Hip Stress Fracture

Aka: Hip Stress Fracture

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II. Types

  1. Hip Avulsion Fracture
  2. Femoral Neck Stress Fracture
  3. Femoral Shaft Stress Fracture
  4. Inferior Pubic Ramus Stress Fracture

III. Risk Factors

  1. See Stress Fracture

IV. Exam

  1. See Hip Exam

V. Symptoms

  1. Early
    1. Subtle, Muscle Strain-like symptoms
  2. Next
    1. Morning stiffness
    2. Referred Knee Pain or Medial thigh pain
  3. Next
    1. Inability to bear weight with Exercise
  4. Next
    1. Gradually pain increases with walking

VI. Signs

  1. Antalgic Gait (painful limp)
  2. No external deformity
  3. Mild pain on passive and active range of motion

VII. Imaging

  1. Hip XRay
  2. MRI Hip
    1. Indicated if Hip XRay is non-diagnostic

VIII. Management

  1. See Hip Avulsion Fracture
  2. See Femoral Neck Stress Fracture
  3. See Femoral Shaft Stress Fracture
  4. See Inferior Pubic Ramus Stress Fracture

IX. References

  1. Shahideh (2013) Crit Dec Emerg Med 27(9):10-18

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