Bilateral stress fractures of the femoral neck with no risk factor : A case report

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Published Mar 4, 2011
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Vol. 89 No. 3 (2011): Issue Mar 2011

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Sami Bouchoucha
Maher Barsaoui
Walid Saied
Mehdi Trifa
Sonia Ben Khalifa
Maher Benghachem

Abstract

Background : Stress fractures of the femoral neck are uncommon. They are caused by either excessive stress or bone fragility.
Aim: To report a case of bilateral stress fracture of the femoral neck in a 15-year-old girl without any risk factors
Observation: We report a case of bilateral stress fracture of the femoral neck in a 15-year-old girl in whom no risk factors were found. One of the fractures was displaced at first diagnosis and was successfully treated by closed reduction and valgus subtrochanteric osteotomy. The other fracture was initially undisplaced but
displacement occurred later despite internal fixation with a dynamic hip screw.
Conclusion: A high index of suspicion of stress fractures of the femoral neck must be kept in mind even without risk factors. Delays in diagnosis and displacement should therefore be avoided.

Keywords:

Stress fracture, femoral neck, children

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