Femoral Stress Fractures

Femoral Shaft Stress Fracture

 

Site

 

Usually mid or lower femur

 

Types

 

Tension

 

Lateral femur

- can progress to fracture

- high rate of non-union

- should ORIF

 

Stress Fracture Lateral

 

Femoral stress fractureFemoral Stress Fracture IMN

 

Compression 

 

Medial femur

- rare

- usually unite

- NWB

 

Stress Fracture Medial

 

Femoral Neck Stress Fractures

 

Aetiology

 

Athletes with increase activity / distance

Women with eating disorders /  amenorrhea

 

Types

 

Compression / inferior neck

- < 50% protective weight bear

- > 50% emergent ORIF

 

Tension side / superior neck

- emergent ORIF

 

Hip stress fractureFemoral Neck Stress Fracture

 

Hip Stress Fracture Axial CTHip Stress Fracture Coronal CT

 

Hip Stress FractureHIp Stress FractureHip Stress Fracture 3