Hip arthroscopy is a widely used surgical technique to treat several pathologies, among them, hip impingement, which is the main current indication. Major complications haven't been described thoroughly in literature. One of these major complications is the femoral neck fracture. Its frequency ranges from 0.07% to 1.9% following arthroscopic femoral neck osteochondroplasty for femoroacetabular impingement. A femoral neck fracture was reported after a hip arthroscopy procedure in a patient diagnosed with FAI, treated through osteosynthesis in situ with cannulated screws. Change due to the FAI can be corrected surgically with different techniques, however, arthroscopic treatment is the most commonly used, with lower complications rate and faster rehabilitation. Femoral neck fracture is an infrequent complication, but the risk increases with certain intrinsic patient factors and osteoporosis. Early menopause may predispose to hip fracture in patients undergoing arthroscopic femoroplasty.
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