Femoral Neck Fracture after Arthroscopic Femoroplasty of the Hip Related with Early Menopause. A Case Report

Femoroacetabular impingement (FAI) is a condition of articular incongruity that generates an impact between the femoral head-neck junction and the acetabular rim, resulting in damage to the acetabular labrum and the adjacent articular cartilage. This pinching can be caused by an acetabular deformity (FAI type “pincer”) or at a femoral level (FAI type “cam”)[1]. There are several surgical options to manage these changes, however, arthroscopic treatment has the lowest rate of complications[2], varying between 1.3% and 23.3% according to different series[3]; the most frequent ones being related to transient nerve palsy, fluid extravasation, iatrogenic chondral injuries and instrument breakage. Major complications includes femoral neck fracture[4, 5]. The latter is a rare complication and has been associated to bone over resection, osteopenia, poor adherence to weight-bearing precautions and other intrinsic factors[6].