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Femoral neck stress fracture — MSRA MCQ

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HardHip and GroinFemoral neck stress fractureMSRA

A 17-year-old distance runner has anterior groin pain that worsens during runs and is now present at rest. She has an antalgic gait and pain with single-leg hop. What is the most appropriate investigation?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: D — Urgent MRI of the hip and pelvis

Femoral neck stress injury is a high-risk bone stress injury. Groin pain with rest pain, antalgic gait and hop pain should prompt urgent MRI even if radiographs are normal. Continuing running risks fracture progression and displacement.

Reference: BJSM bone stress injury guidance