Femoral Neck Stress Fractures

  • most commonly in elderly women.
  • two main types
    • tension stress fracture
      • found along the superior femoral neck
    • compression stress fractures
      • found along the inferomedial neck.
  • Treatment
    • Tension stress fractures
      • tendency to displace
      • need to be internally fixed. 
      • stress fracture area can be curetted out & grafted concurrently. 
    • Compression stress fractures
      • can be treated nonoperatively
        • watch carefully
      • ORIF