Femoral Neck Stress Fracture in Elderly Population: A Case Report

Hospital Clínico Universitario de Valladolid, Valladolid, Spain

Corresponding Author: Hector J. Aguado, Hospital Clínico Universitario de Valladolid, Valladolid, Spain, Tel: +34 696466002;
Email: [email protected]

Received Date: 29 Jan 2018  
Accepted Date: 04 Oct 2018  
Published Date: 08 Oct 2018

Copyright © 2018 Aguado HJ

Citation: Aguado HJ, Maniega SS, Palao BA, Fernández RL, et al. (2018). Femoral Neck Stress Fracture in Elderly Population: A Case Report. M J Surg. 2(1): 011..

ABSTRACT

Femoral neck stress fracture (FNSF) is a rare cause of anterior hip pain and the diagnosis becomes difficult. The delay of diagnose can lead to complications such as displacement of the fracture or avascular necrosis of the femoral head. We report a case of an 83-year-old lady treated for lumbar and right inguinal pain. She did not report any traumatic event. Physical assessment was unspecific and hip and lumbar spine X-rays were normal so she was managed with pain killers. During the follow-up, seriated hip x-rays were normal. One year and a half after the pain started, the x-ray showed an incomplete FNSF, confirmed by MR.

The woman went under surgery for internal fixation of the fracture with a proximal femoral nail. She started weight-bearing immediately and inguinal pain disappeared. This case highlights the importance of clinical suspicion of this kind of fractures, especially when the x-ray is normal but the patient keeps complaining from inguinal pain.

KEYWORDS

Stress Fracture; Femoral Neck; Insufficiency Fracture; Fragility Fracture; Anterior Hip Pain.