Femoral Neck Stress Fracture in Amateur Runners: Narrative Review and Clinical Implications

• DOI: https://doi.org/10.22533/at.ed.1595322621012

• Palavras-chave: Stress fracture; femoral neck; runners; RED-S; rehabilitation.

• Keywords: Stress fracture; femoral neck; runners; RED-S; rehabilitation

• Abstract:

  This article presents a narrative review on stress fractures of the femoral neck in amateur and beginner runners, addressing epidemiological, pathophysiological, diagnostic, and therapeutic aspects. The main risk factors are discussed, with emphasis on training overload, biomechanical changes, and relative energy deficiency syndrome in sport (RED-S). Magnetic resonance imaging is emphasized as the method of choice for early diagnosis and severity stratification. The study discusses the indications for conservative and surgical treatment, the rehabilitation process, and the criteria for returning to sport, in addition to proposing a practical algorithm and a prevention checklist applicable to clinical practice.