{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T14:53:22Z","timestamp":1778856802846,"version":"3.51.4"},"reference-count":14,"publisher":"BMJ","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J R Army Med Corps"],"published-print":{"date-parts":[[2008,3]]},"abstract":"<jats:p>Femoral neck stress fractures (FNSF) are uncommon, representing 5% of all stress fractures. In military personnel,\nFNSF represents one of the more severe complications of training, which can result in medical discharge. Clinical examination findings are often non-specific and plain radiography may be inconclusive - leading to missed or late diagnosis of FNSF. This paper highlights the significance of FNSFs in military personnel and alerts physicians to the potential diagnosis.<\/jats:p>\n               <jats:p>We identified all military recruits, aged 17 to 26, who attended the Infantry Training Centre (Catterick, UK), over a four-year period from the 1st July 2002 to 30th June 2006, who had suffered a FNSF. The medical records, plain radiographs, bone scans and MRIs of the recruits were retrospectively reviewed. Of 250 stress fractures 20 were of the femoral neck; representing 8% of all stress fractures and an overall FNSF rate of 12 in 10,000 military recruits.<\/jats:p>\n               <jats:p>FNSFs were most prevalent amongst Parachute Regiment recruits (1 in 250, p&lt; 0.05). Onset of symptoms was most commonly between weeks 13 \u2013 16 of training. The majority (17\/20, 85%) of FNSFs were undisplaced, these were all treated conservatively. Three FNSFs were displaced on presentation and were treated surgically. Overall, the medical discharge rate was 40% (8\/20).<\/jats:p>\n               <jats:p>FNSFs are uncommon and the diagnosis remains a challenge to clinicians and requires a high index of suspicion in these young athletic individuals. In such individuals early referral for MRI is recommended, to aid prompt diagnosis and treatment and to prevent more serious sequelae.<\/jats:p>","DOI":"10.1136\/jramc-154-01-13","type":"journal-article","created":{"date-parts":[[2013,3,19]],"date-time":"2013-03-19T19:43:32Z","timestamp":1363722212000},"page":"47-50","source":"Crossref","is-referenced-by-count":34,"title":["Femoral Neck Stress Fractures in Military Personnel \u2013 A Case Series"],"prefix":"10.1136","volume":"154","author":[{"given":"JC","family":"Talbot","sequence":"first","affiliation":[{"name":"The Department of Trauma and Orthopaedic Surgery, Friarage Hospital, Northallerton, North Yorkshire, UK,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G","family":"Cox","sequence":"additional","affiliation":[{"name":"The General Infirmary at Leeds, West Yorkshire UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M","family":"Townend","sequence":"additional","affiliation":[{"name":"The Department of Trauma and Orthopaedic Surgery, Friarage Hospital, Northallerton, North Yorkshire, UK,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"PJ","family":"Parker","sequence":"additional","affiliation":[{"name":"The Department of Trauma and Orthopaedic Surgery, Friarage Hospital, Northallerton, North Yorkshire, UK,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M","family":"Langham","sequence":"additional","affiliation":[{"name":"Infantry Training Centre, Catterick Garrison, Catterick"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2008,3,1]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1016\/S0278-5919(05)70016-8","article-title":"Epidemiology and site specificity of stress fractures","volume":"16","author":"Bennell, K.L.; Brukner, P.D.","year":"1997","unstructured":"Bennell KL, Brukner PD. 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