Int J Sports Med 2003; 24(8): 593-596
DOI: 10.1055/s-2003-43268
Orthopedics & Biomechanics
© Georg Thieme Verlag Stuttgart · New York

Hip Pain Related to Femoral Neck Stress Fracture in a 12-Year-Old Boy Performing Intensive Soccer Playing Activities - A Case Report

D.  Bettin2 , T.  Pankalla2 , H.  Böhm3 , S.  Fuchs1
  • 1Department of Orthopedic Surgery, Westfälische Wilhelms-Universität Münster, Albert-Schweitzer-Strasse 33, Münster, Germany
  • 2Department of Orthopedic Surgery, Marienkrankenhaus Papenburg-Aschendorf, Marienstr. 8, Aschendorf, Germany
  • 3Institute of Radiological Diagnosis, Technische Universität München, Ismaningerstr. 22, Munic, Germany
Further Information

Publication History

Accepted after revision: March 20, 2003

Publication Date:
04 November 2003 (online)

Abstract

We describe the rare case of a 12-year-old boy complaining of repetitive severe pain in the left thigh, during physical activity related to a femoral neck stress fracture. Even though stress fractures are common in the adult athletic population, they occur rarely in children, with the epiphyseal growth plates still open. Diagnosis is delayed as only unspecific changes are found when conventional radiography is performed. For adequate treatment, early diagnosis by MRT or bone scintigraphy is essential. Conservative treatment will be effective through prevention of overuse.

  • 1 Adkins S B, Figler R A. Hip pain in athletes.  Am Fam Physician. 2000;  61 2109-2118
  • 2 Arendt E A, Griffiths H J. The use of MR imaging in the assessment and clinical management of stress reactions of bone in high-perfomance athletes.  Clin Sports Med. 1997;  16 291-306
  • 3 Egol K A, Koval K J, Kummer F, Frankel V H. Stress fractures of the femoral neck.  Clin Orthop. 1998;  348 72-78
  • 4 Boden B P, Speer K P. Femoral stress fractures.  Clin Sports Med. 1997;  16 307-317
  • 5 St Pierre P, Staheli L T, Smith J B, Green N E. Femoral neck stress fractures in children and adolescents.  J Pediatr Orthop. 1995;  15 470-473
  • 6 Marka A. Orthopaedische Betreuung im Triathlonsport. In: Engelhardt M, Franz G, Neumann G, Pfuetzner A (eds). 14. Internationales Triathlon-Symposium Xanten, Hamburg: Czwalina. 1999: 71-80
  • 7 Brukner P, Bennell K. Stress fractures in female athletes. Diagnosis, management and rehabilitation.  Sports Med. 1997;  24 419-429
  • 8 Hahn M P, Ostermann P A, Richter D, David A. Klassifikation, Therapie und Komplikationen der kindlichen Schenkelhalsfrakturen. [Classification, therapy and complications of pediatric femoral neck fractures].  Zentralbl Chir. 1995;  120 832-840
  • 9 Monteleone GP J. Stress fractures in the athlete.  Orthop Clin North Am. 1995;  26 423-432
  • 10 Zeni A I, Street C C, Dempsey R L, Staton M. Stress injury to the bone among women athletes.  Phys Med Rehabil Clin N Am. 2000;  11 929-947
  • 11 Shearman C M, el Khoury GY. Pitfalls in the radiologic evaluation of extremity trauma: Part II. The lower extremity.  Am Fam Physician. 1998;  57 1314-1322
  • 12 Wilson ES J, Katz F N. Stress fractures. An analysis of 250 consecutive cases.  Radiology. 1969;  92 481-486
  • 13 Baroncelli G I, Saggese G. Critical ages and stages of puberty in the accumulation of spinal and femoral bone mass: the validity of bone mass measurements.  Horm Res . 2000;  54 Suppl 1 2-8

Priv. Doz. Dr. D. Bettin

Marienkrankenhaus Papenburg-Aschendorf

Marienstr. 8

26871 Aschendorf

Germany ·

Phone: +49 4962 502 101

Fax: +49 4962 502 149

Email: bettin@uni-muenster.de

    >