Snapshot A 40-year-old man presents after a motor vehicle accident. The patient reports significant pain in his right groin. On physical exam, his right hip and groin are tender to palpation and the patient is unable to raise his leg. He has significant pain with passive range of motion. The log roll maneuver is positive. Radiography shows a femoral neck fracture. Introduction Clinical definition login to view 1 more bullet Associated conditions login to view 1 more bullet Epidemiology Demographics login to view 3 more bullets Location login to view 2 more bullets Risk factors login to view 3 more bullets Etiology Acute trauma login to view 2 more bullets Repetitive stress Presentation Symptoms login to view 2 more bullets Physical exam login to view 8 more bullets Imaging Radiography login to view 10 more bullets Studies Making the diagnosis login to view 2 more bullets Differential Osteonecrosis of femoral head login to view 3 more bullets Treatment Management approach login to view 2 more bullets Conservative login to view 3 more bullets Medical login to view 5 more bullets Operative login to view 11 more bullets Complications Increased mortality Avascular necrosis of femoral head Osteoarthritis Prognosis Immediate surgical repair is associated with better outcomes