STRESS FRACTURES-FEMORAL NECK

SUMMARY

1. Vague symptoms; should be caught early to avoid AVN.

2. Lateral fractures (tension side) are less common than medial fractures (compression side).

3. If the fracture line > 50% of the width of the femoral neck, percutaneous fixation should be considered.

4. Else strict non-weight-bearing status is necessary for 4-6 wks followed by functional rehabilitation with progressive weight-bearing over 4-8 wks.

Reference(s)

Wilkinson, I., Furmedge, D. and Sinharay, R. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press. Get it on Amazon.
Feather, A., Randall, D. and Waterhouse, M. (2020). Kumar And Clark’s Clinical Medicine. 10th ed. S.L.: Elsevier Health Sciences. Get it on Amazon.
Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
Therapeutic Guidelines. Melbourne: Therapeutic Guidelines Limited. https://www.tg.org.au [Accessed 2021].