Stress fracture of the femoral neck

STRESS FRACTURE IN THE FEMORAL NECK

Diagnosis: STRESS FRACTURE IN THE FEMORAL NECK
(Stress fraktur)

Anatomy:
The femur and the hip bone form the hip joint.






  1. Caput femoris

  2. Collum femoris

  3. Trochanter minor

  4. Trochanter major

PELVIS AND THIGH BONE FROM THE FRONT


Cause: Repeated loads, especially when walking or running can cause cracks (stress fractures) in the femoral neck (collum femoris) (article-1) (article-2).

Symptoms: Pain in the hip when applying pressure (direct and indirect tenderness) and when under load (walking, running).

Examination: X-ray. Since many stress fractures cannot be seen early in the course of events, X-ray examination can be repeated after a few weeks. Scintigraphy, CT- and MRI and ultrasound scan can often diagnose stress fractures far earlier than X-rays (Ultrasonic image)
It is imperative for the result of the treatment that the diagnosis is made as early as possible (article).


Treatment: Relief. In some cases surgery is necessary (article).

Rehabilitation: The rehabilitation is completely dependent on the type of fracture and treatment (conservative or operative).
Also read rehabilitation, general.


Complications: If progress is not smooth, you should be re-examined to ensure that the fracture heals according to plan. In some cases a false joint can be formed (pseudoarthrosis), which requires surgical treatment.

Special: Shock absorbing shoes or inlays will reduce the load.