Oudmaijer CA, Paulino Pereira NR, Visser D, Wakker AM, Veltman WS, van Linschoten R. Lateral femoral neck stress fractures: A case report. World J Orthop 2024; 15(9): 891-901 [DOI: 10.5312/wjo.v15.i9.891]
Corresponding Author of This Article
Christiaan AJ Oudmaijer, MD, Research Scientist, Department of Surgery, Division of Hepatobiliary and Transplantation Surgery, Erasmus MC Transplant Institute, Dr. Molewaterplein 40, Rotterdam 3015 GD, Zuid-Holland, Netherlands. c.oudmaijer@erasmusmc.nl
Research Domain of This Article
Orthopedics
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Orthop. Sep 18, 2024; 15(9): 891-901 Published online Sep 18, 2024. doi: 10.5312/wjo.v15.i9.891
Lateral femoral neck stress fractures: A case report
Christiaan AJ Oudmaijer, Nuno R Paulino Pereira, David Visser, Alexander M Wakker, Wout S Veltman, Robbart van Linschoten
Christiaan AJ Oudmaijer, Department of Surgery, Division of Hepatobiliary and Transplantation Surgery, Erasmus MC Transplant Institute, Rotterdam 3015 GD, Zuid-Holland, Netherlands
Christiaan AJ Oudmaijer, Princess Maxima Center for Pediatric Oncology, Utrecht 3584 CS, Netherlands
Nuno R Paulino Pereira, David Visser, Wout S Veltman, Robbart van Linschoten, Orthopaedics and Sports Medicine, Erasmus MC, Erasmus University Medical Center Rotterdam, Rotterdam 3015 GD, Zuid-Holland, Netherlands
Alexander M Wakker, Department of Surgery, Division of Trauma Surgery, Erasmus MC, Erasmus University Medical Center Rotterdam, Rotterdam 3015 GD, Zuid-Holland, Netherlands
Author contributions: Oudmaijer CAJ wrote the manuscript; Paulino Pereira NR, Visser D, Veltman WS, and van Linschoten R extensively revised the manuscript; Wakker AM was responsible for the graphical representation and 3D reconstruction, and revised the entire manuscript; Oudmaijer CAJ, Veltman WS, and van Linschoten R wrote and made the decision to submit the final report.
Informed consent statement: Written informed consent was obtained from the patient for publication of this case report and any accompanying images. The first author approached the patient to request his cooperation and permission to set up this case report. The necessary consent forms were provided to the patient by the first author and were subsequently signed by the first author in his role as the patient.
Conflict-of-interest statement: There are no financial and/or other competing interests for the (principal) investigator(s) of the trial to declare.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Christiaan AJ Oudmaijer, MD, Research Scientist, Department of Surgery, Division of Hepatobiliary and Transplantation Surgery, Erasmus MC Transplant Institute, Dr. Molewaterplein 40, Rotterdam 3015 GD, Zuid-Holland, Netherlands. c.oudmaijer@erasmusmc.nl
Received: July 20, 2024 Revised: August 15, 2024 Accepted: August 27, 2024 Published online: September 18, 2024 Processing time: 53 Days and 22.6 Hours
Abstract
BACKGROUND
Sport-induced injuries particularly affect young, healthy, and active individuals. Running, a popular and accessible sport, can cause a wide range of injuries, including stress fractures. Stress fractures can occur during high-intensity training or competitions, especially among well-trained amateurs and professional athletes. Adequate diagnosis can be complicated by the typically young age, unremarkable medical history, and vital condition of the patient. Stress fractures present insidiously, and this is specifically the case with stress fractures of the femoral neck. Timely intervention is crucial to prevent progressive displacement, as this can damage the blood supply to the femoral head.
CASE SUMMARY
A 30-year-old male runner presented to our outpatient clinic with persistent pain 3 weeks after running a marathon. X-ray showed a complete lateral fracture of the left femoral neck, which was treated surgically with a dynamic hip screw.
CONCLUSION
It is essential for healthcare providers to be vigilant for the subtle symptoms of stress fractures to ensure timely treatment. Early recognition prevents complication and leads to a better prognosis.
Core Tip: Sports-induced injuries primarily affect young, healthy, and active individuals. Stress fractures occur during high-intensity training, particularly among well-trained amateurs and professional athletes. Young age and a lack of medical history complicate the diagnosis of insidious femoral neck stress fractures. Failure to diagnose and initiate treatment leads to fracture progression, impacting vascular supply and overall outcome. Avascular necrosis requires more invasive and extensive treatment and increases the risk of complications and permanent disability.
