Femoral neck fracture in normal bone of young adults is a rare fracture. The high energy leading to the fracture causes comminution at the fracture site; a greater disruption of the blood supply to the femoral head and a higher incidence of associated injuries, all adding up to a dismal prognosis. Early anatomical reduction either closed or open, and internal fixation can be advocated as the treatment of choice in femoral neck fractures in young adults. These fractures are associated with a high complication rate, avascular necrosis and nonunion remain the most serious complications.