Extract
Afemoral neck stress fracture in a skeletally immature individual is a rare
event. To our knowledge, only fourteen cases have been reported in the
literature1-5.
Several authors have devised systems to classify these
fractures2,3,6.
Stress fractures usually show no initial fracture line radiographically but
rather demonstrate a gradual alteration of the trabeculae due to repetitive or
overuse activity6.
As a result, the diagnosis of stress fracture is infrequently considered when
a child presents with a limp along with persistent or recurring pain in the
hip, the anterior portion of the thigh, or the knee. To our knowledge, the few
cases that have been reported in the literature have all occurred on the
compression (medial) side of the femoral
neck1-5.
Blickenstaff and Morris stated that only compression-sided stress fractures
can occur in
children6.