Inflammatory Bowel Disease, High-Dose Steroids, Osteoporosis, or an Oncological Etiology for a Pathological Femoral Neck Fracture in a Young\nAdult: A Case Report
A 29 year-old African-American female presented late one evening to a community hospital emergency department with severe right hip and groin pain. She stated the pain occurred during ambulation at a local store. She denied any trauma, but stated that the pain caused her to fall to the ground. She reported a three to four week history of groin and thigh pain for which she had been evaluated at a tertiary center emergency department three weeks earlier. At that time, radiographs were performed of the pelvis, hip, and sacroiliac joints (see Fig. ). She was diagnosed with a ‘hip strain’ and referred to outpatient physical therapy and primary care physician follow-up.\nShe had seen her primary care physician just prior to this current emergency department visit and admitted to receiving corticosteroid injection in the right trochanteric bursa for suspected trochanteric bursitis. Radiographs at the time of the current ED presentation are seen in Fig. ().