University of Arizona College of Medicine, Phoenix, Arizona.
Blooming Buds Center for Pediatric Orthopaedics, Deenanath Mangeshkar Hospital and Research Center, Erandwane, Pune, Maharashtra, India.
JBJS Case Connect. 2021 Jun 15;11(2):01709767-202106000-00123. doi: e20.00787.
An adolescent girl presented with groin pain without any history of trauma. Imaging showed a tension-sided stress fracture of the femoral neck. Vitamin D deficiency (VDD), and raised alkaline phosphatase and parathyroid hormone levels were found. Pain relief was not achieved with nonoperative treatment. Considering the risk of fracture progression and displacement, the fracture was fixed with cannulated cancellous screws. Fracture healed without any complications.
A tension-sided femoral neck stress fracture, with VDD and osteomalacia, is a rare cause of hip pain in an adolescent. Surgical fracture stabilization is necessary in addition to medical treatment.
一名青春期少女出现腹股沟疼痛，无外伤史。影像学显示股骨颈张力侧应力性骨折。发现维生素 D 缺乏（VDD），碱性磷酸酶和甲状旁腺激素水平升高。非手术治疗未能缓解疼痛。考虑到骨折进展和移位的风险，使用空心松质骨螺钉固定骨折。骨折愈合，无任何并发症。
维生素 D 缺乏和骨软化症导致的张力侧股骨颈应力性骨折是青少年髋关节疼痛的罕见原因。除了药物治疗外，还需要手术固定骨折。
