15-year-old patient with left hip pain:
– X-rays requested
What is the next step?
What is the next step?
MRI
What is the most likely diagnosis?
What is the most likely diagnosis?
Femoral stress fracture
MRI findings linear low-signal pattern on the medial aspect of the femoral neck, accompanied by bone marrow oedema
Surrounding cortical thickening and solid periosteal reaction
Reference: Shelat NH et al: Pediatric stress fractures: a pictorial essay. Iowa Orthop J. 36:138-46, 2016