Nonunion of Stress Fracture of Femoral Neck in a Child Managed with Valgus Osteotomy

Ab stract Stress fracture of the femoral neck is very rare in children with an open upper femoral physis. There are only a few cases reported in the literature with most of these fatigue fractures of femoral neck managed conservatively. Some fractures require internal fixation either for displacement or for nonunion. A 7-year-old girl with a fatigue fracture of the femoral neck is presented, which resulted in coxa vara and functional disability. She was managed with valgus osteotomy and internal fixation using a dynamic hip screw. This resulted in union of the fracture site with good functional outcome.