Author: Paramjeet Deol, Claire Emerson, Kai Koch / Editor: Steve Corry-Bass / Codes: MuC4, MuP2, SLO1, SLO2, TP6 / Published: 10/02/2025
A 30-year-old female patient presents to the Emergency Department (ED) with hip pain which started during a yoga class 3 weeks ago. She has managed to continue mobilising, but the pain has gotten progressively worse. She works as a fitness instructor and has no other medical problems.
Her examination shows she has an antalgic gait and pain on palpation of the inguinal region. She also has difficulty weightbearing on the affected leg and reduced straight leg raising due to pain.
She has a pelvic X-ray done which does not show signs of a fracture but due to your clinical suspicion of a stress fracture you ask her not to weight bear and book her in for an early fracture clinic appointment. An MRI of the pelvis shows a stress fracture of the Femoral neck, and the patient opts for cannulated screw fixation which she has done promptly.
She makes a full recovery and is referred to the Rheumatology department for a bone density scan.
