Stress Fractures (Neck of Femur Fracture)

What is Stress Fractures (Neck of Femur Fracture)?

Stress fractures are common overuse injuries caused by repeated pressure or stress on the bone. Femoral neck stress fractures make up about 5% of cases but can have significant impacts on daily activities like walking or bending. They develop in the narrow part just below the hip joint, where ongoing stress causes small cracks, which the bone can’t heal fast enough. Unlike sudden fractures, they start gradually with mild pain that worsens over time. Individuals with a neck of femur stress fracture usually present with deep, dull pain in the groin or front of the hip. The pain often starts during or after activity and gradually becomes more persistent.

Several risk factors contribute to the development of these stress fractures. Repetitive high-impact activity, such as distance running or jumping sports, significantly increases the load on the femoral neck. Poor training habits, such as sudden increases in intensity or volume, inadequate rest periods, and improper footwear, further heighten the risk. Bone health plays a crucial role, with conditions like osteoporosis, vitamin D deficiency, or hormonal imbalances reducing the structural integrity of the bone.

Rehabilitation focuses on gradually restoring mobility, strength, and functional activity while ensuring the fracture site heals appropriately. Load management is critical during this phase, and progression is carefully monitored to prevent re-injury. Strengthening of the hip and core musculature, gait retraining, and a return-to-activity plan are tailored to the individual’s needs and goals. Long-term prevention involves ongoing attention to training habits, bone health, biomechanics, and overall wellbeing.

Neck of femur stress fractures are not only painful but potentially serious if left untreated. Early identification and a coordinated, evidence-based management plan are essential for optimal recovery. Anyone experiencing persistent groin or hip pain, especially those with risk factors or a high training load, should seek medical advice to ensure timely and effective care.

If you think you may be suffering from a Stress Fracture, we have a team who is ready to help you and get you on the road to recovery. Book an appointment with Precision Health today!

Call us on (02) 9639 7337 or book online.

Sources:

Bernstein, E. M., Kelsey, T. J., Cochran, G. K., Deafenbaugh, B. K., & Kuhn, K. M. (2022). Femoral neck stress fractures: an updated review. JAAOS-Journal of the American Academy of Orthopaedic Surgeons, 30(7), 302-311. (https://journals.lww.com/jaaos/abstract/2022/04010/femoral_neck_stress_fractures__an_updated_review.3.aspx?context=featuredarticles&collectionid=1)

Harris, J. D., & Chahal, J. (2015). Femoral neck stress fractures. Operative Techniques in Sports Medicine, 23(3), 241-247. (https://www.sciencedirect.com/science/article/abs/pii/S1060187215000532)

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