Although bilateral osteonecrosis of the femoral head and bilateral stress
fracture of the femoral neck are well-documented conditions, the occurrence of
both conditions in the same patient has not been reported, to our knowledge.
We present the case of a patient with both entities who was managed with
internal fixation of both hips, which provided stabilization of the stress
fractures as well as treatment of the osteonecrosis with core decompression.
Two years after treatment, the stress fractures had healed and there was no
evidence of progression of the osteonecrosis.