Neck of femur fracture risk factors: Difference between revisions
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(Created page with "__NOTOC__ {{Neck of femur fracture}} {{CMG}}; {{AE}} {{Rohan}} ==Overview== Common risk factors in the development of distal radius fracture include age, female gende...") |
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{{Neck of femur fracture}} | {{Neck of femur fracture}} | ||
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==Overview== | ==Overview== | ||
Common risk factors in the development of [[distal radius fracture]] include [[age]], female gender, and health conditions. | Common risk factors in the development of [[distal radius fracture]] include [[age]], female gender, and health conditions. | ||
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===Gender=== | ===Gender=== | ||
*Gender distribution curves for neck of femur fracture incidence in the pediatric group indicate that boys have a higher risk of neck of femur fracture than girls. | *Gender distribution curves for neck of femur fracture incidence in the pediatric group indicate that boys have a higher risk of neck of femur fracture than girls. | ||
*This gender difference continues during young to middle adulthood with men aged 19-49 years having more neck of femur fracture than women of the same age. | *This gender difference continues during young to middle adulthood with men aged 19-49 years having more neck of femur [[fracture]] than women of the same age. | ||
*Beyond that age, the rate of neck of femur fracture increases markedly such that women older than 50 years have a 15% lifetime risk, whereas the incidence in men remains low until they reach the age of 80 years. | *Beyond that age, the rate of neck of femur [[fracture]] increases markedly such that women older than 50 years have a 15% lifetime risk, whereas the incidence in men remains low until they reach the age of 80 years. | ||
*Globally, injury rates remain significantly higher in elderly women as compared with elderly men. | *Globally, injury rates remain significantly higher in elderly women as compared with elderly men. | ||
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*Health conditions resulting in poor bone quality include:<ref name="pmid26080915">{{cite journal| author=Wang L, Li Y, Liu C, Yang Y, Chen Y, Yang H et al.| title=[Risk factors for mortality in nonagenarians with femoral neck fractures undergoing joint replacement]. | journal=Zhonghua Yi Xue Za Zhi | year= 2015 | volume= 95 | issue= 11 | pages= 832-5 | pmid=26080915 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26080915 }} </ref><ref name="pmid27277082">{{cite journal| author=Tsai CH, Muo CH, Hung CH, Lin TL, Wang TI, Fong YC et al.| title=Disorder-related risk factors for revision total hip arthroplasty after hip hemiarthroplasty in displaced femoral neck fracture patients: a nationwide population-based cohort study. | journal=J Orthop Surg Res | year= 2016 | volume= 11 | issue= 1 | pages= 66 | pmid=27277082 | doi=10.1186/s13018-016-0400-3 | pmc=4897902 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27277082 }} </ref><ref name="pmid11346808">{{cite journal| author=Neer RM, Arnaud CD, Zanchetta JR, Prince R, Gaich GA, Reginster JY et al.| title=Effect of parathyroid hormone (1-34) on fractures and bone mineral density in postmenopausal women with osteoporosis. | journal=N Engl J Med | year= 2001 | volume= 344 | issue= 19 | pages= 1434-41 | pmid=11346808 | doi=10.1056/NEJM200105103441904 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11346808 }} </ref> | *Health conditions resulting in poor bone quality include:<ref name="pmid26080915">{{cite journal| author=Wang L, Li Y, Liu C, Yang Y, Chen Y, Yang H et al.| title=[Risk factors for mortality in nonagenarians with femoral neck fractures undergoing joint replacement]. | journal=Zhonghua Yi Xue Za Zhi | year= 2015 | volume= 95 | issue= 11 | pages= 832-5 | pmid=26080915 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26080915 }} </ref><ref name="pmid27277082">{{cite journal| author=Tsai CH, Muo CH, Hung CH, Lin TL, Wang TI, Fong YC et al.| title=Disorder-related risk factors for revision total hip arthroplasty after hip hemiarthroplasty in displaced femoral neck fracture patients: a nationwide population-based cohort study. | journal=J Orthop Surg Res | year= 2016 | volume= 11 | issue= 1 | pages= 66 | pmid=27277082 | doi=10.1186/s13018-016-0400-3 | pmc=4897902 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27277082 }} </ref><ref name="pmid11346808">{{cite journal| author=Neer RM, Arnaud CD, Zanchetta JR, Prince R, Gaich GA, Reginster JY et al.| title=Effect of parathyroid hormone (1-34) on fractures and bone mineral density in postmenopausal women with osteoporosis. | journal=N Engl J Med | year= 2001 | volume= 344 | issue= 19 | pages= 1434-41 | pmid=11346808 | doi=10.1056/NEJM200105103441904 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11346808 }} </ref> | ||
**[[Osteoporosis]] | **[[Osteoporosis]] | ||
** | **Chronic [[stroke]] | ||
**[[Diabetes]] | **[[Diabetes]] | ||
**[[Rheumatoid arthritis]] | **[[Rheumatoid arthritis]] | ||
Latest revision as of 18:31, 22 April 2019
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Rohan A. Bhimani, M.B.B.S., D.N.B., M.Ch.[2]
Overview
Common risk factors in the development of distal radius fracture include age, female gender, and health conditions.
Risk Factors
Many neck of femur fracture in people over 60 are due to osteoporosis if the fall was relatively minor such as a fall from a standing position. They can happen even in healthy bones if the trauma was severe enough such as a car accident or a fall off a bike.[1][2][3][4]
Age
- The incidence of neck of femur fracture has a bimodal distribution during the life span.
- The incidence is high in the pediatric population, drops during young to middle adulthood, and increases again in older adults.
Gender
- Gender distribution curves for neck of femur fracture incidence in the pediatric group indicate that boys have a higher risk of neck of femur fracture than girls.
- This gender difference continues during young to middle adulthood with men aged 19-49 years having more neck of femur fracture than women of the same age.
- Beyond that age, the rate of neck of femur fracture increases markedly such that women older than 50 years have a 15% lifetime risk, whereas the incidence in men remains low until they reach the age of 80 years.
- Globally, injury rates remain significantly higher in elderly women as compared with elderly men.
Health conditions
- Neck of femur fracture appears to occur less often in individuals with significant dementia.
- Health conditions resulting in poor bone quality include:[5][6][7]
References
- ↑ Cummings SR, Black DM, Rubin SM (1989). "Lifetime risks of hip, Colles', or vertebral fracture and coronary heart disease among white postmenopausal women". Arch Intern Med. 149 (11): 2445–8. PMID 2818106.
- ↑ Court-Brown CM, Caesar B (2006). "Epidemiology of adult fractures: A review". Injury. 37 (8): 691–7. doi:10.1016/j.injury.2006.04.130. PMID 16814787.
- ↑ Baron JA, Karagas M, Barrett J, Kniffin W, Malenka D, Mayor M; et al. (1996). "Basic epidemiology of fractures of the upper and lower limb among Americans over 65 years of age". Epidemiology. 7 (6): 612–8. PMID 8899387.
- ↑ Li Y, Lin J, Cai S, Yan L, Pan Y, Yao X; et al. (2016). "Influence of bone mineral density and hip geometry on the different types of hip fracture". Bosn J Basic Med Sci. 16 (1): 35–8. doi:10.17305/bjbms.2016.638. PMC 4765937. PMID 26773177.
- ↑ Wang L, Li Y, Liu C, Yang Y, Chen Y, Yang H; et al. (2015). "[Risk factors for mortality in nonagenarians with femoral neck fractures undergoing joint replacement]". Zhonghua Yi Xue Za Zhi. 95 (11): 832–5. PMID 26080915.
- ↑ Tsai CH, Muo CH, Hung CH, Lin TL, Wang TI, Fong YC; et al. (2016). "Disorder-related risk factors for revision total hip arthroplasty after hip hemiarthroplasty in displaced femoral neck fracture patients: a nationwide population-based cohort study". J Orthop Surg Res. 11 (1): 66. doi:10.1186/s13018-016-0400-3. PMC 4897902. PMID 27277082.
- ↑ Neer RM, Arnaud CD, Zanchetta JR, Prince R, Gaich GA, Reginster JY; et al. (2001). "Effect of parathyroid hormone (1-34) on fractures and bone mineral density in postmenopausal women with osteoporosis". N Engl J Med. 344 (19): 1434–41. doi:10.1056/NEJM200105103441904. PMID 11346808.