Femoral neck fracture is a recognised complication of Birmingham Hip Resurfacing. But stress fracture is uncommon. Femoral neck stress fractures are one of the most difficult problems to diagnose. The pain associated with a femoral neck stress fracture often is localized poorly and may be referred to the thigh or back.

We present a young fit gentleman who underwent Birmingham Hip resurfacing for Osteoarthritis Hip.

He underwent Birmingham Hip Resurfacing Right side with satisfactory post-operative x-rays and progress. He presented for the Left side Birmingham Hip Resurfacing. X-rays revealed a stress fracture through the femoral neck. Patient was asymptomatic and refused any surgical intervention. Patient successfully underwent Birmingham Hip Resurfacing Left side.

The Right stress fracture neck of femur healed in varus without any further complications.

The patient is asymptomatic after 30 months of diagnosis.

We conclude that expectant treatment has role in asymptomatic stress fracture following Birmingham Hip resurfacing.