{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T12:16:35Z","timestamp":1790079395317,"version":"4.0.1"},"reference-count":16,"publisher":"Hamad bin Khalifa University Press (HBKU Press)","issue":"3","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    <jats:bold>Background:<\/jats:bold>\n                    Stress fractures may occur in healthy individuals following repetitive physical loading. They account for up to 10% of all orthopaedic injuries but rarely involve the femoral neck.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Case Presentation:<\/jats:bold>\n                    We are reporting a young adult presenting with unilateral hip pain who was ultimately diagnosed with bilateral femoral neck stress fractures. Magnetic Resonance Imaging (MRI) revealed an occult contralateral fracture not visible on plain radiographs. Bilateral screw fixation was performed, with an excellent outcome at two years.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Discussion:<\/jats:bold>\n                    In this patient, stress fractures occurred on the bilateral femoral neck secondary to his intensive training for fire brigade recruitment involving running and repetitive jumping jacks. Although the patient presented with unilateral hip pain, given the history and the nature of his job, it is important to screen the contralateral hip to prevent misdiagnosis.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Conclusion:<\/jats:bold>\n                    The patient underwent bilateral neck of femur screw fixation and demonstrated an excellent outcome at 2-year post-operative follow-up. This case emphasizes the need for high suspicion and routine MRI of both hips in similar presentations.\n                  <\/jats:p>","DOI":"10.5339\/qmj.2026.65","type":"journal-article","created":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T11:56:04Z","timestamp":1790078164000},"source":"Crossref","is-referenced-by-count":0,"title":["Bilateral neck of femur stress fractures in unilateral hip pain: Is magnetic resonance imaging (MRI) of the contralateral hip necessary?"],"prefix":"10.5339","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5232-7134","authenticated-orcid":true,"given":"Vernon Tan Sze","family":"Yuen","sequence":"first","affiliation":[{"name":"Orthopaedic Department, Faculty of Medicine and Health Sciences, Universiti Malaysia Sarawak, Kota Samarahan, Sarawak, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8705-3580","authenticated-orcid":true,"given":"Faris Indra Prahasta Bin Didi","family":"Indra","sequence":"additional","affiliation":[{"name":"Orthopaedic Department, Faculty of Medicine and Health Sciences, Universiti Malaysia Sarawak, Kota Samarahan, Sarawak, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3277","reference":[{"issue":"1","key":"B1","series-title":"Rev Bras Ortop","first-page":"3","article-title":"Stress fractures: definition, diagnosis and treatment","volume":"51","author":"Astur\n \nDC","year":"2016","unstructured":"Astur\n \nDC\n\n, \n\nZanatta\n \nF\n\n, \n\nArliani\n \nGG\n\n, \n\nMoraes\n \nER\n\n, \n\nPochini\n \nA\n\n, \n\nEjnisman\n \nB\n\n\n. \nStress fractures: definition, diagnosis and treatment\n. \nRev Bras Ortop\n. \n2016\n51\n1\n3\n10\n. \n\nhttps:\/\/doi.org\/10.1016\/j.rboe.2015.12.008"},{"issue":"2","key":"B2","series-title":"Sports Med Int Open","first-page":"E58","article-title":"Femoral neck stress fractures in sport: a current concepts review","volume":"1","author":"Robertson\n \nGA","year":"2017","unstructured":"Robertson\n \nGA\n\n, \n\nWood\n \nAM\n\n\n. \nFemoral neck stress fractures in sport: a current concepts review\n. \nSports Med Int Open\n. \n2017\n1\n2\nE58\nE68\n. \n\nhttps:\/\/doi.org\/10.1055\/s-0042-122329"},{"issue":"3","key":"B3","series-title":"Int J Sports Med","first-page":"221","article-title":"Stress fractures in athletes","volume":"8","author":"Hulkko\n \nA","year":"1987","unstructured":"Hulkko\n \nA\n\n, \n\nOrava\n \nS\n\n\n. \nStress fractures in athletes\n. \nInt J Sports Med\n. \n1987\n8\n3\n221\n6\n. \n\nhttps:\/\/doi.org\/10.1055\/s-2008-1025650"},{"issue":"10","key":"B4","series-title":"Arch Orthop Trauma Surg","first-page":"527","article-title":"Surgical treatment of displaced stress fractures of the femoral neck in military recruits: a report of 42 cases","volume":"123","author":"Lee\n \nCH","year":"2003","unstructured":"Lee\n \nCH\n\n, \n\nHuang\n \nGS\n\n, \n\nChao\n \nKH\n\n, \n\nJean\n \nJL\n\n, \n\nWu\n \nSS\n\n\n. \nSurgical treatment of displaced stress fractures of the femoral neck in military recruits: a report of 42 cases\n. \nArch Orthop Trauma Surg\n. \n2003\n123\n10\n527\n33\n. \n\nhttps:\/\/doi.org\/10.1007\/s00402-003-0575-2"},{"issue":"9","key":"B5","series-title":"J Bone Joint Surg Am","first-page":"1989","article-title":"Displaced femoral neck fatigue fractures in military recruits","volume":"88","author":"Pihlajam\u00e4ki\n \nHK","year":"2006","unstructured":"Pihlajam\u00e4ki\n \nHK\n\n, \n\nRuohola\n \nJP\n\n, \n\nKiuru\n \nMJ\n\n, \n\nVisuri\n \nTI\n\n\n. \nDisplaced femoral neck fatigue fractures in military recruits\n. \nJ Bone Joint Surg Am\n. \n2006\n88\n9\n1989\n1997\n. \n\nhttps:\/\/doi.org\/10.2106\/JBJS.E.00505"},{"issue":"4","key":"B6","series-title":"Am J Sports Med","first-page":"365","article-title":"Femoral neck stress fractures","volume":"16","author":"Fullerton\n \nLR\nJr","year":"1988","unstructured":"Fullerton\n \nLR\nJr\n\n, \n\nSnowdy\n \nHA\n\n\n. \nFemoral neck stress fractures\n. \nAm J Sports Med\n. \n1988\n16\n4\n365\n77\n. \n\nhttps:\/\/doi.org\/10.1177\/036354658801600406"},{"issue":"2","key":"B7","series-title":"Sports Health","first-page":"165","article-title":"Stress fractures of the pelvis and legs in athletes: a review","volume":"5","author":"Behrens\n \nSB","year":"2013","unstructured":"Behrens\n \nSB\n\n, \n\nDeren\n \nME\n\n, \n\nMatson\n \nA\n\n, \n\nFadale\n \nPD\n\n, \n\nMonchik\n \nKO\n\n\n. \nStress fractures of the pelvis and legs in athletes: a review\n. \nSports Health\n. \n2013\n5\n2\n165\n74\n. \n\nhttps:\/\/doi.org\/10.1177\/1941738112467423"},{"issue":"2","key":"B8","series-title":"Radiol Clin North Am","first-page":"313","article-title":"Imaging of stress fractures in the athlete","volume":"40","author":"Spitz\n \nDJ","year":"2002","unstructured":"Spitz\n \nDJ\n\n, \n\nNewberg\n \nAH\n\n\n. \nImaging of stress fractures in the athlete\n. \nRadiol Clin North Am\n. \n2002\n40\n2\n313\n331\n. \n\nhttps:\/\/doi.org\/10.1016\/s0033-8389(02)00010-6"},{"issue":"6","key":"B9","series-title":"AM J Sports Med","first-page":"1528","article-title":"Atypical tensile-sided femoral neck stress fractures: the value of magnetic resonance imaging","volume":"32","author":"Provencher\n \nMT","year":"2004","unstructured":"Provencher\n \nMT\n\n, \n\nBaldwin\n \nAJ\n\n, \n\nGorman\n \nJD\n\n, \n\nGould\n \nMT\n\n, \n\nShin\n \nAY\n\n\n. \nAtypical tensile-sided femoral neck stress fractures: the value of magnetic resonance imaging\n. \nAM J Sports Med\n. \n2004\n32\n6\n1528\n34\n. \n\nhttps:\/\/doi.org\/10.1177\/0363546503262195"},{"issue":"6","key":"B10","series-title":"J Am Acad Orthop Surg","first-page":"293","article-title":"Fatigue fractures of the femoral neck in athletes","volume":"5","author":"Shin\n \nAY","year":"1997","unstructured":"Shin\n \nAY\n\n, \n\nGillingham\n \nBL\n\n\n. \nFatigue fractures of the femoral neck in athletes\n. \nJ Am Acad Orthop Surg\n. \n1997\n5\n6\n293\n302\n. \n\nhttps:\/\/doi.org\/10.5435\/00124635-199711000-00001"},{"issue":"2","key":"B11","series-title":"Clin Sports Med","first-page":"291","article-title":"The use of MR imaging in the assessment and clinical management of stress reactions of bone in high-performance athletes","volume":"16","author":"Arendt\n \nEA","year":"1997","unstructured":"Arendt\n \nEA\n\n, \n\nGriffiths\n \nHJ\n\n\n. \nThe use of MR imaging in the assessment and clinical management of stress reactions of bone in high-performance athletes\n. \nClin Sports Med\n. \n1997\n16\n2\n291\n306\n. \n\nhttps:\/\/doi.org\/10.1016\/s0278-5919(05)70023-5"},{"issue":"2","key":"B12","series-title":"Bone","first-page":"267","article-title":"Risk factors for clinical stress fractures in male military recruits: a prospective cohort study","volume":"37","author":"V\u00e4lim\u00e4ki\n \nVV","year":"2005","unstructured":"V\u00e4lim\u00e4ki\n \nVV\n\n, \n\nAlfthan\n \nH\n\n, \n\nLehmuskallio\n \nE\n\n, \n\nL\u00f6yttyniemi\n \nE\n\n, \n\nSahi\n \nT\n\n, \n\nSuominen\n \nH\n\n\n\n. \nRisk factors for clinical stress fractures in male military recruits: a prospective cohort study\n. \nBone\n. \n2005\n37\n2\n267\n273\n. \n\nhttps:\/\/doi.org\/10.1016\/j.bone.2005.04.016"},{"issue":"11","key":"B13","series-title":"Clin Orthop Relat Res","first-page":"2962","article-title":"Bone stress injuries are common in female military trainees: a preliminary study","volume":"467","author":"Niva\n \nMH","year":"2009","unstructured":"Niva\n \nMH\n\n, \n\nMattila\n \nVM\n\n, \n\nKiuru\n \nMJ\n\n, \n\nPihlajam\u00e4ki\n \nHK\n\n\n. \nBone stress injuries are common in female military trainees: a preliminary study\n. \nClin Orthop Relat Res\n. \n2009\n467\n11\n2962\n2969\n. \n\nhttps:\/\/doi.org\/10.1007\/s11999-009-0851-5"},{"issue":"5","key":"B14","series-title":"Am J Sports Med","first-page":"705","article-title":"Intrinsic risk factors for exercise-related injuries among male and female army trainees","volume":"21","author":"Jones\n \nBH","year":"1993","unstructured":"Jones\n \nBH\n\n, \n\nBovee\n \nMW\n\n, \n\nHarris\n \nJM\n3rd\n\n, \n\nCowan\n \nDN\n\n\n. \nIntrinsic risk factors for exercise-related injuries among male and female army trainees\n. \nAm J Sports Med\n. \n1993\n21\n5\n705\n710\n. \n\nhttps:\/\/doi.org\/10.1177\/036354659302100512"},{"issue":"3","key":"B15","series-title":"Clin Orthop Relat Res","first-page":"846","article-title":"Acetabular retroversion in military recruits with femoral neck stress fractures","volume":"468","author":"Kuhn\n \nKM","year":"2010","unstructured":"Kuhn\n \nKM\n\n, \n\nRiccio\n \nAI\n\n, \n\nSaldua\n \nNS\n\n, \n\nCassidy\n \nJ\n\n\n. \nAcetabular retroversion in military recruits with femoral neck stress fractures\n. \nClin Orthop Relat Res\n. \n2010\n468\n3\n846\n851\n. \n\nhttps:\/\/doi.org\/10.1007\/s11999-009-0969-5"},{"issue":"5","key":"B16","series-title":"Am J Sports Med","first-page":"524","article-title":"Stress fractures of the femoral neck in athletes: the consequence of a delay in diagnosis","volume":"18","author":"Johansson\n \nC","year":"1990","unstructured":"Johansson\n \nC\n\n, \n\nEkenman\n \nI\n\n, \n\nTornkvist\n \nH\n\n, \n\nEriksson\n \nE\n\n\n. \nStress fractures of the femoral neck in athletes: the consequence of a delay in diagnosis\n. \nAm J Sports Med\n. \n1990\n18\n5\n524\n8\n. \n\nhttps:\/\/doi.org\/10.1177\/036354659001800514"}],"container-title":["Qatar Medical Journal"],"original-title":[],"link":[{"URL":"https:\/\/www.qscience.com\/view\/journals\/qmj\/2026\/3\/article-65.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.qscience.com\/downloadpdf\/journals\/qmj\/2026\/3\/article-65.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/www.qscience.com\/downloadpdf\/journals\/qmj\/2026\/3\/article-65.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T11:56:05Z","timestamp":1790078165000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.qscience.com\/view\/journals\/qmj\/2026\/3\/article-65.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":16,"journal-issue":{"issue":"3"},"URL":"https:\/\/doi.org\/10.5339\/qmj.2026.65","relation":{},"ISSN":["2227-0426"],"issn-type":[{"value":"2227-0426","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]}}}