STRESS FRACTURE IN THE FEMORAL NECK (Stress fraktur)
Anatomy:The femur and the hip bone form the hip joint.
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.