EURORAD ESR

Case 13073

Femoral neck stress fracture in an adolescent boy

Author(s)
O'Reilly S., Paterson A., Robinson E.

Lagan Valley; 39 Hillsborough Road BT28 1JP Lisburn; Email:seantoreilly@doctors.org.uk
 
Patient
male, 13 year(s)
 
 
  • Figure 1
    AP radiograph of the pelvis

    AP radiograph of the pelvis showing a linear area of sclerosis at the inferior margin of the right femoral neck (arrowed).

     
    Area of Interest: Musculoskeletal bone; Paediatric; Imaging Technique: Plain radiographic studies; Procedure: Diagnostic procedure; Special Focus: Athletic injuries;
     
     
  • Figure 2
    Coronal T1-weighted image of the pelvis

    There is a linear fracture line (low signal, arrowed) extending from inferior aspect of the right femoral neck surrounded by an ill-defined area of decreased signal intensity; the latter represents associated bone...

     
    Area of Interest: Musculoskeletal bone; Paediatric; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Athletic injuries;
     
     
  • Figure 3
    Coronal STIR of the pelvis

    Coronal STIR of the pelvis. The low signal linear fracture line is again seen in the right femoral neck. The surrounding bone marrow oedema is of high signal on this sequence.

     
    Area of Interest: Musculoskeletal bone; Paediatric; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Athletic injuries;
     
     
  • Figure 4
    AP radiograph of the hips performed after 6-weeks

    AP radiograph of the hips performed 6-weeks after the initial presentation; the fracture is healing (arrowed).

     
    Area of Interest: Musculoskeletal bone; Paediatric; Imaging Technique: Plain radiographic studies; Procedure: Diagnostic procedure; Special Focus: Athletic injuries;
     
     
AP radiograph of the pelvis showing a linear area of sclerosis at the inferior margin of the right femoral neck (arrowed).
 
There is a linear fracture line (low signal, arrowed) extending from inferior aspect of the right femoral neck surrounded by an ill-defined area of decreased signal intensity; the latter represents associated bone marrow oedema.
 
Coronal STIR of the pelvis. The low signal linear fracture line is again seen in the right femoral neck. The surrounding bone marrow oedema is of high signal on this sequence.
 
AP radiograph of the hips performed 6-weeks after the initial presentation; the fracture is healing (arrowed).
 
 
 
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