Hip pain after trivial trauma
A 48 year old woman attended the emergency department with a two day history of pain in the left hip. No bruising, tenderness, restriction of movement, or deformity was found on examination. She was able to bear weight on her left leg. A diagnosis of musculoskeletal pain was made, and she was discharged home with analgesia and advice.
She came back the next day with increasing pain in the left hip. Clinical examination revealed no new findings, and she was discharged with the same diagnosis and management plan.
The patient presented again four days later, unable to walk or stand because of pain. X ray examination of her left hip and pelvis was arranged (fig 1).
Fullerton and Snowdy described three categories of femoral neck stress fractures: tension stress fractures, compression stress fractures, and displaced femoral neck stress fractures.3 Tension stress fractures occur on the superolateral aspect of the femoral