Subchondral stress fracture of femoral head in a healthy adult

Abstract

Subchondral fracture of the femoral head is an uncommon entity and usually occurs as an insufficiency fracture associated with poor bone quality or as a fatigue fracture in young military recruits. This condition should be considered in the differential diagnosis of acute hip pain in young patients along with transient osteoporosis and avascular necrosis of the hip. We report a case of acute onset hip pain in an asymptomatic healthy adult in which the diagnosis was made by magnetic resonance imaging and the patient responded well to conservative treatment.

Bone Marrow Lesions in Athletic Stress Injuries: An Overview

“…Other injuries that have been described include (in order of decreasing frequency) injuries to the distal femoral shaft, supracondylar and condylar regions, and femoral head, 63 64 with the latter increasingly recognized as a source of pain. 65…”

“…Other injuries that have been described include (in order of decreasing frequency) injuries to the distal femoral shaft, supracondylar and condylar regions, and femoral head, 63,64 with the latter increasingly recognized as a source of pain. 65 Femoral stress reactions and stress fractures typically present with hip, groin, gluteal, thigh, or knee pain, depending on the location of the injury. These fractures are elusive, with the historical average delay in diagnosis 14 weeks.…”