When should surgery be considered for compression-sided femoral neck stress fractures?

Surgery for compression-sided femoral neck stress fractures is indicated when the fracture comprises more than 50% of the neck. This is because the likelihood of displacement and complications increases significantly with larger fracture sizes. When more than half of the femoral neck is compromised, the risk of nonunion or avascular necrosis escalates, necessitating surgical intervention to stabilize the fracture and allow for proper healing.

In cases where the fracture does not meet this threshold, conservative management may be adequate. Assessing the extent of the fracture is crucial in determining the appropriate treatment plan, as larger fractures typically require surgical fixation to prevent further complications and facilitate recovery.