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Femoral neck fractures in children are extremely rare. They are usually unilateral and the product is of a high-velocity impact. The presence of a femoral neck fracture in a child should prompt the attending physician to look for other serious injuries and continuous monitoring should commence in a high care setting. Early surgery (open reduction and internal fixation) is key to preventing avascular necrosis. We present an 11-year-old, previously well, female who sustained a right hip dislocation and femoral neck fracture after a motor vehicle accident. The patient was stabilized at a nearby peripheral hospital and a closed reduction of the hip was attempted under sedation. The post-reduction x-ray showed a femoral neck fracture with the femoral head displaced posteriorly.

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