Femoral Neck Fatigue Fracture as the First Manifestation of Celiac Disease: A Case Report.

ABSTRACT

Young individuals with fatigue fractures are often a result of the repetitive athletic activity. Military recruits, distance runners, and dancers are commonly affected and are at an increased risk of developing stress fractures in the hip. We report a case of fatigue fracture of the femoral neck in a 20-year-old software professional as the first presentation of celiac disease. The skeletal manifestation of celiac disease is rare (0.6%). The case was managed with in situ fixation with cannulated screws and gluten free diet. The patient was pain free with no evidence of osteonecrosis, nonunion, or any other complication at 1-year follow-up.