension, as well as the edematous infiltration of the adjacent soft tissues and to exclude a cartilaginous or ligamentous injury.

Additional contributor: Z E Boudiaf MD.

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Case information

rID: 62464
Published: 18th Aug 2018
Last edited: 20th Aug 2018
Inclusion in quiz mode: Included
Institution: Aurès Medical Imaging Center - Batna Algeria

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