A 24-year-old male presents with progressively worsening left groin pain for six weeks after he began training for a marathon. He states he had x-rays done by his PCP that were negative four weeks ago and was diagnosed with a groin strain. X-rays were obtained and featured to the right.
What is your diagnosis? What is the typical mechanism? What is your management in the Emergency Department? What is your disposition?
References:
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- Harrast MA, Finnoff JT. Sports Medicine: Study Guide and Review for Boards. New York, NY: Demos Medical Publishing; 2017
- Biz, C., Berizzi, A., Crimi, A., et al. Management and Treatment of Femoral Neck Stress Fractures in Recreational Runners: A Report of Four Cases and Review of the Literature. Acta Biomedica. 2017; 88(4): 96-106. PMID: 29083360
- Clough, T. Femoral Neck Stress Fracture: The Importance of Clinical Suspicion and Early Review. 2002; 36(4): 308-309. PMID: 12145125
- Lauren May MA, Chen DC, Liem Bui-Mansfield CT, Usa M, Seth O LD. Rapid Magnetic Resonance Imaging Evaluation of Femoral Neck Stress Fractures in a U.S. Active Duty Military Population. Mil Med. 1619;182. PMID: 28051983
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