Doc My Neck Hurts

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Doc My Neck Hurts - Page #4

Working Diagnosis: Left femoral neck stress fracture with mild congenital hip dysplasia and labral tear Treatment: Open Reduction Internal Fixation (ORIF) left femoral neck stress fracture <br> <a href="CaseStudyImages/CS5CS4CS3CS2CS1DocMy-488.jpg" title="Case Photo #5" data-lity><b>Case Photo #5</b></a> Outcome: Returned to work with restrictions 11 weeks after surgery. Full return to work 18 weeks after surgery. Started biking and strength training after therapy completed. 1 year after surgery participated in Fight for Air Climb in Detroit - charity event to raise money for American Lung Association. Climbed stairs to 71st floor of Detroit Renaissance Center. 2 years after surgery returned to running. Currently running 3 miles at a time. Author's Comments: The Femoral neck is associated with large compressive and sheer forces when ambulating. Femoral neck stress fractures may be commonly seen in persons with repetitive activities including runners. <br> <br>If not treated, Femoral neck stress fractures can lead to avascular necrosis, nonunion of fracture or may progress to a complete fracture. Stress fractures are often not visible on plain films. <br> <br>Femoral neck stress fractures can be divided into tension sided fractures and compression sided fractures. This patient had a compression sided femoral neck stress fracture. As the fracture involved 50% of the femoral neck, surgery was recommended. The patient underwent open reduction internal fixation of the left femoral neck stress fracture with a sliding hip screw. References: Wildstein, M. (2015, November 18). Femoral Neck Stress and Insufficiency Fractures. Medscape. Retrieved from http://emedicine.medscape.com/article/1246691-overview Return To The Case Studies List.		Back
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