Fractures around the hip joint result from violent force such as high-energy trauma or less frequently in association with pathological conditions [1]. Femoral neck fracture as an atypical presentation of child abuse has also been presented recently [2]. The overall incidence of femoral neck fractures in children is less than 1% [3]. They occur in children of all ages, but the highest incidence is in 11- and 12-year-olds, with 60–75% occurring in boys, about the same age as slipped upper femoral epiphysis (SUFE) has its peak incidence. It is mandatory to identify additional injuries in the polytraumatized child (Fig. 47.1). Age-related differences in the mechanical property of bone account for the greater frequency of hip fractures among adults than among children, the ratio of adult to childhood fracture frequency being 130:1 [4].