fractures Stress fractures in the femoral neck, especially from repetitive activity sports (e.g., long distance running), can present as exercise-induced hip pain If there is no history of trauma or increased repetitive physical activity level, an endocrine and metabolic evaluation should be performed These fractures may result in osteonecrosis if there is damage to the blood supply of the femoral head Early recognition is important to allow activity restriction and healing, which may prevent progression to a complete fracture with displacement Bone scan or MRI is recommended for evaluation and early diagnosis Then open or closed reduction should be performed by the orthopedic surgeon