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Sports Medicine
intermediate
X-Type

Femoral Neck Stress Fractures

Stress Fractures

A 22-year-old female distance runner presents with 4 weeks of progressive groin and anterior thigh pain. She has amenorrhea and a BMI of 18. Pain is worse with running and at night. Examination reveals pain with hip flexion and internal rotation. X-ray is normal. MRI shows bone marrow edema with a linear hypointensity on the superior femoral neck cortex. Regarding femoral neck stress fractures:

Mark each as TRUE or FALSE

A

The femoral neck is subjected to bending forces during weight-bearing; the superior cortex (tension ...

B

Tension-side (superolateral) femoral neck stress fractures are considered high-risk injuries that ty...

C

Femoral neck stress fractures are low-risk injuries that heal predictably with rest; there is no dif...

D

The female athlete triad (low energy availability, menstrual dysfunction, low bone mineral density) ...

E

MRI is the most sensitive imaging modality for early detection; grading systems (Arendt, Fredericson...

Answer the questions to see explanations

Click T (True) or F (False) for each option