What is the management approach for tension side femoral neck stress fractures?

For tension side femoral neck stress fractures, the management approach prioritizes reducing stress on the affected area to promote healing and prevent further injury. In this case, non-weight bearing is the recommended initial management strategy.

This approach is based on the understanding that tension side stress fractures are particularly vulnerable to further displacement and complications due to the mechanics of the hip. By implementing non-weight bearing immediately, pressure is taken off the fracture site, allowing the bone to heal without additional stress. This is crucial in the early stages of managing a stress fracture, as premature weight-bearing could exacerbate the condition and lead to more severe issues, such as complete fracture or avascular necrosis.

Additionally, it is important to note that activities that could place stress on the femoral neck should be avoided until healing is confirmed through clinical evaluation and follow-up imaging if necessary. Appropriate monitoring and re-evaluation will allow for a gradual return to weight-bearing activities when the stress fracture has sufficiently healed.