Femoral diaphysis fractures represent a small subset of sports-related orthopaedic trauma, accounting for less than 1% of all sports fractures. We describe a 22-year-old male ice hockey player who slid and crashed into the boards during practice. Radiographs revealed fracture of the femoral diaphysis, necessitating surgical intervention to insert an intermedullary nail. Rehabilitation was a hybrid of an anterior cruciate ligament reconstruction and hip labrum repair protocols. There was emphasis on rotator cuff strengthening and lower-extremity rehabilitation owing to a pre-existing shoulder dislocation that occurred during the same season. He returned to skating at 16 weeks, and at 20 weeks he returned to full, unrestricted hockey activity

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