Femoral neck stress fractures are rare in children. To the best
of our knowledge, the tension type stress fracture has been
reported only twice in the English language literature. We
report on a five years follow-up of a 10-year-old boy with
this injury which was initially missed. The fracture healed
after screw fixation. We highlight the importance of
considering stress fracture as a differential diagnosis in a
child with chronic hip pain. A careful physical examination
and the appropriate imaging will avoid missing the
diagnosis.