Since insufficiency stress fractures are associated with decreased bone mineral density, they tend to be most common in the elderly, especially postmenopausal women. Insufficiency stress fractures are associated with individuals who have compromised bone densities.This type of stress fracture at the hip is most common in athletes involved in intense training, including military personnel. Fatigue stress fractures are caused by repetitive and abnormally high forces from muscle action and/or weightbearing torques and are often found in persons with normal bone densities.Stress fractures are generally classified as fatigue or insufficiency fractures: See Also: Pelvic Fractures Femoral head neck blood supply Stress Fracture Classification Although stress fractures are a relatively uncommon etiology of hip pain. Stress fractures result from accelerated bone remodeling in response to repeated stress. It is estimated that up to 5% of all stress fractures involve the femoral neck, with another 5% involving the femoral head. Seen most frequently in runners, dancers, and military recruits. Your surgeon will replace the femoral head as well as the socket of the hip joint with artificial metal implants.Femoral Stress Fracture typically occurs on the superior side (tension-side fractures) or the inferior side (compression side fractures) of the femoral neck. Total hip replacement is recommended if you have had arthritis of the hip before the fracture.
The socket will not be replaced in a partial hip replacement procedure. For this surgery, your surgeon will make an incision over the outside of the hip, remove the femoral head and replace it with a metal implant. Hip hemiarthroplasty or partial hip replacement is suggested if you have a displaced fracture. Your surgeon will make a small incision on the outside of your thigh and insert several screws to stabilize the broken bones. Hip pinning is recommended if your facture is minimally displaced and you have sufficient bone density. Surgery for a femoral neck fracture is performed under general or spinal anesthesia. However, femoral neck fractures are rarely stable enough to manage with only conservative therapy and usually require surgical repair. Your doctor may also prescribe medications to prevent blood clots, relieve pain and treat any infection that may be present. Treatment of a femoral neck fracture will depend on your age and the extent of displacement of the fractured bone.Ĭonservative therapeutic approaches are suggested for uncomplicated fractures and include bed rest for a few days followed by a physical rehabilitation program after 2 or 3 days. Radiographic image of a broken shenton's curve, which shows the relationship of the femoral head to the acetabulum, indicates a femoral neck fracture. Your doctor may also perform other imaging tests such as the magnetic resonance imaging (MRI), and computer tomography (CT) scan to obtain further information. Your doctor will order an X-ray to diagnose a femoral neck fracture. Increased pain in the hip during rotation of the legįemoral neck fractures are diagnosed based on physical examination, your symptoms and circumstances of the accident.Shortening or sideways rotation of the affected leg.The symptoms of a femoral neck fracture include: Signs and Symptoms of Femoral Neck Fracture Younger individuals unaccustomed to sudden strenuous activity or change in activity.
These fractures may disrupt the blood supply to the fractured portion of the bone. Femoral neck fractures may be either displaced, where the bone is moved out of its original position, or non-displaced, where there is no instability of the bone. The neck of the femur is the region just below the ball of the hip joint.įractures to the femoral neck can completely or partially disconnect the femoral head from the rest of the femur. The hip is a ball-and-socket joint made up of the head of the thigh bone or femur that acts as the ball and fits into the rounded socket of the hip bone or acetabulum.
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