Abstract
A 37-year-old male, referred to physical therapy by his physician, presented with a recent onset of left anterior hip and groin pain. Radiographs of the pelvis, left hip, and left femur were negative. After 2 weeks of rest and physical therapy, the patient was referred back to his physician for further investigation due to lack of improvement in symptoms. Magnetic resonance imaging revealed findings consistent with a stress fracture on the inferior (compression) side of the femoral neck. Stress fractures of the femoral neck can be difficult to diagnose, since standard radiographs are typically not diagnostic in the early stages. It is not until the healing phase, approximately 3 weeks after onset, that the stress fractures may become apparent on standard radiographs. Given the potential for dire outcomes, especially with superior (tension) side stress fractures, early diagnosis is paramount. J Orthop Sports Phys Ther. 2008;38(8):517. doi:10.2519/jospt.2008.0408
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