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Abstract #3500

The Association of Femoral Neck Stress Fractures with Femoral Acetabular Impingement

Kathryn Stevens1, Michael Goldin2, Michael Fredericson3, Christian Anderson4, Marc R. Safran4

1Department of Radiology, Stanford University, Stanford, CA, United States; 2Department of PM & R, Stanford University, Stanford, CA, United States; 3Department of Orthopaedic Surgery, Stanford University, Redwood City, CA, United States; 4Department of Sports Medicine, Stanford University, Redwood City, CA, United States

The purpose of our study was to determine if there was an increased incidence of femoral acetabular impingement (FAI) in patients presenting with femoral neck stress fractures. We evaluated the imaging studies of patient presenting with stress injuries of the femoral neck for features to suggest either cam or pincer-type FAI. Our results suggest that patients with bony abnormalities associated with pincer impingement, such as coxa profunda and acetabular retroversion, may be at increased risk of developing stress fractures. Over-coverage of the femoral head may place additional stresses on the femoral neck, predisposing an athlete to stress fracture

Keywords

abnormal abnormalities additional affected aged alpha anterior anteriorly approval arrow assessed association asymptomatic athletes axial bilateral black bone bony certain circle city coccyx common contrast convex coronal coverage cross damage demonstrating determine edge etiology evaluated features female females femoral flat forces fracture fractures general grade head hips hypothesized impingement incidence increasing individuals injuries injury insufficient internal junction lateral leverage males margins measured medial medially medicine military much neck neutral oblique offset pain patient patients pelvic pincer place population posterior predisposing presence projects pubic radiology reaction reactions recruits redwood relatively repeated response reviewed runner runners secondary separation sign sports stress stresses studies subtle suggesting suggestive suggests surgery tear tears tensile threshold tilt touches type visible wall white woman year yellow