The Orthobullets Podcast Knee & Sports | Femoral Neck Stress Fractures
Jul 14, 2025
Dive into the intricate world of femoral neck stress fractures, a common issue among athletes, especially runners. Learn about the repetitive loading mechanisms that lead to these injuries and how to effectively diagnose them using advanced imaging techniques. Discover treatment options and gain insights into preventing future occurrences. A must-listen for anyone curious about sports medicine!
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Basics of Femoral Neck Stress Fractures
- Femoral neck stress fractures occur on either the compression (inferior medial) or tension (superior lateral) sides related to repetitive loading.
- MRI is crucial when radiographs are normal but suspicion for a stress fracture is high for accurate diagnosis.
Mechanism and Risk Factors
- Stress fractures arise from repetitive loading causing microscopic cracks that progress without healing.
- Relative energy deficiency in sport, like the female athlete triad, is a key associated condition to consider in athletes.
Biomechanics of Femoral Neck
- The compression side is the inferior medial femoral neck, and the tension side is the superior lateral neck.
- Understanding this biomechanical difference guides treatment decisions and fracture risk assessment.