Malunion neck of femur stress fracture

Case contributed by Dr Chris O'Donnell

Presentation

Chronic right hip pain (for years). Also recent left hip pain. No specific treatment including no previous surgery.

Patient Data

Age: 50
Gender: Male
Modality: X-ray

Coxa vara with sclerosis through the right femoral neck but no full thickness fracture line nor avascular necrosis of the femoral head. Minor sclerosis in the left femoral neck in keeping with early stress reaction. Bones are generally demineraliSed.

Case Discussion

Stress or insufficiency fractures of the femoral neck are not common but important as they can lead to full thickness fracture causing significant pain and risk of avascular necrosis. They generally do not unite spontaneously thus the usual course of action is surgical intervention. In this case the stress fracture has become complete and then united in varus.

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Case Information

rID: 37689
Case created: 18th Jun 2015
Last edited: 21st Nov 2015
Inclusion in quiz mode: Included

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