RT Journal Article SR Electronic T1 Fatigue fracture of an uncemented Zweymüller femoral stem at the neck–shoulder junction JF BMJ Case Reports JO BMJ Case Reports FD BMJ Publishing Group Ltd SP e236328 DO 10.1136/bcr-2020-236328 VO 13 IS 11 A1 Nijenhuis, Thijs Andreas A1 Bolink, Stijn Albertus Andreas Nicolaas A1 Brokelman, Roy Bernardus Gerardus YR 2020 UL http://casereports.bmj.com/content/13/11/e236328.abstract AB A fracture through the neck of the femoral stem in total hip arthroplasty is extremely rare. We report a neck fracture of a cementless Zweymüller stem, one of the most implanted stems worldwide. According to our knowledge, this is the first thorough case description of a neck fracture of a cementless Zweymüller stem. The case concerns a 53-year-old man, with a body weight of 103 kg and a body mass index of 31. We consider potential risk factors for a femoral stem fracture, such as patient-related factors, suboptimal implant positioning, surgical technique and implant characteristics.