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Article ID	#18325
Title	Symptomatic herniation pit of the femoral neck: a case report
URL	http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Citation&list_uids=16096045
Journal	J Manipulative Physiol Ther. 2005 Jul-aug;28(6):449-451
Author(s)	Borody C
Subject(s)	Arthralgia / diagnosis Femur Neck / anatomy and histology Femur Neck / pathology Hip Joint
Peer Review	Yes
Publication Type	Case Report
Abstract/Notes	OBJECTIVE: To discuss herniation pits of the femoral neck as a possible source of hip pain in a young athletic population. CLINICAL FEATURES: A 25-year-old former varsity volleyball player sought treatment for recurrent episodes of sharp left hip pain after intense physical activity. Radiographs revealed a small, oval, lobulated radiolucency with a thin sclerotic border in the superolateral aspect of the left femoral neck. Passive internal rotation of the left hip reproduced the complaint. Iliopsoas tendinitis/bursitis tests did not reproduce the complaint. INTERVENTION AND OUTCOME: The patient reported no significant reduction of hip pain after a variety of conservative therapies including soft tissue therapy, stretching, interferential current, and long-axis distraction. CONCLUSION: There is evidence to suggest that herniation pits of the femoral neck are a result of mechanical stress from the overlying joint capsule and iliopsoas tendon. Herniation pits of the femoral neck should be considered a potential cause of hip pain, particularly if the patient is physically active. Click on the above link for the PubMed record for this article; full text by subscription. The abstract is reproduced here with the permission of the publisher.

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