Pediatric emergency medicine trisk 3495 3495
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fractures. Stress fractures in the femoral neck, especially from repetitive activity
sports (e.g., long distance running), can present as exercise-induced hip pain. If
there is no history of trauma or increased repetitive physical activity level, an
endocrine and metabolic evaluation should be performed. These fractures may
result in osteonecrosis if there is damage to the blood supply of the femoral head.
Early recognition is important to allow activity restriction and healing, which may
prevent progression to a complete fracture with displacement. Bone scan or MRI
is recommended for evaluation and early diagnosis. Then open or closed
reduction should be performed by the orthopedic surgeon.
