Breaks in bones.
Fractures of the FEMUR HEAD; the FEMUR NECK; (FEMORAL NECK FRACTURES); the trochanters; or the inter- or subtrochanteric region. Excludes fractures of the acetabulum and fractures of the femoral shaft below the subtrochanteric region (FEMORAL FRACTURES).
The physiological restoration of bone tissue and function after a fracture. It includes BONY CALLUS formation and normal replacement of bone tissue.
Fractures of the femur.
The joint that is formed by the articulation of the head of FEMUR and the ACETABULUM of the PELVIS.
The projecting part on each side of the body, formed by the side of the pelvis and the top portion of the femur.
Broken bones in the vertebral column.
Breaks in bones resulting from low bone mass and microarchitectural deterioration characteristic of OSTEOPOROSIS.
The use of internal devices (metal plates, nails, rods, etc.) to hold the position of a fracture in proper alignment.
The use of metallic devices inserted into or through bone to hold a fracture in a set position and alignment while it heals.
Fractures of the short, constricted portion of the thigh bone between the femur head and the trochanters. It excludes intertrochanteric fractures which are HIP FRACTURES.
A fracture in which the bone is splintered or crushed. (Dorland, 27th ed)
Replacement of the hip joint.
Fractures occurring as a result of disease of a bone or from some undiscoverable cause, and not due to trauma. (Dorland, 27th ed)
Replacement for a hip joint.
Noninflammatory degenerative disease of the hip joint which usually appears in late middle or old age. It is characterized by growth or maturational disturbances in the femoral neck and head, as well as acetabular dysplasia. A dominant symptom is pain on weight-bearing or motion.
Fractures due to the strain caused by repetitive exercise. They are thought to arise from a combination of MUSCLE FATIGUE and bone failure, and occur in situations where BONE REMODELING predominates over repair. The most common sites of stress fractures are the METATARSUS; FIBULA; TIBIA; and FEMORAL NECK.
The use of nails that are inserted into bone cavities in order to keep fractured bones together.
Reduction of bone mass without alteration in the composition of bone, leading to fractures. Primary osteoporosis can be of two major types: postmenopausal osteoporosis (OSTEOPOROSIS, POSTMENOPAUSAL) and age-related or senile osteoporosis.
Fractures of the larger bone of the forearm.
Fractures of the skull which may result from penetrating or nonpenetrating head injuries or rarely BONE DISEASES (see also FRACTURES, SPONTANEOUS). Skull fractures may be classified by location (e.g., SKULL FRACTURE, BASILAR), radiographic appearance (e.g., linear), or based upon cranial integrity (e.g., SKULL FRACTURE, DEPRESSED).
The amount of mineral per square centimeter of BONE. This is the definition used in clinical practice. Actual bone density would be expressed in grams per milliliter. It is most frequently measured by X-RAY ABSORPTIOMETRY or TOMOGRAPHY, X RAY COMPUTED. Bone density is an important predictor for OSTEOPOROSIS.
Fractures of the lower jaw.
General or unspecified injuries involving the hip.
Falls due to slipping or tripping which may result in injury.
Displacement of the femur bone from its normal position at the HIP JOINT.
Congenital dislocation of the hip generally includes subluxation of the femoral head, acetabular dysplasia, and complete dislocation of the femoral head from the true acetabulum. This condition occurs in approximately 1 in 1000 live births and is more common in females than in males.
Break or rupture of a tooth or tooth root.
Metabolic disorder associated with fractures of the femoral neck, vertebrae, and distal forearm. It occurs commonly in women within 15-20 years after menopause, and is caused by factors associated with menopause including estrogen deficiency.
Rods of bone, metal, or other material used for fixation of the fragments or ends of fractured bones.
Crumbling or smashing of cancellous BONE by forces acting parallel to the long axis of bone. It is applied particularly to vertebral body fractures (SPINAL FRACTURES). (Blauvelt and Nelson, A Manual of Orthopedic Terminology, 1994, p4)
The constricted portion of the thigh bone between the femur head and the trochanters.
Fractures of the articular surface of a bone.
Implantable fracture fixation devices attached to bone fragments with screws to bridge the fracture gap and shield the fracture site from stress as bone heals. (UMDNS, 1999)
An aspect of personal behavior or lifestyle, environmental exposure, or inborn or inherited characteristic, which, on the basis of epidemiologic evidence, is known to be associated with a health-related condition considered important to prevent.
Specialized devices used in ORTHOPEDIC SURGERY to repair bone fractures.
The number of new cases of a given disease during a given period in a specified population. It also is used for the rate at which new events occur in a defined population. It is differentiated from PREVALENCE, which refers to all cases, new or old, in the population at a given time.
Injuries to the wrist or the wrist joint.
Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.
Fractures of the bones in the orbit, which include parts of the frontal, ethmoidal, lacrimal, and sphenoid bones and the maxilla and zygoma.
The longest and largest bone of the skeleton, it is situated between the hip and the knee.
Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group.
Fractures around joint replacement prosthetics or implants. They can occur intraoperatively or postoperatively.
Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.
A partial or complete return to the normal or proper physiologic activity of an organ or part following disease or trauma.
Fracture of the lower end of the radius in which the lower fragment is displaced posteriorly.
Injuries to the part of the upper limb of the body between the wrist and elbow.
The bony deposit formed between and around the broken ends of BONE FRACTURES during normal healing.
Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease.
Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery.
A noninvasive method for assessing BODY COMPOSITION. It is based on the differential absorption of X-RAYS (or GAMMA RAYS) by different tissues such as bone, fat and other soft tissues. The source of (X-ray or gamma-ray) photon beam is generated either from radioisotopes such as GADOLINIUM 153, IODINE 125, or Americanium 241 which emit GAMMA RAYS in the appropriate range; or from an X-ray tube which produces X-RAYS in the desired range. It is primarily used for quantitating BONE MINERAL CONTENT, especially for the diagnosis of OSTEOPOROSIS, and also in measuring BONE MINERALIZATION.
Bones that constitute each half of the pelvic girdle in VERTEBRATES, formed by fusion of the ILIUM; ISCHIUM; and PUBIC BONE.
Procedures used to treat and correct deformities, diseases, and injuries to the MUSCULOSKELETAL SYSTEM, its articulations, and associated structures.
Malfunction of implantation shunts, valves, etc., and prosthesis loosening, migration, and breaking.
The distance and direction to which a bone joint can be extended. Range of motion is a function of the condition of the joints, muscles, and connective tissues involved. Joint flexibility can be improved through appropriate MUSCLE STRETCHING EXERCISES.
Dressings made of fiberglass, plastic, or bandage impregnated with plaster of paris used for immobilization of various parts of the body in cases of fractures, dislocations, and infected wounds. In comparison with plaster casts, casts made of fiberglass or plastic are lightweight, radiolucent, able to withstand moisture, and less rigid.
Age as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or the effect of a circumstance. It is used with human or animal concepts but should be differentiated from AGING, a physiological process, and TIME FACTORS which refers only to the passage of time.
Studies in which subsets of a defined population are identified. These groups may or may not be exposed to factors hypothesized to influence the probability of the occurrence of a particular disease or other outcome. Cohorts are defined populations which, as a whole, are followed in an attempt to determine distinguishing subgroup characteristics.
Steel wires, often threaded through the skin, soft tissues, and bone, used to fix broken bones. Kirschner wires or apparatus also includes the application of traction to the healing bones through the wires.
A repeat operation for the same condition in the same patient due to disease progression or recurrence, or as followup to failed previous surgery.
Elements of limited time intervals, contributing to particular results or situations.
Organic compounds which contain P-C-P bonds, where P stands for phosphonates or phosphonic acids. These compounds affect calcium metabolism. They inhibit ectopic calcification and slow down bone resorption and bone turnover. Technetium complexes of diphosphonates have been used successfully as bone scanning agents.
A surgical specialty which utilizes medical, surgical, and physical methods to treat and correct deformities, diseases, and injuries to the skeletal system, its articulations, and associated structures.
A nonhormonal medication for the treatment of postmenopausal osteoporosis in women. This drug builds healthy bone, restoring some of the bone loss as a result of osteoporosis.
The pull on a limb or a part thereof. Skin traction (indirect traction) is applied by using a bandage to pull on the skin and fascia where light traction is required. Skeletal traction (direct traction), however, uses pins or wires inserted through bone and is attached to weights, pulleys, and ropes. (From Blauvelt & Nelson, A Manual of Orthopaedic Terminology, 5th ed)
The part of the pelvis that comprises the pelvic socket where the head of FEMUR joins to form HIP JOINT (acetabulofemoral joint).
A diphosphonate which affects calcium metabolism. It inhibits ectopic calcification and slows down bone resorption and bone turnover.
Fractures of the upper jaw.
External devices which hold wires or pins that are placed through one or both cortices of bone in order to hold the position of a fracture in proper alignment. These devices allow easy access to wounds, adjustment during the course of healing, and more functional use of the limbs involved.
The largest of the TARSAL BONES which is situated at the lower and back part of the FOOT, forming the HEEL.
Devices designed to provide personal protection against injury to individuals exposed to hazards in industry, sports, aviation, or daily activities.
Fractures of the zygoma.
The hemispheric articular surface at the upper extremity of the thigh bone. (Stedman, 26th ed)
The performance of the basic activities of self care, such as dressing, ambulation, or eating.
VERTEBRAE in the region of the lower BACK below the THORACIC VERTEBRAE and above the SACRAL VERTEBRAE.
The qualitative or quantitative estimation of the likelihood of adverse effects that may result from exposure to specified health hazards or from the absence of beneficial influences. (Last, Dictionary of Epidemiology, 1988)
A partial joint replacement in which only one surface of the joint is replaced with a PROSTHESIS.
A disorder characterized by CONFUSION; inattentiveness; disorientation; ILLUSIONS; HALLUCINATIONS; agitation; and in some instances autonomic nervous system overactivity. It may result from toxic/metabolic conditions or structural brain lesions. (From Adams et al., Principles of Neurology, 6th ed, pp411-2)
A group of twelve VERTEBRAE connected to the ribs that support the upper trunk region.
Adhesives used to fix prosthetic devices to bones and to cement bone to bone in difficult fractures. Synthetic resins are commonly used as cements. A mixture of monocalcium phosphate, monohydrate, alpha-tricalcium phosphate, and calcium carbonate with a sodium phosphate solution is also a useful bone paste.
Harm or hurt to the ankle or ankle joint usually inflicted by an external source.
The properties, processes, and behavior of biological systems under the action of mechanical forces.
A bone on the ventral side of the shoulder girdle, which in humans is commonly called the collar bone.
The period of confinement of a patient to a hospital or other health facility.
Older adults or aged individuals who are lacking in general strength and are unusually susceptible to disease or to other infirmity.
Internal devices used in osteosynthesis to hold the position of the fracture in proper alignment. By applying the principles of biomedical engineering, the surgeon uses metal plates, nails, rods, etc., for the correction of skeletal defects.
The plan and delineation of prostheses in general or a specific prosthesis.
Geriatric long-term care facilities which provide supervision and assistance in activities of daily living with medical and nursing services when required.
Systems for assessing, classifying, and coding injuries. These systems are used in medical records, surveillance systems, and state and national registries to aid in the collection and reporting of trauma.
Multiple physical insults or injuries occurring simultaneously.
The bone of the lower leg lateral to and smaller than the tibia. In proportion to its length, it is the most slender of the long bones.
An anatomic severity scale based on the Abbreviated Injury Scale (AIS) and developed specifically to score multiple traumatic injuries. It has been used as a predictor of mortality.
Statistical models used in survival analysis that assert that the effect of the study factors on the hazard rate in the study population is multiplicative and does not change over time.
Maleness or femaleness as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or effect of a circumstance. It is used with human or animal concepts but should be differentiated from SEX CHARACTERISTICS, anatomical or physiological manifestations of sex, and from SEX DISTRIBUTION, the number of males and females in given circumstances.
The shaft of long bones.
A vitamin that includes both CHOLECALCIFEROLS and ERGOCALCIFEROLS, which have the common effect of preventing or curing RICKETS in animals. It can also be viewed as a hormone since it can be formed in SKIN by action of ULTRAVIOLET RAYS upon the precursors, 7-dehydrocholesterol and ERGOSTEROL, and acts on VITAMIN D RECEPTORS to regulate CALCIUM in opposition to PARATHYROID HORMONE.
A specialized CONNECTIVE TISSUE that is the main constituent of the SKELETON. The principle cellular component of bone is comprised of OSTEOBLASTS; OSTEOCYTES; and OSTEOCLASTS, while FIBRILLAR COLLAGENS and hydroxyapatite crystals form the BONE MATRIX.
A hereditary disease of the hip joints in dogs. Signs of the disease may be evident any time after 4 weeks of age.
The frequency of different ages or age groups in a given population. The distribution may refer to either how many or what proportion of the group. The population is usually patients with a specific disease but the concept is not restricted to humans and is not restricted to medicine.
Nonexpendable items used in the performance of orthopedic surgery and related therapy. They are differentiated from ORTHOTIC DEVICES, apparatus used to prevent or correct deformities in patients.
Studies which start with the identification of persons with a disease of interest and a control (comparison, referent) group without the disease. The relationship of an attribute to the disease is examined by comparing diseased and non-diseased persons with regard to the frequency or levels of the attribute in each group.
The presence of co-existing or additional diseases with reference to an initial diagnosis or with reference to the index condition that is the subject of study. Comorbidity may affect the ability of affected individuals to function and also their survival; it may be used as a prognostic indicator for length of hospital stay, cost factors, and outcome or survival.
Aseptic or avascular necrosis of the femoral head. The major types are idiopathic (primary), as a complication of fractures or dislocations, and LEGG-CALVE-PERTHES DISEASE.
Devices which are used in the treatment of orthopedic injuries and diseases.
The administrative process of discharging the patient, alive or dead, from hospitals or other health facilities.
Calcium compounds used as food supplements or in food to supply the body with calcium. Dietary calcium is needed during growth for bone development and for maintenance of skeletal integrity later in life to prevent osteoporosis.
The physical state of supporting an applied load. This often refers to the weight-bearing bones or joints that support the body's weight, especially those in the spine, hip, knee, and foot.
Tomography using x-ray transmission and a computer algorithm to reconstruct the image.
Procedure to accelerate the ability of a patient to walk or move about by reducing the time to AMBULATION. It is characterized by a shorter period of hospitalization or recumbency than is normally practiced.
The number of males and females in a given population. The distribution may refer to how many men or women or what proportion of either in the group. The population is usually patients with a specific disease but the concept is not restricted to humans and is not restricted to medicine.
The toothlike process on the upper surface of the axis, which articulates with the CERVICAL ATLAS above.
An activity in which the body advances at a slow to moderate pace by moving the feet in a coordinated fashion. This includes recreational walking, walking for fitness, and competitive race-walking.
The probability that an event will occur. It encompasses a variety of measures of the probability of a generally unfavorable outcome.
The physiological period following the MENOPAUSE, the permanent cessation of the menstrual life.
Facilities which provide nursing supervision and limited medical care to persons who do not require hospitalization.
Surgical reconstruction of a joint to relieve pain or restore motion.
Procedures to repair or stabilize vertebral fractures, especially compression fractures accomplished by injecting BONE CEMENTS into the fractured VERTEBRAE.
Research techniques that focus on study designs and data gathering methods in human and animal populations.
The spinal or vertebral column.
Extended care facilities which provide skilled nursing care or rehabilitation services for inpatients on a daily basis.
The restriction of the MOVEMENT of whole or part of the body by physical means (RESTRAINT, PHYSICAL) or chemically by ANALGESIA, or the use of TRANQUILIZING AGENTS or NEUROMUSCULAR NONDEPOLARIZING AGENTS. It includes experimental protocols used to evaluate the physiologic effects of immobility.
The joining of objects by means of a cement (e.g., in fracture fixation, such as in hip arthroplasty for joining of the acetabular component to the femoral component). In dentistry, it is used for the process of attaching parts of a tooth or restorative material to a natural tooth or for the attaching of orthodontic bands to teeth by means of an adhesive.
A hinge joint connecting the FOREARM to the ARM.
Procedures that avoid use of open, invasive surgery in favor of closed or local surgery. These generally involve use of laparoscopic devices and remote-control manipulation of instruments with indirect observation of the surgical field through an endoscope or similar device.
A condition in which one of a pair of legs fails to grow as long as the other, which could result from injury or surgery.
Injuries involving the vertebral column.
The grafting of bone from a donor site to a recipient site.
To move about or walk on foot with the use of aids.
A bone that forms the lower and anterior part of each side of the hip bone.
The bone which is located most lateral in the proximal row of CARPAL BONES.
Rigid or flexible appliances used to maintain in position a displaced or movable part or to keep in place and protect an injured part. (Dorland, 28th ed)
The confinement of a patient in a hospital.
Days commemorating events. Holidays also include vacation periods.
The seven bones which form the tarsus - namely, CALCANEUS; TALUS; cuboid, navicular, and the internal, middle, and external cuneiforms.
An ulceration caused by prolonged pressure on the SKIN and TISSUES when one stays in one position for a long period of time, such as lying in bed. The bony areas of the body are the most frequently affected sites which become ischemic (ISCHEMIA) under sustained and constant pressure.
Fractures of the upper or lower jaw.
Interventions to provide care prior to, during, and immediately after surgery.
Facilities which provide programs for rehabilitating the mentally or physically disabled individuals.
Evaluation of the level of physical, physiological, or mental functioning in the older population group.
Injection of an anesthetic into the nerves to inhibit nerve transmission in a specific part of the body.
Fractures which extend through the base of the SKULL, usually involving the PETROUS BONE. Battle's sign (characterized by skin discoloration due to extravasation of blood into the subcutaneous tissue behind the ear and over the mastoid process), CRANIAL NEUROPATHIES, TRAUMATIC; CAROTID-CAVERNOUS SINUS FISTULA; and CEREBROSPINAL FLUID OTORRHEA are relatively frequent sequelae of this condition. (Adams et al., Principles of Neurology, 6th ed, p876)
Scales, questionnaires, tests, and other methods used to assess pain severity and duration in patients or experimental animals to aid in diagnosis, therapy, and physiological studies.
Statistical models which describe the relationship between a qualitative dependent variable (that is, one which can take only certain discrete values, such as the presence or absence of a disease) and an independent variable. A common application is in epidemiology for estimating an individual's risk (probability of a disease) as a function of a given risk factor.
Death of a bone or part of a bone, either atraumatic or posttraumatic.
The ratio of two odds. The exposure-odds ratio for case control data is the ratio of the odds in favor of exposure among cases to the odds in favor of exposure among noncases. The disease-odds ratio for a cohort or cross section is the ratio of the odds in favor of disease among the exposed to the odds in favor of disease among the unexposed. The prevalence-odds ratio refers to an odds ratio derived cross-sectionally from studies of prevalent cases.
The outer shorter of the two bones of the FOREARM, lying parallel to the ULNA and partially revolving around it.
Federal program, created by Public Law 89-97, Title XVIII-Health Insurance for the Aged, a 1965 amendment to the Social Security Act, that provides health insurance benefits to persons over the age of 65 and others eligible for Social Security benefits. It consists of two separate but coordinated programs: hospital insurance (MEDICARE PART A) and supplementary medical insurance (MEDICARE PART B). (Hospital Administration Terminology, AHA, 2d ed and A Discursive Dictionary of Health Care, US House of Representatives, 1976)
Polymerized methyl methacrylate monomers which are used as sheets, moulding, extrusion powders, surface coating resins, emulsion polymers, fibers, inks, and films (From International Labor Organization, 1983). This material is also used in tooth implants, bone cements, and hard corneal contact lenses.
Human males as cultural, psychological, sociological, political, and economic entities.
Breaks in CARTILAGE.
The period of care beginning when the patient is removed from surgery and aimed at meeting the patient's psychological and physical needs directly after surgery. (From Dictionary of Health Services Management, 2d ed)
Moving or repositioning patients within their beds, from bed to bed, bed to chair, or otherwise from one posture or surface to another.
A purely physical condition which exists within any material because of strain or deformation by external forces or by non-uniform thermal expansion; expressed quantitatively in units of force per unit area.
Research aimed at assessing the quality and effectiveness of health care as measured by the attainment of a specified end result or outcome. Measures include parameters such as improved health, lowered morbidity or mortality, and improvement of abnormal states (such as elevated blood pressure).
A computer based method of simulating or analyzing the behavior of structures or components.
The continuous turnover of BONE MATRIX and mineral that involves first an increase in BONE RESORPTION (osteoclastic activity) and later, reactive BONE FORMATION (osteoblastic activity). The process of bone remodeling takes place in the adult skeleton at discrete foci. The process ensures the mechanical integrity of the skeleton throughout life and plays an important role in calcium HOMEOSTASIS. An imbalance in the regulation of bone remodeling's two contrasting events, bone resorption and bone formation, results in many of the metabolic bone diseases, such as OSTEOPOROSIS.
Accidents on streets, roads, and highways involving drivers, passengers, pedestrians, or vehicles. Traffic accidents refer to AUTOMOBILES (passenger cars, buses, and trucks), BICYCLING, and MOTORCYCLES but not OFF-ROAD MOTOR VEHICLES; RAILROADS nor snowmobiles.
Compilations of data on hospital activities and programs; excludes patient medical records.
General or unspecified injuries involving the foot.
Predetermined sets of questions used to collect data - clinical data, social status, occupational group, etc. The term is often applied to a self-completed survey instrument.
Manner or style of walking.
Bone in humans and primates extending from the SHOULDER JOINT to the ELBOW JOINT.
Studies in which variables relating to an individual or group of individuals are assessed over a period of time.
The science concerned with the benefit and risk of drugs used in populations and the analysis of the outcomes of drug therapies. Pharmacoepidemiologic data come from both clinical trials and epidemiological studies with emphasis on methods for the detection and evaluation of drug-related adverse effects, assessment of risk vs benefit ratios in drug therapy, patterns of drug utilization, the cost-effectiveness of specific drugs, methodology of postmarketing surveillance, and the relation between pharmacoepidemiology and the formulation and interpretation of regulatory guidelines. (Pharmacoepidemiol Drug Saf 1992;1(1); J Pharmacoepidemiol 1990;1(1))
General or unspecified injuries involving the leg.
Replacement of the knee joint.
Procedures to restore vertebrae to their original shape following vertebral compression fractures by inflating a balloon inserted into the vertebrae, followed by removal of the balloon and injection of BONE CEMENTS to fill the cavity.
An unpleasant sensation induced by noxious stimuli which are detected by NERVE ENDINGS of NOCICEPTIVE NEURONS.
General or unspecified injuries involving the arm.
Loss of blood during a surgical procedure.
Products made by baking or firing nonmetallic minerals (clay and similar materials). In making dental restorations or parts of restorations the material is fused porcelain. (From McGraw-Hill Dictionary of Scientific and Technical Terms, 4th ed & Boucher's Clinical Dental Terminology, 4th ed)
Displacement of bones out of line in relation to joints. It may be congenital or traumatic in origin.
Care given during the period prior to undergoing surgery when psychological and physical preparations are made according to the special needs of the individual patient. This period spans the time between admission to the hospital to the time the surgery begins. (From Dictionary of Health Services Management, 2d ed)
A set of techniques used when variation in several variables has to be studied simultaneously. In statistics, multivariate analysis is interpreted as any analytic method that allows simultaneous study of two or more dependent variables.
A range of values for a variable of interest, e.g., a rate, constructed so that this range has a specified probability of including the true value of the variable.
Injuries incurred during participation in competitive or non-competitive sports.
A distribution in which a variable is distributed like the sum of the squares of any given independent random variable, each of which has a normal distribution with mean of zero and variance of one. The chi-square test is a statistical test based on comparison of a test statistic to a chi-square distribution. The oldest of these tests are used to detect whether two or more population distributions differ from one another.
The five cylindrical bones of the METACARPUS, articulating with the CARPAL BONES proximally and the PHALANGES OF FINGERS distally.
Difficulty in walking from place to place.
Injuries of tissue other than bone. The concept is usually general and does not customarily refer to internal organs or viscera. It is meaningful with reference to regions or organs where soft tissue (muscle, fat, skin) should be differentiated from bones or bone tissue, as "soft tissue injuries of the hand".
The gradual irreversible changes in structure and function of an organism that occur as a result of the passage of time.
The total number of cases of a given disease in a specified population at a designated time. It is differentiated from INCIDENCE, which refers to the number of new cases in the population at a given time.
A province of Canada lying between the provinces of Manitoba and Quebec. Its capital is Toronto. It takes its name from Lake Ontario which is said to represent the Iroquois oniatariio, beautiful lake. (From Webster's New Geographical Dictionary, 1988, p892 & Room, Brewer's Dictionary of Names, 1992, p391)
A POSTURE in which an ideal body mass distribution is achieved. Postural balance provides the body carriage stability and conditions for normal functions in stationary position or in movement, such as sitting, standing, or walking.
The development of bony substance in normally soft structures.
An indicator of body density as determined by the relationship of BODY WEIGHT to BODY HEIGHT. BMI=weight (kg)/height squared (m2). BMI correlates with body fat (ADIPOSE TISSUE). Their relationship varies with age and gender. For adults, BMI falls into these categories: below 18.5 (underweight); 18.5-24.9 (normal); 25.0-29.9 (overweight); 30.0 and above (obese). (National Center for Health Statistics, Centers for Disease Control and Prevention)
Care over an extended period, usually for a chronic condition or disability, requiring periodic, intermittent, or continuous care.
Orthopedic appliances used to support, align, or hold parts of the body in correct position. (Dorland, 28th ed)

Reproductive factors and fatal hip fractures. A Norwegian prospective study of 63,000 women. (1/1367)

STUDY OBJECTIVE: The aim of the study was to investigate the impact of reproductive variables (age at menarche, menopause, first and last birth as well as parity, lactation, and abortions) on hip fracture mortality. DESIGN AND SETTING: A prospective study in Norway with more than 60,000 women followed up for 29 years. A total of 465 deaths as a result of hip fracture were recorded. MAIN RESULTS: Statistically significant linear relations (p < or = 0.02) were found between both age at menarche and length of reproductive period (defined as age at menopause to age at menarche) and the mortality of hip fractures in women aged less than 80. The death rate for women with a late menarche (> or = 17 years) was twice that of the women with relatively early menarche (< or = 13 years). Compared with women with less than 30 years between menopause and menarche, the mortality rate ratio in women with more than 38 reproductive years was 0.5. We also found an inverse relation with age at first birth. CONCLUSIONS: This study supports by hypothesis that an early menarche and a long reproductive period protect against hip fracture mortality. High age at first birth may also be protective.  (+info)

Mortality league tables: do they inform or mislead? (2/1367)

OBJECTIVE: To examine certain methodological issues related to the publication of mortality league tables, with particular reference to severity adjustment and sample size. DESIGN: Retrospective analysis of inpatient hospital records. SETTING: 22 hospitals in North West Thames health region for the fiscal year 1992-3. SUBJECTS: All admissions with a principal diagnosis of aortic aneurysm, carcinoma of the colon, cervical cancer, cholecystectomy, fractured neck of femur, head injury, ischaemic heart disease, and peptic ulcer. MAIN MEASURES: In hospital mortality rates adjusted by disease severity and calculated on the basis of both admissions and episodes. RESULTS: The numbers of deaths from specific conditions were often small and the corresponding confidence intervals wide. Rankings of hospitals by death rate are sensitive to adjustment for severity of disease. There are some differences that cannot be explained using routine data. CONCLUSIONS: Comparison of crude death rates may be misleading. Some adjustment for differences in severity is possible, but current systems are unsatisfactory. Differences in death rates should be studied, but because of the scope for manipulating data, this should be undertaken in a collaborative rather than a confrontational way. Any decision to publish league tables of death rates will be on political rather than scientific grounds.  (+info)

Hip fractures among infertile women. (3/1367)

A retrospective cohort study was conducted in a population-based inception cohort of 1,157 Olmsted County, Minnesota, women with infertility (failure to conceive after 1 year despite intercourse without contraception) that was first diagnosed at the Mayo Clinic (Rochester, Minnesota) between 1935 and 1964. In this relatively young cohort, 31 hip fractures were observed during 35,849 person-years of follow-up; 36.5 had been expected (standardized incidence ratio = 0.85, 95% confidence interval 0.58-1.20). Standardized incidence ratios did not differ by type or cause of infertility. The data suggested that women with consistently irregular menses may have a greater risk of hip fracture. This finding should be confirmed by additional studies with longer follow-up periods and with assessment of other fracture outcomes.  (+info)

Residential status and risk of hip fracture. (4/1367)

OBJECTIVE: to examine the association between residential status and risk of hip fracture in older people. DESIGN: population-based case-control study. SETTING: Auckland, New Zealand. SUBJECTS: a random sample of all individuals > or = 60 years, hospitalized with a fracture of the proximal femur between July 1991 and February 1994. Controls were age and gender frequency-matched to the cases, randomly selected from a random sample of general practitioners. MAIN OUTCOME MEASURES: radiographically-confirmed fracture of the proximal femur. Fractures sustained as a result of major trauma, such as in a motor vehicle crash, and those associated with pre-existing pathological conditions were excluded. RESULTS: individuals living in institutions were almost four times more likely to sustain a hip fracture [age- and gender-adjusted odds ratio (OR)=3.8; 95% confidence interval (CI): 3.0-4.8] than those living in private homes. After adjustment for potential confounding factors, the risk of hip fracture associated with living in an institution remained significantly increased (P< 0.0001), although the magnitude of the risk was somewhat diminished (OR=2.2; 95% (CI: 1.5-3.5). CONCLUSIONS: living in an institution is associated with an increased risk of hip fracture in older people. Specific factors that place these individuals at increased risk need to be identified, in order to develop intervention strategies.  (+info)

Alcohol intake, beverage preference, and risk of hip fracture in men and women. Copenhagen Centre for Prospective Population Studies. (5/1367)

The authors prospectively studied the association between quantity and type of alcohol intake and risk of hip fracture among 17,868 men and 13,917 women. Analyses were based on pooled data from three population studies conducted in 1964-1992 in Copenhagen, Denmark. During follow-up, 500 first hip fractures were identified in women and 307 in men. A low to moderate weekly alcohol intake (1-27 drinks for men and 1-13 drinks for women) was not associated with hip fracture. Among men, the relative risk of hip fracture gradually increased for those who drank 28 drinks or more per week (relative risk (RR) = 1.75, 95% confidence interval (CI) 1.06-2.89 for 28-41 drinks; RR = 5.28, 95% CI 2.60-10.70 for 70 or more drinks) as compared with abstainers. Women who drank 14-27 drinks per week had an age-adjusted relative risk of hip fracture of 1.44 (95% CI 1.03-2.03), but the association weakened after adjustment for confounders (RR = 1.32, 95% CI 0.92-1.87). The risk of hip fracture differed according to the type of alcohol preferred: preferrers of beer had a higher risk of hip fracture (RR = 1.46, 95% CI 1.11-1.91) than preferrers of other types of alcoholic beverages. The corresponding relative risks for preferrers of wine and spirits were 0.77 (95% CI 0.58-1.03) and 0.82 (95% CI 0.58-1.14), respectively. In conclusion, an alcohol intake within the current European drinking limits does not influence the risk of hip fracture, whereas an alcohol intake of more than 27 drinks per week is a major risk factor for men.  (+info)

Costs and outcomes of hip fracture and stroke, 1984 to 1994. (6/1367)

OBJECTIVES: This study quantified changes in Medicare payments and outcomes for hip fracture and stroke from 1984 to 1994. METHODS: We studied National Long Term Care Survey respondents who were hospitalized for hip fracture (n = 887) or stroke (n = 878) occurring between 1984 and 1994. Changes in Medicare payment and survival were primary outcomes. We also assessed changes in functional and cognitive status. RESULTS: Medicare payments within 6 months increased following hip fracture (103%) or stroke (51%). Survival improved for stroke (P < .001) and to a lesser extent for hip fracture (P = .16). Condition-specific improvements were found in functional and cognitive status. CONCLUSIONS: During the period 1984 to 1994, Medicare payments for hip fracture and stroke rose and there were some improvements in survival and other outcomes.  (+info)

Mental distress and risk of hip fracture. Do broken hearts lead to broken bones? (7/1367)

OBJECTIVE: Mental distress may entail increased risk of hip fracture, but it is uncertain whether the effect consists solely of an indirect effect through use of medication, or whether it is also mediated through other mechanism. The purpose of this study was to examine the association between mental distress and risk of hip fracture in women, adjusted for medication (that is, use of tranquillisers/sedatives or hypnotics). DESIGN: A three year follow up of hip fracture was conducted on 18,612 women, consisting of 92.5% of all women aged 50 years or older in a Norwegian county. Three hundred and twenty nine suffered a hip fracture. A mental distress index was based on questions about life dissatisfaction, nervousness, loneliness, sleep disorders, troubled and uneasy feelings, depression and impairment attributable to psychological complaints. Relative risk with 95% confidence intervals (CI) of hip fracture with respect to mental distress were controlled for medication, age, body mass index (BMI), smoking, physical inactivity, and physical illness by means of Cox regression. RESULTS: The 10% of women with the highest mental distress had more than twofold increased risk of hip fracture compared with the 10% of women with the lowest mental distress, after adjustment for age and medication. The relative risk was 1.95 (95% CI 1.2, 3.3) after additional control for BMI, smoking, physical inactivity, and physical illness. The relative risk of hip fracture for daily users of medication compared with never users was 2.1 (95% CI 1.6, 2.9). After adjusting for mental distress it was 1.5 (95% CI 1.0, 2.2). CONCLUSIONS: Risk of hip fracture was positively related to mental distress, also after adjustment for medication use. The effect of tranquillisers/sedatives or hypnotics on hip fracture risk may be overestimated in studies with no adjustments for mental distress.  (+info)

Massive pulmonary embolus in a 14 year old boy. (8/1367)

Pulmonary embolus in children is rare. A case of massive pulmonary embolus, after surgery, in a child of 14 years is described. Accident and emergency doctors should be aware that pulmonary embolus can occur in children and exercise a high index of suspicion for the diagnosis in those patients with risk factors for the condition who present acutely with typical symptoms such as dyspnoea, chest pain, haemoptysis, or collapse.  (+info)

TY - JOUR. T1 - Postoperative variation in neurocognitive and functional status in elderly hip fracture patients. AU - Milisen, Koen. AU - Abraham, Ivo L.. AU - Broos, Paul L.O.. PY - 1998/1. Y1 - 1998/1. N2 - Regaining independence in the performance of activities of daily living (ADL) is a nursing priority in the postoperative care of hip fracture patients, though often impeded by a temporary yet reversible decrease in cognitive status postoperatively. This study investigated the incidence and evolution of decreased cognitive status in geriatric hip fracture patients from admission through to the fifth postoperative day, and the relationship between cognitive abilities and functional (ADL) status. Twenty-six elderly hip fracture patients (f: 21, m: 5) with a mean age of 79·5 years (SD = 8·2) admitted to the emergency room of an academic medical centre were monitored longitudinally from admission until the fifth postoperative day regarding neurocognitive status and ADL status, as measured by ...
TY - JOUR. T1 - Minimum detectable change in gait velocity during acute rehabilitation following hip fracture. AU - Hollman, John H.. AU - Beckman, Bryce A.. AU - Brandt, Rachel A.. AU - Merriwether, Ericka. AU - Williams, Rachel T.. AU - Nordrum, Jon T.. PY - 2008. Y1 - 2008. N2 - Purpose: Early ambulation and rehabilitation are recommended for patients undergoing surgical fixation of hip fracture. Gait velocity may be used as an outcome measure for these patients during acute rehabilitation. As an outcome measure, an estimate of meaningful change (responsiveness) in gait velocity for these patients, however, has not been described. The minimum detectable change (MDC) is a value that represents true change in a measure beyond that accounted for by measurement error. The purpose of this study was to quantify MDC in gait velocity as an index of responsiveness for persons in the acute stage of rehabilitation following hip fracture. Methods: The study design was a descriptive cohort study with one ...
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TY - JOUR. T1 - CT-measurement predicts shortening of stable intertrochanteric hip fractures. AU - Hecht, Garin. AU - Shelton, Trevor J.. AU - Saiz, Augustine M.. AU - Goodell, Parker B.. AU - Wolinsky, Philip R. PY - 2018/12/1. Y1 - 2018/12/1. N2 - Purpose: Intertrochanteric (IT) hip fractures can be treated with sliding hip screws (SHS) or cephalomedullary nails (CMN) based on the stability of the fracture. This stability is affected by the initial impaction of the fracture which can be difficult to assess. The aim of this paper is to develop specific pre-operative computed tomography (CT) measurements of IT fractures which are predictive of post-operative shortening. Methods: A retrospective review was performed of 141 patients with AO/OTA 31A1 or 31A2 fracture patterns, who had pre-operative radiographs and CT scans, and who were treated with a SHS or a CMN. Pre-operative and post-operative imaging of IT fractures were analyzed for those fractures that shortened ≥15 mm post-fixation. ...
BACKGROUND: A neuroinflammatory response is suggested to play an important role in delirium, a common complication in older hospitalized patients. We examined whether hip fracture patients who develop postoperative delirium have a different proteome in cerebrospinal fluid (CSF) prior to surgery. METHODS: Patients (≥ 75 years) were admitted for hip ... read more fracture surgery. CSF was collected during spinal anaesthesia; proteins were separated using gel electrophoresis and identified with mass spectrometry. We compared the proteome of patients with and without postoperative delirium. Findings were validated in an independent, comparable cohort using immuno-assays. RESULTS: In the derivation cohort 53 patients were included, 35.8% developed postoperative delirium. We identified differences in levels of eight CSF proteins between patients with and without subsequent delirium: complement factor C3, contactin-1, fibulin-1 and I-beta-1,3-N-acetylglucosaminyltransferase were significantly lower ...
H. Palm, S. Jacobsen, S. Sonne-Holm, and P. Gebuhr reply. Palm, Henrik; Jacobsen, Steffen; Sonne-Holm, Stig; Gebuhr, Peter // Journal of Bone & Joint Surgery, American Volume;Aug2007, Vol. 89-A Issue 8, p1868 A response by H. Palm, S. Jacobsen, S. Sonne-Holm, and P. Gebuhr to a letter to the editor on their article Integrity of the Lateral Femoral Wall in Intertrochanteric Hip Fractures: An Important Predictor of a Reoperation is presented. ...
TY - JOUR. T1 - Increasing hip fracture incidence in California Hispanics, 1983 to 2000. AU - Zingmond, David S.. AU - Melton, L. Joseph. AU - Silverman, Stuart L.. N1 - Copyright: Copyright 2018 Elsevier B.V., All rights reserved.. PY - 2004/8. Y1 - 2004/8. N2 - Background: Hip fracture incidence in non-Hispanic whites (NHW) has decreased nationwide for the past 20 years. Little is known regarding hip fracture incidence among Hispanics, the largest, fastest growing minority in the United States. Objective: To assess the change in standardized hip fracture incidence from 1983 through 2000 in California Hispanics relative to other racial groups. Design: Hospitalizations for individuals older than 55 years with hip fracture requiring repair in acute care hospitals. Annual population estimates based on US Census Bureau estimates. Incidence standardized to national gender-age strata. Change in annual incidence calculated by weighted linear regression with robust variance estimates. Results: 372,078 ...
The demographics were comparable to previous studies in HK. The mean age of patients with fragility hip fracture in our 2012 data was 82.1 years, unchanged compared with local data from 2000 to 2011.1 The female-to-male ratio was around 2:1 indicating an increase in male fragility hip fractures compared with 2.5:1 from 2001 to 2010.4 8 This may be due to increasing life expectancy of the HK male population9 and bone mineral density (BMD) at the hip in men that decreases with age.10 There were 1257 (46.6%) femoral neck fractures, 1445 (49.6%) intertrochanteric fractures, and 110 (3.8%) subtrochanteric fractures, comparable with a previous local study of 1342 hip fracture patients from 2007 to 2010.8 The majority of patients had an ASA score of 2 and 3, comprising 40.9% and 56.3%, respectively and in line with Lau et als study.8 There was a marked increase in hemiarthroplasties and intramedullary fixations with 977 (33.5%) and 983 (3.7%) cases respectively in our study, compared with Lau et als ...
Open peer review is a system where authors know who the reviewers are, and the reviewers know who the authors are. If the manuscript is accepted, the named reviewer reports are published alongside the article. Pre-publication versions of the article and author comments to reviewers are available by contacting [email protected] All previous versions of the manuscript and all author responses to the reviewers are also available.. You can find further information about the peer review system here.. ...
Hip fracture patients in the aging population frequently present with various comorbidities, whilst preservation of independency and activities of daily living can be challenging. Thus, an interdisciplinary orthogeriatric treatment of these patients has recognized a growing acceptance in the last years. As there is still limited data on the impact of this approach, the present study aimed to evaluate the long-term outcome in elderly hip fracture patients, by comparing the treatment of a hospital with integrated orthogeriatric care (OGC) with a conventional trauma care (CTC). We conducted a retrospective, two-center, cohort study. In two maximum care hospitals all patients presenting with a hip fracture at the age of ≥ 70 years were consecutively assigned within a 1 year period and underwent follow-up examination 12 months after surgery. Patients treated in hospital site A were treated with an interdisciplinary orthogeriatric approach (co-managed care), patients treated in hospital B underwent
The International Osteoporosis Foundation (IOF) Hip Fracture Incidence Map displays country-specific incidence of hip fracture per population of 100 000. The country-specific risk of hip fractures has been determined on a worldwide basis from a systematic review of literature.. The Hip Fracture Incidence Map was developed by J. A. Kanis et al. on behalf of International Osteoporosis Foundation (IOF) Epidemiology/Quality of Life Working Group. A systematic review of hip fracture incidence and probability of fracture worldwide Osteoporosis International 2012.. CLOSE. ...
TY - JOUR. T1 - Preoperative chest radiographs in hip fracture patients. T2 - is there any additional value?. AU - Loggers, Sverre A.I.. AU - Giannakopoulos, Georgios F.. AU - Vandewalle, Edwin. AU - Erwteman, Micha. AU - Berger, Ferco. AU - Zuidema, Wietse P.. PY - 2017/10/1. Y1 - 2017/10/1. N2 - Purpose: Preoperative screening in hip fracture patients is vital to minimize perioperative complications. Preoperative chest radiographs (POCR) are performed in many hip fracture patients. Earlier research showed that few POCR abnormalities influence perioperative policy. However, no studies in nonelective patient with a specific surgical conditions have been performed. With many hip fractures per year worldwide, a significant cost reduction could be made by performing selective POCR without compromising the quality of care. This study assessed the need for POCR in hip fracture patients. Method: Retrospective analysis of low-energy trauma patients was performed aged 18 years and older in the VU ...
Studies comparing internally linked (person-identifying) and unlinked (episodes of care) hospital discharge data (HDD) on hip fractures have mainly focused on incidence overestimation by unlinked HDD, but little is known about the impact of overestimation on patient profiles such as comorbidity estimates. In view of the continuing use of unlinked HDD in hip fracture research and the desire to apply research results to hip fracture prevention, we concurrently assessed the accuracy of both incidence and comorbidity estimates derived from unlinked HDD compared to those estimated from internally linked HDD. We analysed unlinked and internally linked HDD between 01 July 2005 and 30 June 2008, inclusive, from Victoria, Australia to estimate the incidence of hospital admission for fall-related hip fracture in community-dwelling older people aged 65+ years and determine the prevalence of comorbidity in patients. Community-dwelling status was defined as living in private residence, supported residential
In a population-based retrospective cohort study, Rochester women aged 35-69 years who were first diagnosed with one or more vertebral fractures in 1950-1979 were followed for the development of a subsequent hip fracture. The 336 women with no history of hip fracture at the time of their vertebral fracture experienced 52 proximal femur fractures in 4788 person-years of follow-up. The standardized morbidity ratio (SMR) of observed to expected hip fractures was 1.8 (95% CI, 1.3-2.4) and was higher for intertrochanteric than cervical femoral fractures (SMR, 2.3 versus 1.3; P = 0.07). Hip fracture risk among women with symptomatic vertebral fractures was slightly less than in those with asymptomatic vertebral fractures (SMR, 1.8 versus 2.3; not significant), and younger women had no higher risk of a subsequent hip fracture than women who were | or = 60 years of age at the time of their vertebral fracture (SMR, 1.4 versus 1.8; not significant). Alternative explanations are possible, but these data are
Women age 65 and older who fracture a hip are much more likely to die from any cause during the following year than they would be if they had avoided
PubMed comprises more than 30 million citations for biomedical literature from MEDLINE, life science journals, and online books. Citations may include links to full-text content from PubMed Central and publisher web sites.
PubMed comprises more than 30 million citations for biomedical literature from MEDLINE, life science journals, and online books. Citations may include links to full-text content from PubMed Central and publisher web sites.
The modelling, based on demographic data and the latest research, shows what impact physio-led falls prevention services could have in every area...
Five matched pairs of cadaveric femora were randomly assigned to one of two distal fixation treatment groups; a single distal interlock screw placed in the dynamic orientation or no distal fixation. A 3-part intertrochanteric fracture was produced. Specimens were potted and mounted in a double gimbal fixture facilitating unconstrained motion in the sagittal and coronal planes. Specimens were cyclically loaded dynamically in both internal and external rotation. Range of motion, internal and external rotation stiffness, torsion stiffness, torsion yield and ultimate torsion magnitude were calculated.. ...
Comparison of activities of daily living after osteoporotic hip fracture surgery in patients admitted from home and from geriatric health service facilities Akira Horikawa,1 Naohisa Miyakoshi,2 Yoichi Shimada,2 Hiroyuki Kodama1 1South Akita Orthopedic Clinic, Katagami, 2Department of Orthopedic Surgery, Akita University Graduate School of Medicine, Akita, Japan Abstract: With the population and proportion of the elderly increasing each year, ­difficulties with postoperative treatment outcomes after osteoporotic hip fracture are increasing. This study focused on activities of daily living (ADL) in patients who underwent surgery for hip fracture through an investigation of living arrangements, the presence of dementia, and other complications of aging. Information from 99 patients who lived either at home or in geriatric health service facilities was collected for this trial. Most patients were over 65 years of age and female, and about half of them had dementia. The postoperative ADL score
With an increase in life expectancy, the health care authority is likely to encounter more elderly patients with hip fracture. The cost of providing clinical care for centenarians imposes a substantial financial burden on our health care system. There are only a few publications that specifically examine the surgical outcome of centenarians following hip fracture surgery. Due to their limited sample size, these studies have failed to justify the need to operate on centenarians with hip fracture. A previous report by Tarity et al10 on 23 centenarians reported a 1-year mortality of 60% and concluded that operating on patients ,100 years carried an acceptable mortality rate. Patil et al11 reported a high mobility rate of 77% and a low mortality rate of 8.3% in 13 centenarians, and concluded that hip fracture surgery yielded a good return on money spent and quality of life. Shabat et al12 reported a mortality rate of 48% in 23 centenarians and concluded that operated cases had shorter ...
The intertrochanteric area of the femur is distal to the femoral neck and proximal to the femoral shaft; it is the area of the femoral trochanters, the lesser and the greater trochanters (see the imag... more
misc{9289497b-fab8-4b1c-a85f-122dbfe18661, author = {von Friesendorff, My and Nilsson, Jan-Åke and Åkesson, Kristina}, issn = {1433-2965}, language = {eng}, note = {Conference Abstract}, number = {Suppl. 1}, pages = {131--132}, publisher = {Springer}, series = {Osteoporosis International}, title = {INCREASED MORTALITY IN HIP FRACTURE PATIENTS - A LONG-TERM CASE-CONTROL STUDY OF 1029 HIP FRACTURE PATIENTS OVER 20 YEARS}, url = {}, volume = {20}, year = {2009 ...
In January 2005, the National Institute for Health and Care Excellence (NICE) in England and Wales provided new guidance on the use of antiosteoporosis therapies for the secondary prevention of osteoporotic fractures. This was shortly followed in the same year by market authorization of a generic form of alendronic acid within the UK. We here set out to estimate the actual practice impact of these events among hip fracture patients in terms of antiosteoporosis medication prescribing and subsequent fracture incidence using primary care data (Clinical Practice Research Datalink) from 1999 to 2013. Changes in level and trend of prescribing and subsequent fracture following publication of NICE guidance and availability of generic alendronic acid were estimated using an interrupted time series analysis. Both events were considered in combination within a 1-year intervention period. We identified 10,873 primary hip fracture patients between April 1999 and Sept 2012. Taking into account prior trend, the
Ibutamoren, more commonly known as MK-677, is the most powerful and potent orally administered growth hormone secretagogue, when it comes to selective androgen receptor modulators, also known as SARMs. Simply put, a secretagogue is a substance that chemically signals the pituitary gland to increase secretion of growth hormone MK-677 could be compared to peptides like GHRP-6 or Ipamorelin, only it doesnt require any injections, nor does it have similar side effects. Originally developed by Reverse Pharmacology, MK-677 aimed to combat conditions like muscle wasting, obesity, osteoporosis, and, oddly enough, the treatment of elderly hip fracture patients.. ...
Background Posterior lumbar interbody fusion (PLIF) is a fusion technique with reliable and rapid fusion results. The traditional technique describes the use of two cages filled with bone graft and inserted in a straight-ahead direction within the prepared disc space. Bone graft used is usually harvested from the posterior iliac crest. This study evaluates the use of a single cage inserted diagonally through unilateral discectomy and filled with bone fragments obtained from the local decompression procedure. Patients and methods Fourteen patients underwent pedicle screw-rod supplemented PLIF and spinal canal decompression for symptomatic spinal canal stenosis, instability, or spondylolisthesis refractive to conservative treatment. PLIF was performed using a single PEEK cage filled with impacted graft from the locally excised bone. The PEEK cage was inserted into the prepared intervertebral disc space in an oblique (diagonal) manner to obtain near-symmetrical end-plate loading across the midline. ...
Speaking at the European Symposium on Calcified Tissue in Vienna today (27 May), Professor Bo Abrahamsen from the Copenhagen University Hospital Gentofte in Denmark, described the results from a major study analyzing seven trials examining the effects of low doses of vitamin D with calcium in 68,500 patients. Participants in the study were aged 47…
Supporting: 2, Mentioning: 165 - Hip fractures lead to excess deaths and substantial disability. Most are related both to falls and to osteoporosis, which affects one in four post-menopausal white women, but a lesser number of men or women of other races. Consequently, about half of the 1.66 million hip fractures worldwide in 1990 occurred in Europe and North America. Even within these regions, however, there is substantial variation in hip fracture incidence rates, which suggests the existence of important environmental factors that could be manipulated to reduce hip fracture occurrence. This is important because in the United States alone, a quarter of a million hip fractures annually cost over $8 billion, mostly for acute medical care and nursing home services. Future costs will be even greater because populations are ageing rapidly around the world and because hip fracture incidence rates are rising in some regions. The number of elderly is increasing most rapidly in Asia, Latin America, the Middle
Osteoporotic hip fracture is the most severe kind of fracture with high morbidity and mortality. Patients ambulation and quality of life are significantly affected by the fracture because only 50% regain their prefracture functional status, even if they undergo surgeries. There are many issues associated with the current preventive methods e.g., cost, side effects, patient compliance, and time for onset of action. Femoroplasty, the injection of bone cement into the proximal femur to augment femoral strength and to prevent fracture, has been an option with great potential. However, until now femoroplasty has remained at the stage of biomechanical testing. No in vivo study has evaluated its safety and effectiveness; there is not even an animal model for such investigations. The objective of this study was to develop a proximal femur fracture goat model that consistently fractures at the proximal femur when subject to vertical load, simulating osteoporotic hip fractures in human. Six pairs of ...
Activity and exercise are believed to be of benefit for reducing disability in older adults, yet the majority of older adults do not participate in regular exercise and is not active. This is especially true for older adults following hip fracture after they complete the usual rehabilitation program.. This study is being done to compare two 16-week supervised multi-part physical therapy programs (interventions) initiated up to 26 weeks after hip fracture. The investigators want to test whether the interventions lead to improvements in a persons ability to walk on their own in the home and in the local community. With this knowledge the investigators hope to help a greater number of hip fracture patients enjoy a more complete recovery and improved overall health.. ANCILLARY STUDY #1 - MECHANISTIC PATHWAYS TO COMMUNITY AMBULATION (CAP-MP) The goal of this ancillary study is to investigate several mechanisms thought to be related to recovery in ambulatory ability after hip fracture. Selected ...
To assess the relationships between reproductive factors and the risk of hip fractures in postmenopausal Chinese women, the authors analyzed data from a matched case-control study conducted in the Bei
Background Osteoporosis is a multifactorial systemic skeletal disease, characterized by low bone mass and microarchitectural modifications of bone tissue, with a consequent increase in fragility fractures [1]. Vertebral fractures are the most prevalent osteoporotic fractures and osteoporotic hip fractures are the most serious complication of osteoporosis resulting in increased mortality and high socio-economic cost [2,3]. The coexistence of these two pathological conditions in elderly patients has been previously described, leading to even worse functional outcomes than each one alone [4]. ...
The National Surgical Quality Improvement Program database was utilised to identify hip fracture patients who underwent THA from 2008 to 2015. Propensity scores were calculated for the likelihood of having a preoperative albumin measurement. Hip fracture patients who underwent THA and had preoperative hypoalbuminemia (,3.5 g/dL) (n = 569) were compared to those who had normal albumin levels (⩾3.5 g/dL) (n = 1098) in terms of demographics and perioperative data. Regression models were adjusted for age, sex, modified Charlson/Deyo scores, and propensity scores to evaluate complication and re-operation rates.. READ MORE ...
Objective: To compare antirotator proximal femoral nail (A-PFN) with antirotator dynamic hip screw (A-DHS). Methods: Fourteen proximal femur models with type 31/A2 fracture, according to the AO Foundation/Orthopaedic Trauma Association (AO/OTA) classification, were separated into two groups. Group 1 bones (n = 7) were fixed with A-PFN and Group 2 (n = 7) with A-DHS. A 5 mm/min axial load was applied to femur heads using a testing device. Results: Two of the seven models in the A-PFN group fractured at the proximal, and the other five at distal locking screw level. All models in the A-DHS group fractured at the tightened distal screw region. The median fracture load for the A-PFN group was 132.1 N (97.1-173.69 N range), and for the A-DHS group it was 81.7 N (75.15-89.12 N range). Conclusion: A-PFN-treated unstable intertrochanteric fractured models resisted to higher levels of axial load than the A-DHS-treated group, with statistically significant difference. However, clinical studies are ...
Background: Hip fractures affect 1.6 million patients yearly worldwide, often elderly with complex comorbidity. Mortality following surgery for acute hip fracture is high and multifactorial; high age, comorbidities and complication/deterioration in health following surgery. Whether the anaesthesia technique affects the 30-day mortality rate has been studied widely without reaching a consensus. The primary aim of this study was to determine anaesthetic techniques used in Sweden and their impact on the 30-day mortality rate in elderly undergoing acute hip fracture surgery. Other aims were to study the impact of age, gender, ASA class, fracture type and delay in surgery on the 30-day mortality rate. Methods: Data from 13,649 patients =50 years old who had undergone acute hip fracture surgery and been reported to Swedish perioperative register (SPOR) between 2016 and 2017 were analysed. Results: The most commonly used anaesthetic technique was neuraxial anaesthesia (NA; 11,257, 82%), followed by ...
Background: It is not known whether the recently described break in the trend in hip fracture incidence in many settings applies in both women and men, depends on changes in bone mineral density (BMD) or changes in other risk factors, or whether it is apparent in both urban and rural settings. Methods: We evaluated changes in annual hip fracture incidence from 1987 to 2002 in Swedish men aged ≥60 years in one urban (n=25,491) and one rural population (n=16,432) and also secular differences in BMD, measured by single-photon absorptiometry at the distal radius and multiple other risk factors for hip fracture in a population-based sub-sample of the urban and the rural men aged 60-80 years in 1988/89 (n=202 vs. 121) and in 1998/99 (n=79 vs. 69). Results: No statistically significant changes in the annual age-adjusted hip fracture incidence per 10,000 were apparent from 1987 to 2002 in urban (0.38 per year, 95% CI-0.12 to 0.88) or rural men (-0.05 per year, 95% CI -0.63 to 0.53). BMD was similar in ...
UNLABELLED: Using a large cohort of hip fracture patients, we estimated hospital costs to be £14,163 and £2139 in the first and second year following fracture, respectively. Second hip and non-hip fractures were major cost drivers. There is a strong economic incentive to identify cost-effective approaches for hip fracture prevention. INTRODUCTION: The purpose of this study was to estimate hospital costs of hip fracture up to 2 years post-fracture and compare costs before and after the index fracture. METHODS: A cohort of patients aged over 60 years admitted with a hip fracture in a UK region between 2003 and 2013 were identified from hospital records and followed until death or administrative censoring. All hospital records were valued using 2012/2013 unit costs, and non-parametric censoring methods were used to adjust for censoring when estimating average annual costs. A generalised linear model examined the main predictors of hospital costs. RESULTS: A cohort of 33,152 patients with a hip fracture
Health, ...Hip fractures are the second leading cause of hospitalization of elder...The purpose of the study was to define the complications after hip fra... We found that the return to the best quality of life after hip surger...The ASA classification system represents the anesthesiologists assess...,Hip,surgery,success,partially,predicted,by,number,of,other,existing,conditions,medicine,medical news today,latest medical news,medical newsletters,current medical news,latest medicine news
Introduction: The main objectives in the treatment of an intertrochanteric fracture in elderly population are to prevent medical complications, maintain mobility, independence, and relieve pain. When this fracture occurs in an arthrodesed hip, there is a significant lack of scientific evidence of optimal treatment and clinical results since only few case reports have been published so far. Case Report: A Caucasian 83-year-old woman slipped and fell, complaining of the left hip pain. After radiographic evaluation, she was diagnosed with an intertrochanteric fracture that occurred in a long-term arthrodesed hip. We treated this rare presentation by open reduction and internal fixation with a proximal locking femoral plate and a pelvic reconstruction plate. No immobilization was needed in the post-operative care. Fracture healing occurred after 3months. Conclusion: Without motion on the hip, the lower extremity forms one long lever arm, creating an unusual instability at the fracture site. The authors
OrthoBuzz occasionally receives posts from guest bloggers. This guest post comes from Matthew Herring, MD, in response to a recent study in the Journal of Orthopaedic Trauma. Among the elderly, low-energy hip fractures are common injuries that almost all orthopaedic surgeons encounter. While operative management is typically the standard of care, there are some patients for whom nonoperative…
Background A hip fracture is a dramatic event with serious consequences. Many patients do not survive the first year after the fracture, and those who survive will often experience loss of function and increased need of assistance. Patients suffering a hip fracture are often elderly and frail, and many suffer from several medical conditions in addition to the fracture. The patients often use several medications, have malnutrition and poor social support. Dementia is very common. All these conditions are often seen among patients treated by geriatricians, and it has therefore been argued that a hip fracture is a geriatric, rather than an orthopedic disease. In many countries geriatricians have been involved in the care of such patients. A structured collaboration between orthopedic surgeons and geriatricians is labeled an orthogeriatric service. There exists a wide range of models of orthogeriatric care, and despite a lot of research, it is still not concluded which orthogeriatric model is most ...
This case series serves to illustrate several points: hip fractures in breast cancer survivors present at an earlier age than in postmenopausal osteoporosis, result in clinically important functional decline, and occur at higher BMD than in women with postmenopausal osteoporosis.. First hip fractures in breast cancer survivors may present at an earlier age than in postmenopausal osteoporosis where hip fractures occur in the 8-decade of life (mean age 74 years). Notably, breast cancer survivors can present with hip fractures as early as the sixth decade of life.. Second, hip fractures are associated with functional decline among middle-aged breast cancer patients. Greater awareness of the functional and quality of life impact of CTIBL fracture complications in cancer survivors is necessary. Hip fractures in older women account for considerable functional impairment, morbidity, hospitalizations, and increased mortality (7-10). Osteoporotic fractures such as wrist, vertebral and hip fractures are ...
Hip fracture is a clinical condition that involves a break in the femur (hip bone) near where it attaches to the pelvis. Hip fractures occur more than 300,000 times each year in the US and over 1.6 million times each year worldwide.. Over 90% of hip fractures occur in individuals aged 50 or older, most commonly resulting from low-energy traumatic injuries, such as falls from standing in the context of established osteoporosis, chronic illness, or disability. Surgical treatment, via fixation of the fractured bone or partial or total replacement of the hip joint, is indicated for all types of hip fractures and approximately 95% of hip fracture patients undergo surgery.. No evidence-based interventions now exist to improve functional outcomes after hip fracture surgery beyond the immediate postoperative period. Nearly all hip fracture patients require orthopedic surgery and anesthesia,making the anesthetic care episode a major opportunity to impact outcomes.. Spinal and general anesthesia represent ...
TY - JOUR. T1 - Effects of Chinese herbal medicines on the risk of overall mortality, readmission, and reoperation in hip fracture patients. AU - Cheng, Chi Fung. AU - Lin, Ying Ju. AU - Tsai, Fuu Jen. AU - Li, Te Mao. AU - Lin, Ting Hsu. AU - Liao, Chiu Chu. AU - Huang, Shao Mei. AU - Liu, Xiang. AU - Li, Ming Ju. AU - Ban, Bo. AU - Liang, Wen Miin. AU - Lin, Jeff Chien Fu. PY - 2019/1/1. Y1 - 2019/1/1. N2 - Hip fracture is a major public health concern, with high incidence rates in the elderly worldwide. Hip fractures are associated with increased medical costs, patient dependency on families, and higher rates of morbidity and mortality. Chinese herbal medicine (CHM) is typically characterized as cost-effective and suitable for long-term use with few side effects. To better understand the effects of CHM on hip fracture patients, we utilized a population-based database to investigate the demographic characteristics, cumulative incidence of overall mortality, readmission, reoperation, and ...
Singapore - A study in New Delhi India has revealed high rates of vitamin D deficiency among hip fracture patients, confirming the conclusions of similar international studies which point to vitamin D deficiency as a risk factor for hip fracture. A group of 90 hip fracture patients was compared to a matched control group of similar age, sex and co-morbidity. Of the patients who had suffered hip fractures, 76.7% were shown to be vitamin D deficient as measured by serum 25(OH)D levels of less than 20 ng/ml. In addition, 68.9% had elevated PTH levels. In comparison, only 32.3% of the controls had vitamin D deficiency and 42.2% had elevated PTH levels (secondary hyperparathyroidism).. Vitamin D deficiency has been linked to the pathogenesis of osteoporosis and is increasingly thought to play a role in muscle strength, certain cancers, multiple sclerosis and diabetes. Vitamin D levels are very low in the Indian population in all age groups, and could be explained by skin pigmentation, traditional ...
TY - JOUR. T1 - Subcapital vs intertrochanteric fracture of the neck of the femur. T2 - are there two distinct subpopulations?. AU - Dias, J. J.. AU - Robbins, John A. AU - Steingold, R. F.. AU - Donaldson, L. J.. PY - 1987. Y1 - 1987. N2 - 216 consecutive patients with femoral neck fractures were evaluated to determine whether different subpopulations fracture their hips in different anatomical locations. Elderly patients were shown to have more distal fractures. Patients with subcapital fractures had higher concentrations of albumin and haemoglobin at the time of hopitalisation, but comparable serum creatinines. Mental scores and index of activities of daily living are comparable. Prior fractures, morbidity, medication use, and serious medical illnesses were similar, as were length of stay and outcome at the time of discharge. There do not appear to be major differences in the populations of patients with subcapital or intertrochanteric fractures.. AB - 216 consecutive patients with femoral ...
Background: There is consistent and significant variation in neuraxial anesthesia use for hip fracture surgery across jurisdictions. We measured the association of hospital-level utilization of neuraxial anesthesia, independent of patient-level use, with 30-day survival (primary outcome) and length of stay and costs (secondary outcomes). Methods: We conducted a population-based cohort study using linked administrative data in Ontario, Canada. We identified all hip fracture patients more than 65 yr of age from 2002 to 2014. For each patient, we measured the proportion of hip fracture patients at their hospital who received neuraxial anesthesia in the year before their surgery. Multilevel, multivariable regression was used to measure the association of log-transformed hospital-level neuraxial anesthetic-use proportion with outcomes, controlling for patient-level anesthesia type and confounders. Results: Of 107,317 patients, 57,080 (53.2%) had a neuraxial anesthetic; utilization varied from 0 to ...
Osteoporosis is a common condition that results from loss of bone mass, measured as bone density. People over 50 are at the greatest risk for developing osteoporosis and having bone fractures. Osteoporosis is most common among older women, especially non-Hispanic white and Asian women. Treatment with bisphosphonates, a class of anti-resorptive drugs, may slow bone loss and decrease fracture risk in osteoporosis patients.. Taking a drug holiday from bisphosphonates after years of continuous therapy is becoming more common due to FDA warnings about long-term risks. In a population-based, cohort study, researchers at the University of Alabama at Birmingham investigated the potential impact of stopping bisphosphonates on hip fracture risk among women who are long-term users of these therapies.. The researchers used Medicare data from 2006-2014 to identify 156,236 women who were long-term, adherent users of bisphosphonates, quantified as being at least 80 percent adherent for three or more years. ...
Lameness in dairy cows is an area of concern from an economic, environmental and animal welfare point of view. While the potential risk factors associated with suboptimal mobility in non-pasture-based systems are evident throughout the literature, the same information is less abundant for pasture-based systems specifically those coupled with seasonal calving, like those in Ireland. Therefore, the objective of this study was to determine the potential risk factors associated with specific mobility scores (0 = good, 1 = imperfect, 2 = impaired, and 3 = severely impaired mobility) for pasture-based dairy cows. Various cow and herd-level potential risk factors from Irish pasture-based systems were collected and analyzed for their association with suboptimal mobility, whereby a mobility score of 0 refers to cows with optimal mobility and a mobility score ≥ 1 refers to a cow with some form of suboptimal mobility. Combined cow and herd-level statistical models were used to determine the increased or ...
Background: Allogeneic red blood cell transfusions (ABT) are common in older hip fracture patients. Recent research supports a restrictive transfusion policy. The aim was to study variation in hemoglobin (Hb) concentration, and clinical outcomes in these patients.. Results: Cross-sectional study with one-year follow-up in an orthogeriatric unit. Data were obtained from a quality register with demographic and medical information collected by an interdisciplinary team. 106 (22 %) of the 491 patients admitted from September 2011 throughout September 2012 (76 % women, mean age 85 years) received ABT. When given ABT, 80 % had Hb ,80 g/l and mean Hb was 78 g/l. Mean Hb, regardless ABT, showed variation from 125 g/l (±16) on admission to 106 g/l (±17), 101 g/l (±16) and 102 g/l (±14) on 1st, 3rd and 5th postoperative day respectively. Patients with per-/subtrochanteric fractures more often received ABT than those with femur neck fractures (p , 0.001), 70 % of the patients receiving ABT had a ...
This study used nationwide hip fracture data from Denmark and Sweden during 1987-2010 to examine effects of (birth) cohort and period. We found that time trends, cohort, and period effects were different in the two countries. Results also indicated that hip fracture rates may increase in the not so far future.The reasons for the downturn in hip fracture rates remain largely unclear but circumstances earlier in life seem important.We ascertained hip fractures in the populations ≥50 years in Denmark and Sweden in national discharge registers. Country- and sex-specific age-period-cohort (APC) effects during 1987-2010 were evaluated by log-likelihood estimates in Poisson regression models presented as incidence rate ratios (IRR).There were 399,596 hip fractures in SE and 248,773 in DK. Age-standardized hip fracture rate was stable in SE men but decreased in SE women and in DK. Combined period + cohort effects were generally stronger in SE than DK and in women than men. IRR per period ranged from 1.05 to 1
Although older people who sustain a hip fracture are at increased risk of death and suffer long term disability throughout the world, the report indicates that this problem is far more severe in the Russia Federation and in many other countries of the region. Professor Olga Lesnyak, Vice-President of the Russian Association on Osteoporosis and author of the report, called for action, There is an urgent need for health care providers to improve post hip fracture surgical care, she said. While in Western Europe most hip fracture patients receive operative treatment (the optimal standard of care), in the Russian Federation there is an extremely low rate of surgical treatment. Consequently there is high mortality rate after a hip fracture, reaching up to 45-52% during the first year after fracture in some Russian cities. Of the surviving hip fracture patients, 33% remain bed-ridden and 42% are capable of only very limited activities. Only 9% are able to return to the same level of daily activity as ...
Osteoporosis-related fracture is already today a major public health problem and the number of hip fractures is expected to double to 2030. Sweden has one of the highest hip fracture incidences worldwide. This may be explained by several factors: e.g. age, genetic, climatologic, geographic and a relative vitamin D deficiency, secondary to the limited sunlight exposure especially during winter months. Intrinsic and extrinsic factors contribute to a fracture, although a prior low energy fracture is one of the strongest predictors for a subsequent one and this should be a target for secondary fracture prevention in an orthopaedic setting.. Since 1993 all injured patients admitted to the emergency floor and all in-hospital fractures at Umeå University Hospital, Sweden, were registered according to the Injury Data Base, former EHLASS. There were 31,173 fracture events (one or more fractures at the same time), of which 13,931 were in patients ≥ 50 years old. The fracture database was co analyzed ...
Hip fracture represents a substantial acute inflammatory trauma, which may constitute a significant insult to the degenerating brain. Research suggests that an injury of this kind can affect memory and thinking in the future but it is unclear whether, and how, inflammatory trauma injures the brain. The impact of Acute SystematiC inflammation upon cerebRospinal fluId and blood BiomarkErs of brain inflammation and injury in Dementia: a study in acute hip fracture patients (ASCRIBED) explores this relationship, to understand the effect of inflammation on the progression of dementia. This protocol describes a multi-centre sample collection observational study. The study utilises the unique opportunity provided by hip fracture operations undertaken via spinal anaesthesia to collect cerebrospinal fluid (CSF) and blood, to investigate the impact of acute brain inflammation caused by hip fracture on the exacerbation of dementia. We will recruit 200 hip fracture patients with a diagnosis or evidence of dementia;
This report by the Sub-Committee on Best-Practice Pricing and Clinical Quality Information (the Sub-Committee) was endorsed by the Joint Working Party on Pricing for Safety and Quality in Australian Public Hospitals (JWP) of the Independent Hospital Pricing Authority (IHPA) and the Australian Commission on Safety and Quality in Health Care (the Commission) on 29 June 2015. It outlines the requirements and a potential approach to implementing national best-practice pricing and the provision of hospital-level safety and quality data for hip fracture care in Australian public hospitals.
TY - JOUR. T1 - Hip fracture in nursing homes. T2 - An Italian study on prevalence, latency, risk factors, and impact on mobility. AU - Maggio, D.. AU - Ubaldi, E.. AU - Simonelli, G.. AU - Cenci, S.. AU - Pedone, C.. AU - Cherubini, A.. PY - 2001. Y1 - 2001. N2 - Hip fracture may cause and/or complicate institutionalization. We undertook this study to define its overall prevalence among the residents of four nursing homes in Central Italy as well as its latency and impact on mobility when it occurred within institutions. We also performed a case control analysis with the aim of identifying potential risk factors for hip fracture in nursing home. Among the 211 residents (160 women, mean age 82.2 ± 9.29 years, and 51 men, mean age 77.1 ± 8.9 years), 42 were hip fracture cases, with a prevalence of almost 20%, and a female/male ratio of 6/1.23 fractures preceded institutionalization; of these 19 (17 females and 2 males) occurred within the nursing homes (mean age 83.2 ± 6.3 years). The average ...
Short and long nails exhibited similar treatment failure rates when contemporary cephalomedullary implants were used, according to study results.Researchers retrospectively reviewed medical records and radiographs from patients who underwent open reduction and internal fixation of intertrochanteric hip fracture with either a short or long cephalomedullary nail between January 2004 and December
article{7b0e99f3-ff3f-4c2f-a372-e10c11be417f, abstract = {Previous fracture is a well-documented risk factor for future fracture. The aim of this study was to quantify this risk on an international basis and to explore the relationship of this risk with age, sex, and bone mineral density (BMD). We studied 15259 men and 44902 women from 11 cohorts comprising EVOS/EPOS, OFELY, CaMos, Rochester, Sheffield, Rotterdam, Kuopio, DOES, Hiroshima, and two cohorts from Gothenburg. Cohorts were followed for a total of 250000 person-years. The effect of a prior history of fracture on the risk of any fracture, any osteoporotic fracture, and hip fracture alone was examined using a Poisson model for each sex from each cohort. Covariates examined were age, sex, and BMD. The results of the different studies were merged by using the weighted beta-coefficients. A previous fracture history was associated with a significantly increased risk of any fracture compared with individuals without a prior fracture (RR = ...
New York - Smoking has been linked to a higher risk of bone fracture, but researchers have now identified certain lung-related factors -- such as smoking or passive smoke -- may help to predict an individual smokers fracture risks.. Hip fractures are associated with significant morbidity and mortality in smokers with lung disease, but whether lungaspecific factors are associated with fracture risk is unknown, said study authors from the University of Pittsburgh in the US.. According to the researchers, the goal was to determine whether lungaspecific factors are associated with incidents of hip fracture and if they improve risk discrimination of traditional fracture risk models in smokers.. The findings were published in the Journal of Bone and Mineral Research. In the study of 9,187 adults who currently or formerly smoked, there were 361 new hip fractures reported over a median follow-up of 7.4 years.. Known risk factors associated with experiencing a hip fracture included older age, female ...
Video - Fall-Safe Performance. These high standards of design and engineering underscore our commitment to providing hip protector pads that are ever more wearable, overcoming one of their primary historical drawbacks-discomfort. This careful attention to detail is just another aspect of what sets Fall-Safe Hip Protectors apart, offering pre-eminent shock absorption capacity as well as comfort, wearability, and acceptance.. Our recent launch of Fall-Safe Hip Protectors onto the US healthcare scene represents the latest chapter of a two-year intensive product development process. As they are increasingly deployed across the country, both in individual homes as well as in long term care facilities, Fall-Safe Hip Protectors are rapidly becoming the hip protector of choice. As they do so, they are making a significant contribution to the well-being of many more whose health and even lives are at risk from the devastating effects of hip fractures. ...
To compare the effect of proximal femoral nail anti-rotation and dynamic hip screw in treating the femoral intertrochanteric fractures in elderly patients.From June 2011 to June 2014, totally 158 elderly patients of femoral intertrochanteric fracture were treated by surgery, among whom 68 cases were treated with dynamic hip screws (DHS), and 90 patients were treated with proximal femoral nail anti-rotation (PFNA). The operative time, hospitalization time, weight-bearing time, fracture-healing time, blood loss and the hip function score after the operation were compared between the two groups by using thetest; and the incidence of the postoperative complication was compared between the two groups by using the Chi square test. Read More ...
On rare occasions, hip fractures can be missed. Approximately 75,000 neck of femur fractures occur in the United Kingdom per annum. Up to ten percent of hip fractures are occult on plain radiograph. This case demonstrates an usual presentation of an incidental neck of femur fracture, which had been missed one year prior. Case Presentation: A 91 year old gentleman presented with incidental finding of left neck of femur fracture on a routine radiograph. A quick review of the patient notes revealed a fall, with a lengthy hospital admission, approximately one year previously. Despite his initial inability to weight-bear and protracted slow progress with physiotherapy no further imaging of the hip was obtained beyond an initial, negative pelvic radiograph. Conclusion: Doctors must be bold in questioning a radiograph that does not fit with the clinical picture. Clinical suspicion of neck of femur fracture in the face of a negative radiograph necessitates further imaging to obtain a definitive answer.
Background: To evaluate general anesthesia with sevoflurane vs spinal anesthesia with low dose lidocaine 5% onhemodynamics changes in patients undergoing hip fracture surgery.Methods: In this randomized double blind trial 100 patients (50 patients in each group) older than 60 years underhip surgery were randomized in general anesthesia with sevoflurane and spinal anesthesia with lidocaine 5%.Hemodynamic changes including mean arterial pressure (MAP) and heart rate, blood loss, pain severity, nausea andvomiting and opioids consumption were compared in two groups.Results: During surgery, difference between two groups regarding changes in mean arterial pressure was notsignificant, but the changes in heart rate were significantly different. Mean arterial pressure changes during recoverybetween two groups were significantly different. But there was no significant difference in heart rate changes. Bleedingin the sevoflurane group was significantly more than spinal group ( vs. 365 ml). Moreover, AS Score
In 2004, Dr. Douglas Kiel, a researcher from Hebrew Senior Life - a terrific nursing home and research institution affiliated with Harvard (also not so shabby a place) - were conducting a study of hip protectors. At the time, evidence that hip-protectors prevented hip fractures was unclear. Previous studies were vulnerable to confounding - those in the group who wore hip protectors may have been different in important ways from those who did not wear hip protectors. Those differences, rather than the hip protectors, may have led to findings that hip proctors protect against fracture. Dr. Kiel and colleagues came up with the novel idea of allowing patients (nursing home residents) to serve as their own controls: they would put a hip protector on only one hip, and the other hip would serve as the control. There would be no differences between study subjects because each subject experienced both the intervention and control at the same time! The NIH funded the study at a cost of 8.5 million ...
OBJECTIVES: To determine whether obesity affects cardiac complications after hip fracture repair.. DESIGN: A population-based historical study using data from the Rochester Epidemiology Project.. SETTING: Olmsted County, Minnesota.. PARTICIPANTS: All urgent hip fracture repairs between 1988 and 2002.. MEASUREMENTS: Body mass index (BMI) was categorized as underweight (,18.5 kg/m2), normal-weight (18.5-24.9 kg/m2), overweight (25.0-29.9 kg/m2), and obese (≥30 kg/m2). Postoperative cardiac complications were defined as myocardial infarction, angina pectoris, congestive heart failure, or new-onset arrhythmias within 1-year of surgery. Incidence rates were estimated for each outcome, and overall cardiac complications were assessed using Cox proportional hazards models adjusted for age, sex, year of surgery, use of beta-blockers, and the Revised Cardiac Risk Index.. RESULTS: Hip fracture repairs were performed in 184 (15.6%) underweight, 640 (54.2%) normal-weight, 251 (21.3%) overweight, and 105 ...
A new study, which analyzed 40 years of Framingham Heart Study data, found an association between lowered rates of hip fractures and decreases in smoking and heavy drinking. The rates of hip fractures in the United States have been declining over the past few decades. Although some experts attribute this change primarily to improved treatments for bone health, a new National Institutes of Health-supported study suggests other factors. These results indicate that modifiable lifestyle factors, along with treatments, may be beneficial to bone health. The findings appear July 27, 2020 in JAMA Internal Medicine.. Timothy Bhattacharyya, M.D., a researcher with the National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS), part of NIH, led the analysis to determine what may be causing the drop in hip fracture rates. The research team included scientists from NIHs National Cancer Institute, the Hinda and Arthur Marcus Institute for Aging Research, part of the Hebrew SeniorLife, Beth ...
Each year, approximately 1.7 million hip fractures occur worldwide (about 18,000 only in Sweden), mainly in elderly people and women with osteoporosis. A hip fracture can be particularly serious for the elderly; it often entails lengthy rehabilitation and leaves many patients unable to lead an independent life. Moreover, between 10 and 20 per cent of sufferers die from complications. Apart from the human suffering they cause, hip fractures are also very costly to the healthcare services in the amount of care they demand. „If we can identify people with osteoporosis and treat them with drugs, we can reduce the risk of hip fracture, says principal investigator, Associate Professor Torkel Brismar of Karolinska Institutets Department of Clinical Sciences, Intervention and Technology. „Our research shows that DXR is a technique that lends itself well to this, maybe at general health check-ups, or screenings, for example, or when people seek treatment for a suspected hand or wrist fracture. For ...
REFERENCES. 1 World Health Organization: Assessment of fracture risk and its application to screening for postmenopausal osteoporosis. Report of a WHO Study Group. World Health Organ Tech Rep Ser. 1994;843:1-129. [ Links ] 2 Cummings SR, Melton LJ. Epidemiology and outcomes of osteoporotic fractures. Lancet. 2002;359(9319):1761-7. [ Links ] 3 Hernlund E, Svedbom A, Ivergård M, Compston J, Cooper C, Stenmark J, et al. et al. Osteoporosis in the European Union: medical management, epidemiology and economic burden. A report prepared in collaboration with the International Osteoporosis Foundation (IOF) and the European Federation of Pharmaceutical Industry Associations (EFPIA). Arch Osteoporos. 2013;8:136. [ Links ] 4 Lawrence TM, Wenn R, Boulton CT, Moran CG. Age-specific incidence of first and second fractures of the hip. J Bone Joint Surg Br. 2010;92(2):258-61. [ Links ] 5 Ryg J, Rejnmark L, Overgaard S, Brixen K, Vestergaard P. Hip fracture patients at risk of second hip fracture: a nationwide ...
Snoring is frequently associated with obstructive sleep apnea (OSA). Previous studies have shown that bone mineral density was significantly lower in patients with OSA than in controls; however, these studies did not focus on fractures. Fragility fractures can lead to long-term disabilities and a decrease in quality of life. The present study aimed to investigate the association between snoring and fragility fractures. This study included 2969 men and 3220 women aged 40 years and older from the Ansung and Ansan cohort studies in Korea. During a 10-year follow-up period, 129 and 273 fracture cases were reported in men and women, respectively. Severe snoring (6-7 nights per week or sleep disturbance by snoring in the next room) was a statistically significant risk factor for fracture (p = 0.006, hazard ratio 1.68, 95% confidence interval 1.16-2.43) after adjusting for covariates related to fragility fracture in women. However, both snoring and severe snoring groups did not show significant associations
A hip fracture is a break occurring at the top of the thigh bone (femur), near the pelvis. An estimated 19 000 people in Australia over the age of 50 were hospitalised due to a hip fracture in 2011-12. As the Australian population continues to age, the number, and associated burden, of people admitted to hospital with a hip fracture is expected to increase annually.. Not all patients with a hip fracture receive best practice care. Time to surgery, pain management and minimising the risk of another fracture are all areas that can be improved. Areas where there are variation in care can be improved if care is timely, coordinated, patient-centred and considers the ongoing needs of each patient.. The Hip Fracture Care Clinical Care Standard and accompanying resources were launched in September 2016, you can watch videos from the launch of the Hip Fracture Care Clinical Care Standard.. Download the Hip Fracture Care Clinical Care Standard. ...
INTRODUCTION: Approximately 10% of hip fracture patients die during hospitalization; however, it is not clear what risk factors contribute to the excess mortality. This study sought to examine risk factors of, and to develop prognostic model for, predicting in-hospital mortality among hip fracture patients. METHODS: We studied outcomes among 410 men and 1094 women with a hip fracture who were admitted to a major-teaching-hospital in Sydney (Australia) between 1997 and 2007. Clinical data, including concomitant illnesses, were obtained from inpatient data. The primary outcome of the study was in-hospital mortality regardless of length of stay. A Log-binomial regression model was used to identify risk factors for in-hospital mortality. Using the identified risk factors, prognostic nomograms were developed for predicting short term risk of mortality for an individual. RESULTS: The median duration of hospitalization was 9days. During hospitalization, the risk of mortality was higher in men (9%) than in
TUESDAY, June 24, 2014 (HealthDay News) -- Hip fracture surgery patients who are given regional anesthesia have a slightly lower risk of death and a slightly shorter hospital stay than those who receive general anesthesia, a new study shows. Regional anesthesia involves delivery of anesthesia directly to the affected part of the body without putting the patient to sleep.
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Three guidelines were identified that include recommendations around the use of hip protectors in older adults. One guideline suggests that hip protectors should be considered in adults at risk for falls and hip fracture. One guideline conditionally recommends hip protectors for frail older adults in the appropriate environment. One guideline suggests that hip protectors should not be considered in older adults in community settings ...
Five observers using the Jensen modification of the Evans classification and the AO classification (with and without subgroups) classified the radiographs of 88 trochanteric hip fractures. Each observer classified the radiographs independently on two occasions 3 months apart. Kappa statistical analysis was used for determination of intra- and inter-observer variation. For the Jensen classification, the mean kappa value was 0.52 (range: 0.44-0.60) for intra-observer variation and 0.34 (range: 0.17-0.38) for inter-observer variation. For the AO system with subgroups, the mean kappa value was 0.42 (range: 0.20-0.65) for intra-observer variation and 0.33 (range: 0.14-0.48) for inter-observer variation. For the AO classification system without subgroups, the mean kappa value was 0.71 (range: 0.60-0.81) for intra-observer variation and 0.62 (range: 0.50-0.71) for inter-observer variation. We recommend classifying trochanteric fractures into three groups as that of the AO system without the subgroups. For ease
A severe impact - in a car crash, for example - can cause hip fractures in people of all ages. In older adults, a hip fracture is most often a result of a fall from a standing height. In people with very weak bones, a hip fracture can occur simply by standing on the leg and twisting.. A combination of factors may increase your risk of a hip fracture, including:. Age. The rate of hip fractures increases substantially with age. As you age, your bone density and muscle mass both decrease. Older age may also bring vision and balance problems, along with slower reaction time to avoid falling when you feel unsteady. If youre inactive, your muscles tend to weaken even more as you age. All of these factors combined can increase your risk of a hip fracture.. Your sex. Women lose bone density at a faster rate than men do. The drop in estrogen levels that occurs with menopause accelerates bone loss, increasing the risk of hip fractures. However, men also can develop dangerously low levels of bone ...
Researchers tracked the incidence of hip fracture occurring within one year of cataract surgery in 400,000 Medicare patients from 2002 to 2009. They then compared the data with hip fracture incidence in a matched group of patients who had cataracts but did not have them removed. Researchers attributed the 16% decrease in patients adjusted odds of experiencing a hip fracture to improved vision that enabled them to avoid falling ...
The results of this study show that low body fat mass is an independent risk factor for fractures amongst women but not men. Women with, for instance, ,20% body fat have a 3.5 times higher risk of hip fracture and 2.2 times increased risk of any type of fracture compared with women with ∼40% body fat. We observed a positive association between fat mass and bone properties (as measured by heel QUS in our study), but the magnitude of this association may not have been large enough to account for the effect of fat mass on fracture risk. Risk of hip fracture amongst women almost halved with each 10% increase in %BF (Table 3), and a nonlinear reduction in risk was also observed for any type of fracture. Differences in findings between studies may reflect a lack of consideration of possible sex difference and nonlinear associations.. We observed the harmful effects of low fat mass on hip and other fractures only amongst women. Although it is possible that the lack of a significant association ...
Hip fractures may have long-lasting effects that result in eventual death by signalling or actually inducing a progressive decline in health, said Ioannidis. Our results also showed that vertebral fracture was an independent predictor of death. In addition, the researchers discovered that all types of bone breaks were more common among women than men, with the exception of rib fractures. They also determined that fractures were associated with other negative consequences such as increased pain, immobility and reduced health-related quality of life.. People should be aware that fractures are a serious problem in osteoporosis, Ioannidis said. They do not just reduce health-related quality of life, they actually cause death. So hip and spinal fractures need be taken very seriously, and prevention should be paramount in treating patients with osteoporosis.. ...
Studies have shown that elderly patients with osteoportic fractures of the hip have decreased bone mineral density (BMD) in the femoral neck in the first year following the fracture. However, a new prospective study of 21 patients found that between one and six years following the hip fractures there was a dramatic increase in BMD at both the femoral neck and lumbar spine measurement sites.. In many cases, the loss of BMD that occurred in the first year after a fracture was completely recouped, according to the study presented Wednesday in scientific paper 29.. The researchers observe that although the investigation is small, the results of the study suggest that pharmacological intervention with agents such as bisphosphonates to prevent accelerated loss of BMD after a hip fracture may not need to be continued indefinitely, if return to baseline BMD is the objective.. Although some studies have demonstrated a direct relationship between the level of activity and increased BMD, there was a ...
MONDAY, Feb. 27, 2017 (HealthDay News) -- Older people who suffer a hip fracture face a much higher risk of death soon after the injury, but the risk persists over the longer term, a large study indicates.. Researchers found that the risk of death among people over 60 nearly tripled during the first year following a hip fracture.. However, hip fractures were also still linked to a nearly twofold increased risk of dying eight years or more after the injury.. The new findings are similar to those of previous studies on hip fracture, said study lead author Michail Katsoulis. Hes a medical statistician with the Hellenic Health Foundation in Athens, Greece.. Katsoulis noted that post-operative complications, such as cardiac and pulmonary ones, have been mostly implicated for the excess short-term mortality after the fracture, that is within the first year after. Those complications included both blood clots and pneumonia.. The study cant definitively show a cause-and-effect relationship. But ...
1,200 people with hip fracture are now on the Hipsprint database. Weve been overwhelmed by the positive response from physios to engage in this audit, said Ruth ten Hove, the CSPs head of research and development.. It sends a really strong message about physios commitment to service improvement for this frail and vulnerable group.. Hipsprint launched on 1 May and is an opportunity to gain invaluable insight into the rehabilitation of people after hip fracture. So far, almost 440 members have signed up from 240 services, and the audit has captured the care pathways of 1,200 people who have fractured their hip.. The project wants to gather examples of hip fracture care across acute, intermediate and community care to inform developments and improvements in physiotherapy.. Ms ten Hove called for even more members to contribute to the project. The more data we have, the stronger will be the findings and the stronger will be recommendation, she said.. If anyone has any problems with any ...
Aims and objectives: This study was done to evaluate the functional and radiographic outcome of PFN in treatment of proximal femoral fracture and more common technical, mechanical complications and intraoperative difficulties during the implant implementation.. Materials & Methods: We conducted a retrospective study with ten cases of proximal femoral fractures treated between September 2017 and September 2018, which were accepted at the Department of Orthopedics, the University Hospital of Trauma and the American Hospital in Tirana. Fractures are classified according to classification AO and Boyd-Griffin. The age range of patients taking the study was 20-90 years. Ten cases were followed at regular intervals and the final assessment was made at the end of the 6 month period. In the result, functional clinical assessment according to Harris hip score was done .. Results: In our study,mean age was 66 y.o, 7 male and 3 females. Mean of hospitalization time 6 days, mean operation time 120 min. In ...
In a population-based sample of British women aged over 70 years old, lean mass and peak lower limb muscle force were both independently associated with hip strength and fracture risk indices, thereby suggesting a potential benefit of promoting leg muscle strengthening exercise for the prevention of hip fractures in postmenopausal women. INTRODUCTION: To investigate cross-sectional associations of lean mass and physical performance, including lower limb muscle function, with hip strength, geometry and fracture risk indices (FRIs) in postmenopausal women. METHODS: Data were from the Cohort of Skeletal Health in Bristol and Avon. Total hip (TH) and femoral neck (FN) bone mineral density (BMD), hip geometry and total body lean mass (TBLM) were assessed by dual x-ray absorptiometry (DXA). Finite element analysis of hip DXA was used to derive FN, intertrochanteric and subtrochanteric FRIs. Grip strength, gait speed and chair rise time were measured objectively. Lower limb peak muscle force and muscle ...
Ankle Fracture Surgery occurs when one or more of the bones that make up the ankle joint are broken and surgery is needed. Contact us at Florida Orthopaedic Institute to schedule an appointment for ankle fracture surgery today.
Colhoun , H M , Livingstone , S J , Looker , H C , Morris , A D , Wild , S H , Lindsay , R S , Reed , C , Donnan , P T , Guthrie , B , Leese , G P , McKnight , J , Pearson , D W M , Pearson , E , Petrie , J R , Philip , S , Sattar , N , Sullivan , F M , McKeigue , P & on behalf of the Scottish Diabetes Research Network Epidemiology Group 2012 , Hospitalised hip fracture risk with rosiglitazone and pioglitazone use compared with other glucose-lowering drugs Diabetologia , vol 55 , no. 11 , pp. 2929-2937 . DOI: 10.1007/s00125-012-2668- ...
Objectives To evaluate the performance of commonly applied nutrition screening tools and measures and to consider the potential costs of undiagnosed malnutrition in a case-based reimbursement funding environment. Design A diagnostic accuracy study to compare a variety of nutrition screening techniques against primary, secondary, and comparative measures of nutritional status. Setting Public metropolitan hospital orthogeriatric unit. Participants Individuals with acute hip fracture admitted to the orthogeriatric unit; 150 prospective, consecutively admitted individuals were considered, with eight exclusions, yielding a sample size of 142 participants. Measurements Screens included the Mini Nutritional Assessment - Short Form, Malnutrition Screening Tool, Malnutrition Universal Screening Tool, Nutrition Risk Screen 2002, anthropometric measures, and albumin. Malnutrition was diagnosed using International Statistical Classification of Diseases and Health Related Problems, Tenth Edition, Australian ...
"Hip Fractures". The Lecturio Medical Concept Library. Retrieved 24 July 2021. * "Prevention and Management of Hip Fracture on ... Falling is one of the most common risk factors for hip fractures. Approximately 90% of hip fractures are attributed to falls ... Patients with hip fractures are at high risk for future fractures including hip, wrist, shoulder, and spine. After treatment of ... the National Hip Fracture Database is a mandatory nationwide audit of care and treatment of all hip fractures.[citation needed ...
The Management of Hip Fracture in Adults'. Data collected includes: Fracture type Operation performed Length of stay Morbidity ... The National Hip Fracture Database (NHFD) is a nationwide audit within the NHS concerning the management and outcomes of ... The NHFD aims to improve the quality and effectiveness of hip fracture care by enabling clinical teams to monitor their ... patients with hip fractures. It was initially set up by the British Orthopaedic Association and the British Geriatrics Society ...
... anatomically a fracture of the femur bone and not the hip bone) Patella fracture Crus fracture Tibia fracture Pilon fracture ... Spinal fracture Cervical fracture Fracture of C1, including Jefferson fracture Fracture of C2, including Hangman's fracture ... a fracture of the carpal phalanges Pelvic fracture Fracture of the hip bone Duverney fracture - an isolated pelvic fracture ... of the spine Rib fracture Sternal fracture Shoulder fracture Clavicle fracture Scapular fracture Arm fracture Humerus fracture ...
They are a very rare kind of hip fracture that may be the result of a fall like most hip fractures but are more commonly caused ... Femoral head fractures are very rare fractures of the upper end (femoral head) of the thigh bone (femur). ... Orthobullets v t e (Hip fracture classifications, All stub articles, Orthopedics stubs). ... "Treatment of grade IV fracture-dislocation of the hip". The Journal of Bone and Joint Surgery. American Volume. 39-A (5): 1027- ...
Examples of extracapsular fractures are intertrochanteric and subtrochanteric hip fractures.[citation needed] Intracapsular ... An extracapsular fracture is a bone fracture near a joint but still located outside the joint capsule. ... fracture "Extracapsular fracture". v t e (All articles with unsourced statements, Articles with unsourced statements from ... August 2021, Bone fractures, All stub articles, Musculoskeletal system stubs). ...
a b Figure 14: Subcapital insufficiency fracture in a 55-year-old man with a left hip pain without a history of trauma. ... as in scaphoid fracture). Of the three types of occult fractures mentioned above, the latter two, fatigue fracture secondary to ... Lesions in the tibial plateau, hip, ankle, and wrist are often missed. In a tibial plateau fracture, any disruption of the ... The superiority of MRI over any other imaging modality including MDCT for the detection of occult hip fractures is now ...
A hip fracture is a break that occurs in the upper part of the femur. Symptoms may include pain around the hip particularly ... Wikimedia Commons has media related to Hip. Hip Preservation Awareness, information and support for hip impingement, hip ... The hip joint can be replaced by a prosthesis in a hip replacement operation due to fractures or illnesses such as ... Hip anatomy video High-performance hips Hip Pain ICD10 Right Ankle Pain ICD10 3-D view of hip joint (Webarchive template ...
... a hip fracture is a fragility fracture due to a fall or minor trauma in someone with weakened osteoporotic bone. Most hip ... Hip joint. Lateral view. Femoral neck Femoral neck. Posterior view. *"Prevention and Management of Hip Fracture on Older People ... "Subtrochanteric Hip Fractures". Retrieved 2017-04-25. Updated: Jun 22, 2016 Area of femoral neck fractures: Page 333 in: Paul ... A fracture of the femoral neck is classified as a type of hip fracture. It is often due to osteoporosis; in the vast majority ...
In this age group they are the third most common fractures after hip and Colles fractures. Women are more often affected than ... of all fractures in adults. It is the most common fracture of the humerus, as well as the most common fracture at the shoulder ... The average age of people who sustain a proximal humerus fracture is 63-66 years. A proximal humerus fracture in a young child ... "Humerus Fracture (Upper Arm Fracture) , Johns Hopkins Medicine Health Library". Retrieved 7 November ...
In the hip: Fractures of the femoral head and femoral neck. Extracapsular fracture Intraarticular fracture v t e v t e ( ... An intracapsular fracture is a bone fracture located within the joint capsule. Examples of intracapsular fractures includes: ... Bone fractures, All stub articles, Disease stubs, Musculoskeletal system stubs). ...
Fractures of the hip bone are termed pelvic fractures, and should not be confused with hip fractures, which are actually ... Position of the hip bones (shown in red). Animation. Right hip bone. Animation. Right hip bone. External surface. Right hip ... Left hip-joint, opened by removing the floor of the acetabulum from within the pelvis. Hip bone.Medial view. Hip bone. Lateral ... Wikimedia Commons has media related to Hip bone. hip/hip%20bones/bones3 at the Dartmouth Medical School's Department of Anatomy ...
The hip radiograph is of particular importance, because femoral neck fractures can lead to osteonecrosis of the femoral head. ... Fractures are commonly obvious, since femoral fractures are often caused by high energy trauma. Signs of fracture include ... pathologic fractures due to osteoporosis, low-energy falls). In Germany, femoral fractures are the most common type of fracture ... A femoral fracture is a bone fracture that involves the femur. They are typically sustained in high-impact trauma, such as car ...
Inpatient and outpatient programs are offered for arthritis, hip or knee replacement, hip fracture, and multiple fractures. The ... Orthopedic Injury Serious orthopedic problems include multiple bone fractures; joint replacement surgeries; and hip, knee and ... pelvis fractures. These conditions have lifelong consequences and often result in a short-term disability. Specialized ...
A hip fracture of the femur neck This disambiguation page lists articles associated with the title Collum fracture. If an ... A collum fracture (collum is Latin for "neck") may refer to: A humerus fracture of the surgical neck of the humerus or, less ...
Falls and hip fractures are frequently reported. The combination with alcohol increases these impairments. Partial, but ... which may impair the ability of users to drive safely and increase risks of falls and hip fractures. Flurazepam is lipophilic, ...
Falls and hip fractures are frequently reported. The combination with alcohol increases these impairments. Partial but ... and possible increased risks of falls and hip fractures, especially in the elderly. Chronic or excessive use of temazepam may ...
Falls and hip fractures are frequently reported. The combination with alcohol increases these impairments. Partial, but ... impaired psychomotor and cognitive functions may persist into the next day which may increase risks of falls and hip fractures ...
"Cheatley suffers 'multiple hip fractures' in crash". 3 News. 3 October 2011. Archived from the original on 14 October 2013. ... suffering multiple fractures of her hip that required full surgery and rehabilitation. In June 2012, Cheatley had officially ...
In the elderly, nitrazepam is associated with an increased risk of falls and hip fractures due to impairments of body balance. ... Falls and hip fractures are frequently reported. Combination with alcohol increases these impairments. Partial but incomplete ... which may impair the ability of users to drive safely and increases the risk of falls and hip fractures. Less common side ... Only nitrazepam and lorazepam were found to increase the risk of falls and fractures in the elderly. CNS depression occurs much ...
In this age group lorazepam is associated with falls and hip fractures. Due to these concerns, lorazepam use is generally only ... Falls and hip fractures are frequently reported. The combination with alcohol increases these impairments. Partial, but ... Benzodiazepines, including lorazepam, have been found to increase the risk of falls and fractures in the elderly. As a result, ...
... falls and hip fractures were frequently reported. The combination with alcohol increases these impairments. Partial, but ...
Hip Fractures: A Practical Guide to Management. Springer Science & Business Media. v t e (Hip fracture classifications, All ... The Evans-Jensen classification is a system of categorizing intertrochanteric hip fractures based on the fracture pattern of ...
Falls and hip fractures are frequently reported. The combination with alcohol consumption increases these impairments. Partial ...
Bandgar TR, Shah NS (September 2010). "Vitamin D and hip fractures: Indian scenario". The Journal of the Association of ... and monthly vitamin D3 in ethanol dosing protocols for two months in elderly hip fracture patients". The Journal of Clinical ... Muscle weakness is also a common symptom of vitamin D deficiency, further increasing the risk of fall and bone fractures in ... It can also worsen osteomalacia and osteoporosis in adults, increasing the risk of bone fractures. ...
"National Hip Fracture Database: Annual Report 2019" (PDF). National Hip Fracture Database. Retrieved 14 May 2020. MacLullich, ... A QI project to improve the management of delirium in patients with hip fracture". Future Healthcare Journal. 6 (3): 215-219. ...
In 2010, he broke a hip and his shoulder in a fall that also fractured his pelvis. He fell out of bed and broke a shoulder in ... "Bobby Heenan breaks hip and shoulder, fractures pelvis". Pro Wrestling Insider. July 29, 2010. Archived from the original on ... In May 2016, he fell again and broke a hip. On September 17, 2017, Heenan died at the age of 72 while surrounded by family at ...
Health Declined After Hip Fracture; Services Tomorrow". The Nashville Tennessean. September 16, 1959. pp. 1-2 - via Newspapers. ...
Health Declined After Hip Fracture; Services Tomorrow". The Nashville Tennessean. September 16, 1959. pp. 1-2 - via Newspapers. ...
He sustained hairline fractures to his hip and shoulder. No surgery was required, but Paterno began the 2011 regular season ... Paterno, then 79 years old, suffered a fractured shin bone and damage to knee ligaments. He coached the 2007 Outback Bowl from ... In November 2008, Paterno had successful hip replacement surgery after spraining his leg while trying to demonstrate onside ... Flounders, Bob (November 23, 2008). "Paterno has hip replacement surgery". The Patriot-News. Retrieved December 9, 2010. Knoll ...
The predictive power extends to hip fractures and males. The US multicenter trial showed that SPA forearm measurements were as ... spine or hip measurements and could be used to predict future overall fractures in elder women. Single photon absorptiometry ( ... Clinically, osteoporotic fractures are usually located in the spongy area of the spine, femoral neck, and distal radius. QCT ... However, this method cannot measure the bone density of the hip and the central axis (vertebral body). Dual-energy X-ray ...
Ralph Giordano, 91, German writer and publicist, complications from hip fracture. Raúl Gómez Ramírez, 50, Mexican politician, ...
In October 2009, Matsuzaka revealed that he had in fact injured his hip joint but did not reveal when he got the injury. In ... "FanGraphs Daisuke Matsuzaka Pitch FX". Fangraphs. Retrieved August 20, 2013. Fee, Gayle; Raposa, Laura (December 14, 2006). " ... During the interview, Matsuzaka revealed that he had in fact injured his right hip while training for the '09 WBC. When asked ...
Some are prone to fractures, PDA, open fontanel and respiratory problems in hot weather. Ocular conditions such as cataracts ... The affenpinscher is prone to hip dysplasia. As with many small breeds of dog, they are prone to collapsed trachea and luxating ...
"Tuesday's Cable Ratings: FX, "Sons of Anarchy" Reclaim Top Spots". the Futon Critic. "Tuesday's Cable Ratings: TNT, FX Top ... "Tuesday's Cable Ratings: MLB Playoffs, BET Hip Hop Awards No Match for "Anarchy"". the Futon Critic. " ... "Tuesday's Cable Ratings: FX's "Sons of Anarchy" Rolls to Another Victory". the Futon Critic. "Tuesday's Cable Ratings: "Sons of ... "Tuesday's Cable Ratings: FX's "Anarchy," ESPN's "30 for 30" Top Charts". the Futon Critic. " ...
... persist into the next day which may impair the ability of users to drive safely and increase risks of falls and hip fractures. ...
With Mitchell on lead vocals; Jamie on keyboard programming, guitar and samples; Sean on bass guitar (ex-Massappeal, Def FX); ... The Daily Telegraph (Sydney): Connie hits hip-hop: "From Hugo's to Hollywood, independent Sydney pop phenomenon Sneaky Sound ...
On 22 March, it was reported that Nadal will be unable to play for between four and six weeks, due to a rib stress fracture ... He faced Marin Čilić in the quarterfinal, but retired in the fifth set due to a hip injury. On 16 February, Nadal dropped to ... He withdrew from both Indian Wells and Miami due to a right hip injury. Nadal began the clay season at the Monte Carlo Masters ... He missed most of the clay court season, including the French Open, because of a stress fracture in his left ankle. In August, ...
It resulted in a compression fracture in her left tibia just below the knee and required a bone graft from her hip. Cooper ...
The dancing consisted of "fractured movement...exaggerated to make a dance of broken rhythms and twisted limbs." The piece ... blended classical contemporary and hip hop movements with immense control from the dancers. In 2011, the National Film Board of ...
... was nominated in the category of Best R&B Hip/Hip Song. Carey stated that there are 5 official remixes for "#Beautiful". The ... We're dealing right now with a dislocated shoulder, fractured rib, nerve injury...But MC's a navy seal, like I told her, she's ... On the R&B charts, it debuted at number 39 on the Hot R&B/Hip-Hop Songs chart for the week ending May 18, 2013, due to strong ... "Hot R&B/Hip-Hop Songs - May 25, 2013". Billboard. Archived from the original on June 15, 2013. Retrieved May 16, 2013. "R&B ...
Pi-Sunyer FX, Heymsfield SB, Wang J, Pierson RN Jr, Blanck HM, Gallagher D (2012). "The body adiposity index (hip circumference ... The BAI is calculated as: 100 × hip circumference in m height in m × height − 18 {\displaystyle {\frac {100\times {\text{hip ... The BAI is calculated without using body weight, unlike the body mass index (BMI). Instead, it uses the size of the hips ... or hip circumference. Adiposity indexes that include the waist circumference (for example waist-to-height ratio WHtR) may be ...
These stations kept the dance sound alive while at the same time mixed it in with the R&B, hip hop, and pop songs of the 1980s ... Drive FX (WGNY-HD2 Rosendale) The Party ATX (KGSR-HD3 Cedar Park) Sin 100.5 (KXQQ-HD2 Henderson) DMX DMX Dance DMX Electronica ...
"Official Hip Hop and R&B Singles Chart Top 40". Official Charts Company. "British single certifications - Naughty Boy pts Wiley ... UK iTunes single "Never Be Your Woman" (Shy FX Radio Edit) - 2:26 "Never Be Your Woman" (Original Version) - 3:32 "Never Be ... the original version was replaced by the Shy FX remix) "Never Be Your Woman" (Hervé re-work) - 3:40 "Never Be Your Woman" ( ... Your Woman" (Hervé re-work) - 3:40 CD single "Never Be Your Woman" (Shy FX Radio Edit) - 2:29 "Never Be Your Woman" (Original ...
After Wentz was ruled out due to a fractured finger, head coach Ron Rivera named Heinicke as the starting quarterback in Week 7 ... who left in the second quarter with a hip injury. Heinicke was named the starter after Fitzpatrick was placed on injured ...
... founded the special effects workshop and production company SOTA FX (State of the Art Effects). With SOTA FX, Knyrim has ... Knyrim directed the 2004 direct-to-video horror film Demons at the Door, which features music by the American hip hop duo ... Roy Knyrim at IMDb SOTA FX Studio on Facebook (Articles with short description, Short description with empty Wikidata ... Knyrim heads the special effects workshop SOTA FX (State of the Art Effects). Knyrim was born in Hilton, New York. He began ...
He continued to make guest appearances on television, including recurring roles on the FX comedy-drama Rescue Me (2009) and the ... Family Ties had been sold to the television network using the pitch "Hip parents, square kids", with the parents originally ...
The ilium, the main hip bone, is supported by only two sacrals, a basal trait. However, the pubis points backwards, a derived ... Rothschild, B., Tanke, D. H., and Ford, T. L., 2001, Theropod stress fractures and tendon avulsions as a clue to activity: In: ... particularly in the shape of its hip and leg bones. Its pelvis is like that of saurischian dinosaurs, but it has a bony ... 12 hand bones and 20 foot bones referred to Herrerasaurus were examined for signs of stress fracture, but none were found. PVSJ ...
The Manau Hip hop group from Paris has strong Breton and Celtic inspirations. Yann Tiersen, who composed the soundtrack for ... The Breton subsoil is characterised by a huge amount of fractures that form a large aquifer containing several millions square ...
Rather, the person lies supine with the leg held by another person so that the hip is flexed to 90 degrees and the knee 90 ... These include cartilage/meniscus injuries, bone bruises, ACL tears, fractures, posterolateral injuries and collateral ligament ...
The Huey Lewis and the News song "Hip to Be Square" appears in the film and was intended to be on the soundtrack album, but was ... Doupé, Tyler (April 22, 2015). "American Psycho TV Series Still in the Works at FX". Wicked Horror. Retrieved August 25, 2019 ... Brown, Paul 'Browny' (July 8, 2021). "Ice Nine Kills Drop 'Hip To Be Scared' feat. Jacoby Shaddix". Wall Of Sound. Lazic, ... AJ Marechal (September 10, 2013). "FX Developing 'American Psycho' Followup TV Series". Variety. Elavsky, Cindy (October 6, ...
At a 2010 World Cup event in Italy ahead of the Paralympics, Perrine fractured the ischium bone in her hip as a result of a ... "Melissa Perrine undeterred by fractured build up to Vancouver Games". Australia: The Australian. 2010. Retrieved 24 October ...
He died at Gilchrist Hospice, Towson, Maryland, at the age of 87, after fracturing his hip. Sinha, Paul (15 June 2017). Episode ...
"Just Enough Hip to Be Woman - BRONCHO". AllMusic. Retrieved 1 October 2014. Houle, Zachary (16 September 2014). "Broncho: Just ... Hough, Q. V. (2021-08-26). "Reservation Dogs Soundtrack: Every Song in Season 1 of the FX Series". Vague Visages. Retrieved ... Broncho released their second album Just Enough Hip to Be Woman on September 16, 2014, on Dine Alone Records. The album ... Can't Get Past the Lips (2011) Just Enough Hip to Be Woman (2014) Double Vanity (2016) Bad Behavior (2018) Thomas, Fred. " ...
He would suffer a zygomatic bone fracture in October 2013, again sidelining him for an extended period. However, he managed to ... but would miss the entirety of the 2011-12 season with a complicated hip injury. Trauner joined SV Ried on 12 June 2012, after ...
A fractured eye-socket limited him to just 4 appearances during what was to prove to be his final season in Wellington. He ... the then 19-year old McNicol didn't get any game time due to having to undergo double hip surgery and had to wait until the ...
"Yell Fire" was used to promote the FX channel series Rescue Me and was also used in the closing credits of the pilot episode of ... He purchased a bass at a pawn shop and started creating music inspired by hip hop, punk, and reggae that was being played on ... He is the creator and lead vocalist of his current independent project, Michael Franti & Spearhead, a band that blends hip hop ... This album featured a return to hip hop elements and a pronounced reggae influence and included guest appearances by notables ...
... and hip hop, originating in Georgia, United States. Self-described as "post-rock dance music," the band mixes standard live ... FX Remix (Lowpro Lounge: Audio Angel & ill45) (5:49) Better Day Remix (Genetic) (4:19) 2007: Here...Catch Essential Live ...
HIP), and the resulting metal is uniform. Both processes then use hot or cold rolling to toughen the steel and mill it into ... Fracture Micromechanics in High-strength Steels, Crucible Steel Company of America, Central Research Laboratory (1963) Crucible ...
Chapman suffered fractures of both legs, his left arm and his jaw. He was taken to the hospital at Fort Rosecrans. The young ... Miller escaped unhurt, and Jacomini sustained a dislocated hip and painful bruises. The Aviation Archeology database lists ... He suffered a fractured leg and arm and puncture of the side. It is expected he will recover. Ash lived at Pittsburg, Kansas. ... He suffered a fractured skull and internal injuries. James E. Wilson was removed to the base hospital where he died about 25 ...
Author David Schwartz says the hip fracture never healed, which was why Barrymore could not walk, and MGM historian John ... breaking Barrymore's hip. Barrymore tripped over a cable while filming Saratoga in 1937 and broke his hip again. (Film ... He said he had no other problems, and that the hip healed well, but it made walking exceptionally difficult. Film historian ... Barrymore had broken his hip in an accident, hence he played Gillespie in a wheelchair. Later, his worsening arthritis kept him ...
What You Can Do to Prevent Hip Fractures. You can prevent hip fractures by taking steps to strengthen your bones and prevent ... One of the most serious fall injuries is a broken hip. It is hard to recover from a hip fracture and afterward many people are ... Parkkari J, Kannus P, Palvanen M, Natri A, Vainio J, Aho H, Vuori I, Järvinen M. Majority of hip fractures occur as a result of ... Hip Fractures Among Older Adults. *CDC Compendium of Effective Fall Interventions: What Works for Community-Dwelling Older ...
... taking these sleep aids who need some assistance and those with mild cognitive are particularly vulnerable to fractures. ... Although the study linked use of sleep aids with hip fractures, these fractures probably occur because of falls, said Dr. Berry ... Residents using these drugs in a nursing home with fewer Medicaid beds were at greater risk for hip fractures, but the ratio of ... The odds ratio (OR) of having a hip fracture within 30 days of possessing this drug was 1.66 (95% confidence interval [CI], ...
This is the first prospective study to estimate the incidence of hip fractures in the general population in Lebanon. All ... Fractures vertébrales et fractures du col du fémur au Japon : discussion table ronde / Toshitaka Nakamura et Saeko Fujiwara ... Augmentation séculaire de l incidence des fractures du col du fémur en Belgique entre 1984 et 1996 : nécessité d une ... orthopaedic surgeons in Beirut reported on hip fracture cases between 1 October and 31 December 1996. ... ...
Hip fracture surgery is done to repair a break in the upper part of the thigh bone. The thigh bone is called the femur. It is ... Inter-trochanteric fracture repair; Subtrochanteric fracture repair; Femoral neck fracture repair; Trochanteric fracture repair ... If a hip fracture is not treated, you may need to stay in a chair or bed for a few months until the fracture is healed. This ... Hip fracture surgery is done to repair a break in the upper part of the thigh bone. The thigh bone is called the femur. It is ...
This is the first prospective study to estimate the incidence of hip fractures in the general population in Lebanon. All ... Fractures vertébrales et fractures du col du fémur au Japon : discussion table ronde / Toshitaka Nakamura et Saeko Fujiwara ... Augmentation séculaire de l incidence des fractures du col du fémur en Belgique entre 1984 et 1996 : nécessité d une ... orthopaedic surgeons in Beirut reported on hip fracture cases between 1 October and 31 December 1996. ... ...
Affixus¿ Hip Fracture Nail Left 125¿ 9 mm x 460 mm, Item Number: 814409460. ...
... is associated with an increased risk of hip fracture. ... Main outcome measure: The risk of hip fractures associated with ... Results: There were 13,556 hip fracture cases and 135,386 controls. The adjusted odds ratio (AOR) for hip fracture associated ... Long-term proton pump inhibitor therapy and risk of hip fracture JAMA. 2006 Dec 27;296(24):2947-53. doi: 10.1001/jama.296.24. ... Conclusion: Long-term PPI therapy, particularly at high doses, is associated with an increased risk of hip fracture. ...
Hip Fracture. What is a hip fracture? A hip fracture is a break in the thighbone (femur) of your hip joint. ... What causes a hip fracture? A fall is the most common reason for a hip fracture among the elderly. A few people may have a hip ... What are the symptoms of a hip fracture? The following are the most common symptoms of a hip fracture: * Hip pain or pain that ... Intertrochanteric hip fracture. An intertrochanteric hip fracture happens 3 to 4 inches from your hip joint. This type of ...
A 2022 study found that women ages 35 to 69 who ate vegetarian diets were significantly more likely to break a hip than peers ... Vegetarians were 33% more likely to experience a hip fracture than those who regularly ate meat, but fish eaters and those who ... Women who eat a vegetarian diet have significantly higher risks of suffering a hip fracture compared with peers who eat meat ( ... Vegetarian diet linked to more hip fractures in women December 1, 2022 ...
UNBEATABLE COSTCO EXCLUSIVE SALE PRICE Beat the Holiday Rush! Costco Sale Limited Time from November 7-20 $1599 CAD (MSRP $2099 CAD) If youve always wanted an ...
Philadelphia Police Officer Suffers Fractured Spine, Hip After Crashing Car Into Pole. December 27, 2018 / 9:26 PM. / CBS ... Eyewitness News was told Smyth suffered a fracture to his hip and his spine. He also suffered injuries to his face and head. He ...
Hip. » Operative Timing of Hip Fracture Surgery:. Operative Timing of Hip Fracture Surgery:. - Discussion:. - it has long been ... Operation within six hours of the fracture versus later than six hours. - Morbidity and mortality after hip fracture: the ... Delayed fixation of displaced femoral neck fractures in younger adults - Early Operation on Patients with a Hip Fracture ... Does delay to theatre for medical reasons affect the peri-operative mortality in patients with a fracture of the hip?. - The ...
Up to half of hip fracture patients do not return to their pre-fracture functional levels and end up in long-term care ... Hip fracture is one of the most devastating but preventable injuries among individuals aged 65 years and older in Western ... The Stronger At Home program is a cost-effective tool for patients recovering from hip fractures that helps reduce risk of ... After older adults sustain a hip fracture, decline in function and mobility can be rapid. The result is an increased dependency ...
... bones of the hip, coxal bone, femur, fracture, hip, hip fracture, iliac fossa, ilium, ischium, joint, orthopaedic, pelvic bone ... acetabulum anterior bone bones of the hip coxal bone femur fracture hip hip fracture iliac fossa ilium ischium joint ... acetabulum anterior bone bones of the hip coxal bone femur fracture hip hip fracture iliac fossa ilium ischium joint ...
... sacral insufficiency fracture (SIF), suggests a study in The Journal of Bo ... Total hip replacement may affect the development of a type of pelvic stress fracture, ... Total hip replacement may affect the development of a type of pelvic stress fracture, sacral insufficiency fracture (SIF), ... Click to read "Does Total Hip Arthroplasty Influence the Development and Localization of Sacral Insufficiency Fractures?" ...
Hip fractures in older patients. trajectories of disability after surgery. Article Reference. Aarden, J. J., van der Esch, M., ... Hip fractures in older patients: trajectories of disability after surgery. JNHA - The Journal of Nutrition, Health and Aging. ...
OP20 The impact of the secular increase in body mass index on hip fracture risk in the norwegian population ... OP20 The impact of the secular increase in body mass index on hip fracture risk in the norwegian population ... OP20 The impact of the secular increase in body mass index on hip fracture risk in the norwegian population ...
Our goal was to evaluate the association between obesity and risk of hip fracture in adults by conducting a meta-analysis of ... Overall, adults with obesity compared with the normal weight group had a significantly decreased risk of hip fracture (RR: 0.66 ... Subgroup analyses by gender suggested individuals with obesity had a significantly decreased risk for developing hip fracture ... and obesity is probably a protective factor of hip fracture in adults. ...
It also said 50 per cent of total hip fracture incidence is projected to occur in Asia by 2050. Singapore was listed as one of ... Plant-based diet lowers risk of hip fracture: Study SINGAPORE - What parents have been saying for generations about eating your ... The findings were adjusted for age, body mass index (BMI), smoking and other risk factors for hip fracture in both men and ... There was no effect on the risk of hip fracture for those who consumed a diet rich in meat and refined starch. ...
Previous studies on hip fracture have either excluded nursing home residents or have been limited by small sample size. ... Within this cohort, 53.5% of the patients who did not have total dependence prior to the hip fracture either died or became ... Clinical question: What are the risk factors for mortality and functional decline following hip fracture among nursing home ... Background: Little is known about the survival and functional outcomes of nursing home residents who sustain hip fracture. ...
... of patients with hip fracture older than 65 years in Israel have delayed surger ... Reasons for Surgical Delay in Patients With Hip Fracture : The Journal for Healthcare Quality (JHQ). ... hip fracture\r, older adults\r, delayed surgery\r, medical reasons\r, organizational reasons. ... 15% of patients with hip fracture older than 65 years in Israel have delayed surgery. The aim of this study was to determine ...
Even short-term use of popular acid-reducing heartburn drugs may raise the risk of hip fractures, U.S. researchers said on ... Patients who had hip fractures were 30 percent more likely to have taken proton pump inhibitors for at least two years, and 18 ... Home Nutrition News Cardiovascular Heartburn Drugs May Raise The Risk Of Hip Fractures ... Even short-term use of popular acid-reducing heartburn drugs may raise the risk of hip fractures, U.S. researchers said on ...
Older adults who suffer a hip fracture requiring surgery are at a higher risk of suicide, suggests a study in the June 17, 2020 ... we have focused on the treatment of comorbidity and hip fracture itself in the management of elderly patients with hip fracture ... June 17, 2020 - Older adults who suffer a hip fracture requiring surgery are at a higher risk of suicide, suggests a study in ... Suicide Risk Remains Elevated Through One Year After Hip Fracture. With use of a national health-insurance database, the ...
Markers of bone resorption predict hip fracture in elderly women: the EPIDOS Prospective Study. Download Prime PubMed App to ... who sustained a hip fracture during a mean 22-month follow-up were age-matched with three controls who did not fracture. ... who sustained a hip fracture during a mean 22-month follow-up were age-matched with three controls who did not fracture. ... and some markers of bone resorption predict the subsequent risk of hip fracture independently of hip BMD. Combining the ...
A report entitled Hip Fracture Care Pathway 2019 revealed that Forth Valley Royal Hospital was the sixth busiest in the ... NHS Forth Valley Consultant Anaesthetist and Clinical Lead for Theatres, Dr Ewan Jack, said: "Hip fracture is one of the most ... The award was presented at the national hip fracture meeting in Glasgow following a national audit. ... Dr Jack added: "Patients who break their hips within Forth Valley can be reassured they are getting some of the best care in ...
Fragility fractures are fractures caused by low-energy trauma, such as falls from a standing height. ... This quality standard addresses care for adults aged 50 years and older undergoing surgery for fragility hip fractures. ... Patients with hip fracture are screened for delirium using a validated tool as part of their initial assessment and then at ... Patients with hip fracture and/or their family and caregivers are given information on patient care that is tailored to meet ...
Hip injuries are common in all athletes, but this type of injury is especially common in runners and triathletes. ... How To Treat And Prevent A Hip Stress Fracture. Hip injuries are common in all athletes, but this type of injury is especially ... How to treat and prevent the dreaded hip stress fracture.. Pain in the hip joint (sometimes perceived as groin pain) that ... Train your hips and core. The stronger the muscles in your core, glutes, hips and legs are, the more support your hip joints ...
... * Share on Facebook ... Spinal vs general anesthesia was compared in a secondary analysis of patients aged 50 years or older undergoing hip fracture ... HealthDay News - Severe pain is common after hip fracture surgery, and spinal anesthesia is associated with greater pain in the ... "Our findings add to available data on patient experiences after spinal vs general anesthesia for hip fracture surgery," the ...
How did you fracture your hip? People over the age of 65 commonly fracture their hip after the result of slip and fall injuries ... In some cases hip fractures can be life threatening depending on how and where they occur. If you sustained a hip fracture due ... Hip Fractures. A hip fracture can be one of the most painful and debilitating injuries sustained, especially for senior ... Fractured hips may also occur as the direct result of work duties. For example, a construction worker may fracture their hip if ...
cancellous screws, femoral neck fracture, internal fixation, revision surgery, sliding hip screw ... Factors Associated with Revision Surgery after Internal Fixation of Hip Fractures. Publication. Publication. Journal of ... Using data from the Fixation using Alternative Implants for the Treatment of Hip fractures (FAITH) trial evaluating methods of ... Factors Associated with Revision Surgery after Internal Fixation of Hip Fractures. In Journal of Orthopaedic Trauma (Vol. 32, ...
  • More than 1.5 million Americans have fractures each year because of osteoporosis. (
  • This type of fracture is common among older adults and can be related to osteoporosis. (
  • You are at risk for a hip fracture if you have osteoporosis. (
  • With the increasing ageing population and the high prevalence of osteoporosis, hip fracture is causing more serious damage to the public health [1] , [5] . (
  • The study also cited hip fracture as constituting "the most serious complication" of osteoporosis and accounting for the majority of fracture-related mortality, morbidity and healthcare costs among those aged above 50 years. (
  • While in hospital, patients with hip fracture undergo an osteoporosis assessment from a clinician with osteoporosis expertise and, when appropriate, are offered pharmacologic therapy for osteoporosis. (
  • NCHS also looked at the prevalence of elevated probabilities for these fractures in adults age 50+ years using thresholds defined by the National Osteoporosis Foundation for that age range. (
  • Importance: Osteoporosis medication treatment is recommended after hip fracture, yet contemporary estimates of rates of initiation and clinical benefit in the patient population receiving routine care are not well documented. (
  • Objectives: To report osteoporosis treatment initiation rates between January 1, 2004, and September 30, 2015, and to estimate the risk reduction in subsequent nonvertebral fractures associated with treatment initiation in patients with hip fracture. (
  • Patients 50 years and older who had a hip fracture and were not receiving treatment with osteoporosis medications before their fracture were included. (
  • Exposure: Prescription dispensing of an osteoporosis medication within 180 days of a hip fracture hospitalization. (
  • Instrumental variable analysis with hospital preference suggested a rate difference of 4.2 events (95% CI, 1.1-7.3) per 100 person-years in subsequent fractures associated with osteoporosis treatment initiation compared with nonuse in an additive hazard model. (
  • Conclusions and Relevance: Low rates of osteoporosis treatment initiation after a hip fracture in recent years were observed. (
  • Burden of non-hip, non-vertebral fractures on quality of life in postmenopausal women: the Global Longitudinal study of Osteoporosis in Women (GLOW). (
  • Long-term use of certain medicines, such as bisphosphonates to treat osteoporosis and other bone diseases, can increase the risk of hip fractures. (
  • According to recent statistics from the International Osteoporosis Foundation, worldwide, 1 in 3 women over the age of 50 years and 1 in 5 men will experience osteoporotic fractures in their lifetime. (
  • According to the Osteoporosis Canada, 2 Million Canadians are affected by osteoporosis and at least 1 in 3 women and 1 in 5 men will suffer from an osteoporotic fracture during their lifetime. (
  • Osteoporosis causes 70-90% of 30,000 hip fractures annually. (
  • Osteoporosis and osteoporotic fracture pose a major public health problem in our ageing population , and particularly concerning is the increased morbidity and mortality associated with osteoporotic hip fractures . (
  • In only 37.8% of the radiographs with fractures was a vertebral fracture highlighted in the radiologist's report, and only 13.2% of the women with vertebral fractures were on antiresorptive therapy for osteoporosis. (
  • Osteoporosis is a silent skeletal disease which decreases the bone quantity and quality causing fragility fractures. (
  • Melton reported that 30% of postmenopausal white women in the USA have osteoporosis, of whom 25% have a vertebral fracture [3]. (
  • Patients with osteoporosis, bone tumor or infections, or a history of knee replacement are more prone to femur fractures. (
  • Osteoporosis causes bones to become weak and brittle - so brittle that even a fall or mild stress such as bending over or coughing can cause fractures. (
  • Hip, wrist, or spine fractures are usually associated with osteoporosis. (
  • Taking medication, if prescribed, can help prevent fractures in people with osteoporosis. (
  • Bone biopsies conducted on patients who, over a long period, have been given bisphosphonates for treatment of osteoporosis and who had suffered fractures, detected the presence of giant osteoclasts suggesting that prolonged use could cause osteoclastic mutations and bone fractures 8 . (
  • Obesity is associated with early hip fracture risk in postmenopausal women: a 25-year follow-up. (
  • We studied the long-term relationship of body mass index and hip fracture incidence in postmenopausal women. (
  • Body mass index and physical activity in relation to the incidence of hip fracture in postmenopausal women. (
  • We report on the separate and combined effects of body mass index (BMI) and physical activity on hospital admissions for hip fracture among postmenopausal women in a large prospective UK study. (
  • Among 925,345 postmenopausal women followed for an average of 6.2 years, 2582 were admitted to hospital with an incident hip fracture. (
  • One of the most common types of bone fractures presenting to trauma centers is those involving the hip. (
  • Most of these bone fractures tend to occur in elderly patients hurt in a community or household fall. (
  • Healthy levels of magnesium in the body might decrease the risk of bone fractures, according to results of a study from the Universities of Bristol and Eastern Finland. (
  • The researchers also put forward possibilities that prove a link between magnesium levels and bone fractures was tenuous. (
  • However, excess fluoride can also result in dental fluorosis and can result in an increased prevalence of bone fractures in the elderly or skeletal fluorosis. (
  • In this age group, around 50 percent of women and 25 percent of men will sustain at least one subsequent osteoporotic fracture in their remaining lifetime. (
  • NCHS released a new report that uses FRAX estimates from the National Health and Nutrition Examination Survey 2013-2014 to describe the hip and major osteoporotic fracture probability distribution (for adults aged 40 and over) and prevalence of elevated probabilities (for adults aged 50 and over) in the United States. (
  • FRAX algorithms are proprietary equations developed by researchers at the World Health Organization (WHO) Collaborating Center on Metabolic Bone Diseases, University of Sheffield, UK, to estimate the probability of having a hip or major osteoporotic fracture in the next 10 years. (
  • In summary, the report found that the average 10-year probability of hip or major osteoporotic fracture fell below the thresholds considered as an elevated risk in US adults age 50+ in 2013-2014. (
  • Often, more than one piece of bone is broken in this type of fracture. (
  • This type of fracture may cause a complication because the break usually cuts off the blood supply to the head of the thighbone, which forms the hip joint. (
  • This type of fracture does not usually interrupt the blood supply to your bone and may be easier to repair. (
  • Another type of fracture, called a stress fracture of the hip, may be harder to diagnose. (
  • The number of question iterations related to each type of fracture was limited to the maximum number of fractures reported. (
  • Rehabilitation of the femur fracture depends upon several factors such as age, general health of the patient and the type of fracture. (
  • To prevent fractures, nursing home staff should closely monitor residents who use these nonbenzodiazepine agents, the study concludes. (
  • Additionally, taking a combination of vitamin D and calcium supplements to prevent fractures of the joint and pain will not increase the risk of death. (
  • While taking a combination of vitamin D and calcium may not prevent fractures of other joints, it has been shown to prevent fractures of the hip joint, resulting in a reduction in pain and recovery costs. (
  • One of the most serious fall injuries is a broken hip. (
  • Hip fracture is one of the most devastating but preventable injuries among individuals aged 65 years and older in Western countries. (
  • Hip injuries are common in all athletes, but this type of injury is especially common in runners and triathletes. (
  • A hip fracture can be one of the most painful and debilitating injuries sustained, especially for senior citizens. (
  • Hip fractures can occur commonly in car accidents or through other traumatic injuries such as falls from large heights or crushing injuries as the result of at-work incidents. (
  • People over the age of 65 commonly fracture their hip after the result of slip and fall injuries, due to bones becoming more brittle as we age. (
  • Car accidents can also commonly cause fractured hips, as violent forces resulting from the impact may cause devastating injuries to the drivers and passengers, especially if a car flips or is hit at a high rate of speed. (
  • Combining vitamin D and calcium supplements also significantly lowered the risk of non-vertebral fractures and any fracture of the joint, as well as the pain that these types of injuries cause. (
  • At least 250,000 older adults are hospitalized for hip fractures every year, and more than 95% of those injuries are caused by falling. (
  • Hip injuries from an accident may impact an individual's life in the days, months, and years to come, as extensive medical treatment and time for recovery are necessary. (
  • Seeking immediate medical treatment is necessary to identify the site of injury and evaluate possible accompanying injuries, such as femoral shaft fractures, knee trauma, and spinal cord injuries . (
  • The hip joint is prone to several types of injuries. (
  • Hip dislocation can be caused by injuries from motor vehicle accidents or severe falls. (
  • Injuries about the hip in the adolescent athlete. (
  • Hip injuries in athletes. (
  • Femur fractures may be caused by high energy injuries such as a fall from height or a motor vehicle accident. (
  • The diagnosis of femur fracture is based on the patient's medical history including history of any previous injuries, complete physical examination and imaging studies. (
  • The injury pattern that emerges in the oldest segment of the workforce - falls and fractures, and symptomatic conditions of the hip, knee, shoulder and neck - parallels the overall trends in geriatric biomechanical injuries, regardless of employment status. (
  • Twenty percent of lost time injuries in workers aged 65- 74 were the result of fractures, which was twice as high as in 55-64 year-olds. (
  • Physical injuries adults was slipping, tripping, or stumbling, and most fall injuries occurred inside or associated with falling include fractures, around the outside of the home. (
  • This is the first prospective study to estimate the incidence of hip fractures in the general population in Lebanon. (
  • The incidence of hip fractures increases with age, doubling for each decade after age 50. (
  • The high incidence of hip fractures in the elderly is often attributed to the increase in slip and fall accidents and the decline in bone mineral density with age. (
  • The ICD-9-CM diagnostic codes were utilized to investigate the incidence of hip fractures and the corresponding treatments. (
  • The incidence of hip fractures in the low-income group showed no significant difference compared to that in the general population. (
  • Early fixation reduces morbidity and mortality in elderly patients with hip fractures from low-impact falls. (
  • External or internal fixation or a knee replacement may be required depending on the extent of the fracture. (
  • Cases included all patients with an incident hip fracture. (
  • Percent of participants with incident hip fracture during the study period. (
  • Women who eat a vegetarian diet have significantly higher risks of suffering a hip fracture compared with peers who eat meat (including poultry) even occasionally, a new study suggests. (
  • Hip fracture surgery is done to repair a break in the upper part of the thigh bone. (
  • The type of surgery you have depends on the kind of fracture you have. (
  • These reduce your risk of getting blood clots , which are more common after hip surgery. (
  • Most of the problems that develop after hip fracture surgery can be prevented by getting out of bed and walking as soon as possible. (
  • When returning home following hip-fracture surgery, it's critical that patients avoid further injury so they can remain living in their homes. (
  • 15% of patients with hip fracture older than 65 years in Israel have delayed surgery. (
  • The aim of this study was to determine which patient and/or organizational factors are associated with a delay of beyond 48 hours in hip fracture repair surgery. (
  • A retrospective cohort study of 281 patients with hip fracture who underwent surgery during 2019-2020. (
  • Patients with hip fracture receive surgery as soon as possible, within 48 hours of their first arrival at any hospital (including any time spent in anonsurgical hospital). (
  • Patients with hip fracture are mobilized to weight-bearing as tolerated within 24 hours following surgery. (
  • After surgery, patients with hip fracture are mobilized on a daily basis to increase their functional tolerance. (
  • Patients with hip fracture are discharged from inpatient care with a scheduled follow-up appointment with a primary care provider within 2 weeks of returning home and a scheduled follow-up appointment with the orthopaedic service within 12 weeks of their surgery. (
  • Spinal vs general anesthesia was compared in a secondary analysis of patients aged 50 years or older undergoing hip fracture surgery. (
  • Mark D. Neuman, MD, from the University of Pennsylvania Perelman School of Medicine in Philadelphia, and colleagues compared pain, analgesic use, and satisfaction after hip fracture surgery with spinal vs general anesthesia in a preplanned secondary analysis of patients aged 50 years or older undergoing hip fracture surgery. (
  • Our findings add to available data on patient experiences after spinal vs general anesthesia for hip fracture surgery," the authors write. (
  • Clinicians and policymakers should prioritize efforts to improve pain care after hip fracture surgery. (
  • Used for abduction after hip surgery. (
  • Buy Direct from US Manufacturer FirstIce Compression Hip Wrap 2 Pocket, Pockets Up For the relief of pain following Hip surgery. (
  • Patients with hip fracture who are admitted to the hospital during a busy time may experience delayed surgery and have a higher risk for 60-day mortality, a study discovered. (
  • We found that surgery was delayed in hip fracture patients who were admitted during periods of high volumes of acute surgical admissions. (
  • The cited study aimed to understand whether COVID-19 positivity was associated with an increased risk of adverse events after geriatric hip fracture surgery. (
  • From a national administrative claims dataset, patients who underwent hip fracture surgery from April 1, 2020, to December 1, 2020 were selected for analysis. (
  • Of 42,002 patients who underwent hip fracture surgery during this time period, 678 (1.61%) were identified to be positive for COVID-19 infection. (
  • Pouncey has had a history of hip issues, including off-season surgery this year on the opposite hip. (
  • Background Hip fractures are a common acute trauma presentation that if requiring surgery, should be performed within 48 hours. (
  • Total Hip Replacement: Also known as total hip arthroplasty, this type of surgery involves removing and replacing damaged cartilage and bone with prosthetic components. (
  • Such hip repair surgery is often reserved for patients presenting with fractures that may be appropriately aligned. (
  • He takes a comprehensive approach to diagnosing and managing hip and knee pain, incorporating the latest advances in pain management during every stage of surgery and recovery. (
  • His expertise encompasses the direct anterior approach (a minimally invasive hip replacement technique), outpatient surgery for hip and knee replacement, partial knee replacement, complex revision surgery (surgery to restore joint function when an implant has failed or developed complications) and robotic surgery. (
  • Recommendations emphasise the importance of early surgery and coordinating care through a multidisciplinary hip fract. (
  • With most distal femur fractures the surgery can be delayed unless the fracture is open to the environment. (
  • A long-term study, conducted by Duke-NUS Graduate Medical School and the National University of Singapore (NUS), found that a healthy diet rich in plant-based food such as vegetables, fruit and soya could reduce the risk of hip fracture by strengthening the bones. (
  • Hopping (or jumping rope) on one foot for 2 minutes per day may reduce the risk of hip fracture. (
  • Research being conducted under the direction of Jay Magaziner PhD, MSHyg and Denise Orwig, PhD, are providing insights that are expected to improve both care and outcomes for hip fracture victims. (
  • Organisations can apply for a share of £160,000 inclusive of VAT to develop a solution which will improve quality of care and outcomes for hip fracture patients. (
  • Parkkari J, Kannus P, Palvanen M, Natri A, Vainio J, Aho H, Vuori I, Järvinen M. Majority of hip fractures occur as a result of a fall and impact on the greater trochanter of the femur: a prospective controlled hip fracture study with 206 consecutive patients. (
  • Although the study linked use of sleep aids with hip fractures, these fractures probably occur because of falls, said Dr. Berry. (
  • In particular, SIF appears more likely to occur on the side opposite from previous total hip arthroplasty (THA), according to the new research by Dr. Isabel Graul and colleagues of University of Jena, Eisenberg, Germany. (
  • These fractures most commonly occur in older women, causing low back pain that worsens with activity. (
  • It also said 50 per cent of total hip fracture incidence is projected to occur in Asia by 2050. (
  • In some cases hip fractures can be life threatening depending on how and where they occur. (
  • Although it is sometimes viewed as an injury that only happens to the elderly, and indeed a majority of hip fractures do occur in people aged 65 or older, a fracture of the hip can occur regardless of age or occupation. (
  • Fractured hips may also occur as the direct result of work duties. (
  • Breaks can occur in any bone but happen most often in: Hip bones. (
  • It is estimated that yearly over 250 000 hip fractures, an equal number of wrist fractures and more than twice that number of vertebral fractures occur in the United States of America (USA) alone [1,2]. (
  • Patients who have experienced hip dislocation are usually in severe pain. (
  • A rare fracture-dislocation of the hip in a gymnast and review of the literature. (
  • Yates C, Bandy WD, Blasier RD. Traumatic dislocation of the hip in a high school football player. (
  • Liporace FA, Dasti UR, Raiszadeh K. Ipsilateral anterior then irreducible posterior hip dislocation without fracture: a case report. (
  • Posterior dislocation of the hip while playing basketball. (
  • Traumatic hip dislocation in athletes. (
  • Collins J, Trulock S, Chao D. Field management and rehabilitation of an acute posterior hip dislocation in a professional football player. (
  • Knee injury in patients experiencing a high-energy traumatic ipsilateral hip dislocation. (
  • Rancan M, Esser MP, Kossmann T. Irreducible traumatic obturator hip dislocation with subcapital indentation fracture of the femoral neck: a case report. (
  • ABSTRACT The study aimed to determine hospital-based prevalence of vertebral fractures in postmenopausal Saudi Arabian women. (
  • Jie Wei, Ph.D., from Central South University in Changsha, China, and colleagues examined the association between tramadol and the risk for hip fracture among individuals aged 50 years or older without a history of hip fracture, cancer, or opioid use disorder. (
  • Overuse and repetitive motion can cause a stress fracture. (
  • Pain in the hip joint (sometimes perceived as groin pain) that worsens at the foot strike when running or hopping on just that leg can signal a hip stress fracture. (
  • A femoral neck stress fracture-a crack near the ball at the top of the femur-is the most serious. (
  • Spine fractures had the greatest detrimental effect on EQ-5D, followed by major NHNV and hip fractures. (
  • A maximum of three hip fractures, a maximum of five wrist fractures, and a maximum of six spine fractures were reported. (
  • Older adults who fracture a hip may already have problems thinking clearly. (
  • After older adults sustain a hip fracture, decline in function and mobility can be rapid. (
  • Many observational studies assessed the association between obesity and risk of hip fracture in adults, but reported controversial results. (
  • Our goal was to evaluate the association between obesity and risk of hip fracture in adults by conducting a meta-analysis of prospective cohort studies. (
  • This meta-analysis of prospective cohort studies suggests that obesity significantly decreases the risk of hip fracture in adults, and obesity is probably a protective factor of hip fracture in adults. (
  • Thus, older adults with hip fracture were about three times more likely to die by suicide within the first six months following surgical treatment. (
  • Hip fracture is a common and often catastrophic event in older adults, with a major impact on physical and mental health and functioning. (
  • Meanwhile, the high suicide rate underscores the need to target mental health issues in older adults after surgical repair of a hip fracture. (
  • Women with both a femoral BMD value of 2.5 SD or more below the mean of young adults and either high CTX or high free D-Pyr levels were at greater risk of hip fracture, with an odds ratio of 4.8 and 4.1, respectively, than those with only low BMD or high bone resorption. (
  • The report defines the distribution of the probabilities of having a hip or major osteoporotic (hip, spine, forearm, humerus) fracture in the next 10 years among middle-aged and older US adults. (
  • However, 8-19% of adults age 50+ had an elevated 10-year probability of experiencing one of these fractures in 2013-2014. (
  • Among low-risk older adults, taking vitamin D along with calcium supplements reduced one hip fracture per 1,000 each year. (
  • By comparison, in high-risk older adults, fractures of the hip joint and pain were reduced by nine out of 1,000. (
  • Today, treatment of these fractures in adults is almost exclusively surgical. (
  • The vast majority of seniors never fully recover from a hip fracture, and many older adults lose their independence as a result. (
  • APOE 4 and hip fracture risk in a community-based study of older adults. (
  • Dr. Derek Ward is an orthopedic surgeon who specializes in caring for adults who need hip or knee reconstruction for arthritis. (
  • This guideline covers managing hip fracture in adults. (
  • This graph entitled, Rate of hospitalization for hip fracture among adults aged greater than or equal to 65 years, by sex - United States, 1988-1996 , reveals that over this eight year period, women who fell, were hospitalized more often than men. (
  • Thus, to decrease the prevalence of hip fracture, multifaceted interventions for preventing hip fracture are urgently needed [6] - [8] . (
  • Dr. Cha comments, "So far, we have focused on the treatment of comorbidity and hip fracture itself in the management of elderly patients with hip fracture, but evaluation and management of their mental stress and emotional status are also important. (
  • Dr. Cha and colleagues conclude: "These results imply the need for a new approach to psychiatric evaluation and management among elderly patients with hip fracture. (
  • Hip fractures have a high prevalence worldwide. (
  • A femoral shaft fracture is a break that occurs anywhere along the femoral shaft, long, straight part of the femur. (
  • CTX and free D-Pyr excretion above the upper limit of the premenopausal range was associated with an increased hip fracture risk with an odds ratio (95% confidence interval) of 2.2 (1.3-3.6) and 1.9 (1.1-3.2), respectively, while markers of formation were not. (
  • What is the role of timing in the surgical and rehabilitative care of community-dwelling older persons with acute hip fracture? (
  • With use of a national health-insurance database, the researchers identified 11,477 patients who underwent surgical repair of a hip fracture. (
  • Dr Jack added: "Patients who break their hips within Forth Valley can be reassured they are getting some of the best care in the UK and over the next 12 months we will be focusing on further improving access to theatres for early surgical repair. (
  • HIP ATTACK is an international randomized controlled trial of 1200 patients with a hip fracture that requires a surgical intervention. (
  • Complications can be life-threatening, and almost all hip fractures require some form of surgical repair or replacement. (
  • Treatment of a broken hip may typically involve a combination of medication, surgical intervention, and rehabilitation . (
  • The type of surgical technique will depend on the location and severity of the bone fracture , whether the broken bones are displaced, the age of the patient, and whether the patient is presenting with underlying health conditions. (
  • Partial Hip Replacement: This surgical procedure involves removing and replacing the ball of the hip joint ( head of the femur ). (
  • According to a previous case study, the rate of infection after surgical intervention of a fractured hip varies between 0.6 to 3.6 percent. (
  • In selected patients with grossly contaminated fractures and in patients who are medically unstable for surgical intervention, treatment with skeletal traction can be considered. (
  • With open surgical procedures, meticulous handling of these vessels and soft tissue is of paramount importance because the blood supply is critical to fracture healing. (
  • Femoral neck fractures in the elderly make up a large proportion of Orthopaedic surgical admissions each year. (
  • Non-surgical treatment comprises of immobilizing the fractured site with the help of casts or braces to prevent weight bearing and to help the healing process. (
  • Surgical treatment is considered to realign the fractured bone. (
  • Comprehensive extended care in the community could significantly improve health outcomes for survivors of hip fractures while dramatically reducing healthcare expenses. (
  • Little is known about the survival and functional outcomes of nursing home residents who sustain hip fracture. (
  • Survival and functional outcomes after hip fracture among nursing home residents. (
  • Main Outcomes and Measures: Each initiation episode was matched with 10 nonuse episodes on person-time after the index hip fracture event to preclude immortal time bias and followed up for the outcome of nonvertebral fracture until change in exposure or a censoring event. (
  • But if you have an injury with severe hip pain and swelling, talk to your orthopedic surgeon immediately for better treatment outcomes. (
  • Patients diagnosed with a displaced intracapsular hip fracture are treated surgically with arthroplasty. (
  • It may help to put arthroplasty with the hip fracture module. (
  • Hierarchical modeling was used to analyze the factors associated with various types of hip fractures. (
  • There was a temporal trend of a 8.6% increase in the incidence of all types of hip fractures over the period of 2000-2010. (
  • Those who took less than one pill a day had a 12 percent increase in fracture risk. (
  • People aged 50 to 59 who had been on proton pump inhibitors for more than two years had the biggest increase in fracture risk with taking the drugs, they said. (
  • Sacral insufficiency fracture occurs as a result of decreased bone mineral density in the sacrum. (
  • Recently, I stumbled upon a review published in the Cochrane Database Systematic Review that found that the use of vitamin D supplements along with calcium greatly reduced hip fractures in post-menopausal women and older men. (
  • INTRODUCTION: There is growing evidence that NHNV fractures result in substantial morbidity and healthcare costs. (
  • According to the Centers for Disease Control and Prevention (CDC), approximately 75 percent of all hip fracture cases reported have involved females as they are more likely to fall than their male counterparts, according to the Centers for Disease Control and Prevention ( CDC ). (
  • However, the team behind the research stressed the need to replicate their results in women and other populations to assess any relevance in fracture prevention. (
  • "The findings do suggest that avoiding low serum concentrations of magnesium may be a promising though unproven strategy for risk prevention of fractures," ​said Dr Setor Kunutsor, lead study author and research fellow from the University of Bristol's Musculoskeletal Research Unit. (
  • Led by Dr. Timothy Bhattacharyya, the unit investigates orthopedic conditions, including femur fractures and hip infections, and related treatments. (
  • It is hard to recover from a hip fracture and afterward many people are not able to live on their own. (
  • As the U.S. population gets older, the number of hip fractures is likely to go up. (
  • Each year over 300,000 older people-those 65 and older-are hospitalized for hip fractures. (
  • The chances of breaking your hip go up as you get older. (
  • It's been the assumption that newer agents, be they nonbenzodiazepine hypnotics or the newer classes of SSRI [selective serotonin reuptake inhibitor] antidepressants, are safer, and now this is another study suggesting these newer agents have a similar adverse event profile with respect to falls and fracture risk as the older agents. (
  • Most hip fractures happen to people older than age 60. (
  • Hip fracture is more common in older people. (
  • Most hip fractures that older people get happen as a result of falling while walking on a level surface, often at home. (
  • Postoperative complications and mortality associated with operative delay in older patients who have a fracture of the hip. (
  • Total hip or hemiarthroplasty (replacement of the ball) in older less active patients. (
  • This study explores differences in spending and utilization of health care services for an older person with frailty before and after a hip fracture. (
  • We compared utilization and spending of an older person aged older than 65 years for 365 days before and after a hip fracture across 11 countries and five domains of care as follows: acute hospital care, primary care, outpatient specialty care, post-acute rehabilitative care, and outpatient drugs. (
  • Across 11 high‐income countries, there is substantial variation in health care spending and utilization for an older person with frailty, both before and after a hip fracture. (
  • This type of injury is common in older patients presenting with femoral neck fractures. (
  • Repetitive movements and weight-bearing activities over time can lead to wear-and-tear and degenerative changes to the hip joint in older patients. (
  • Risk of pelvic fractures in older women following pelvic irradiation. (
  • Context: Pelvic fractures, including hip fractures, are a major source of morbidity and mortality in older women. (
  • Conclusions: Pelvic irradiation substantially increases the risk of pelvic fractures in older women. (
  • In addition, people in the study who were older, were depressed, had hip fractures, and had difficulty with daily tasks were also more likely to become frail. (
  • During the past 50 years, the treatment of subtrochanteric fractures has evolved in conjunction with improved understanding of both fracture biology and biomechanics. (
  • Currently, subtrochanteric fractures remain technically challenging, even to experienced fracture surgeons. (
  • Intertrochanteric fractures are usually surgically repaired with screws and a metal plate. (
  • Hip fracture is a major part of osteoporotic fractures, and is associated with low independence, excess morbidity and high mortality [3] , [4] . (
  • What are the risk factors for mortality and functional decline following hip fracture among nursing home residents? (
  • The findings suggest there is substantial mortality and functional decline following hip fracture among residents in nursing homes. (
  • Significant mortality and functional decline occurs following hip fracture among nursing home patients. (
  • CONCLUSION: Obesity associates with earlier hip fracture and higher postfracture mortality. (
  • Previously, nonsurgical treatment of these fractures was associated not only with significant shortening and malrotation but also with the morbidity and mortality of prolonged immobilization. (
  • These fractures increase morbidity and mortality in females as well as in males. (
  • These fractures decrease quality of life, adding to age-related complications with increased morbidity and mortality [4,5]. (
  • Considering the significant impact of hip fracture on morbidity, mortality, and health care cost, our results point to the need to consider tramadol's associated risk of fracture in clinical practice and treatment guidelines," the authors write. (
  • Objective: To determine if women who undergo pelvic irradiation for pelvic malignancies (anal, cervical, or rectal cancers) have a higher rate of pelvic fracture than women with pelvic malignancies who do not undergo irradiation. (
  • Given the high baseline risk of pelvic fracture, this finding is of particular concern. (
  • The research, published in the European Journal of Epidemiology, ​found that the risk of experiencing a fracture was decreased by 44% in men with higher blood levels of magnesium. (
  • No study has examined the effect of fascia iliaca compartment blockade (FICB) in acute hip fracture pain management within a double-blind, randomized setup. (
  • Therefore, the current study was performed to evaluate the effect of the FICB method compared with standardized systemic morphine analgesia in acute hip fracture patients after arrival in the ED in a double-blind controlled setup with placebo blockade. (
  • Elderly women are characterized by increased bone turnover, and some markers of bone resorption predict the subsequent risk of hip fracture independently of hip BMD. (
  • NHS Forth Valley scored particularly well on returning patients to their homes at 30 days, bone health assessments to minimise subsequent fractures, getting people mobile again and assessing inpatients. (
  • Clinically meaningful reduction in subsequent nonvertebral fracture rates associated with treatment suggests that improving prescriber adherence to guidelines and patient adherence to prescribed regimens may result in notable public health benefit. (
  • The objective of the present study was to investigate the effect of fish intake on the subsequent risk of a hip fracture because of the low number of studies on this topic. (
  • Hip fractures are a major problem to elder population, but subsequent morbidity is unclear about environmental factors and socioeconomic conditions. (
  • to evaluate the seasonal effects in the subsequent short-term and long-term morbidities after hip fractures. (
  • Hip fractures and subsequent morbidity are increasing in Taiwan's aging society. (
  • If you are younger, a hip fracture is generally the result of a car accident, a fall from a great height, or severe trauma. (
  • Hip fractures are often the result of a slip and fall, severe trauma, and motor vehicle collisions. (
  • Jeremy LaRouche is currently in the paediatric trauma module of the Competency Based Curriculum, because in summer there are lots of fractures in children to be treated. (
  • I usually review a question on my board review series regarding a patient with trauma and negative x-ray of hip, what is the next step? (
  • A 90-year-old man who fell and died from complications of a hip fracture. (
  • What are the Possible Complications of a Broken Hip? (
  • The complications that may follow a break in the hip bone are multi-factorial and extensive. (
  • The recovery period for a hip fracture can take up to 12 months, may require transitional care , and comes with a significant risk of life-threatening complications. (
  • He treats all types of degenerative hip and knee diseases, as well as complications from past joint replacement. (
  • Your surgeon may perform a total or partial hip replacement ( hemiarthroplasty ) if there is concern that your hip will not heal well using one of the procedures above. (
  • Hemiarthroplasty replaces only the ball part of your hip joint. (
  • Hip precautions not meaningful after hemiarthroplasty due to hip fracture. (
  • The difficulty of treating these fractures stems in part from the fact that this injury pattern is anatomically distinct from other proximal femoral peritrochanteric fractures and in part from the difficult features of femoral shaft fractures. (
  • His research interests include health care policy and cost effectiveness, peri-operative risk assessment and optimization, medical education, and revision hip and knee replacement. (
  • He is a member of the American Academy of Orthopaedic Surgeons, American Association of Hip and Knee Surgeons, California Orthopaedic Association and Western Orthopaedic Association. (
  • The femur or thigh bone is the longest and strongest bone in the body, connecting the hip to the knee. (
  • Fracture of the distal femur may involve the cartilaginous surface of the knee as well and result in arthritis. (
  • A distal femur (top part of knee joint) fracture is a break in thighbone that occurs just above your knee joint. (
  • Knee replacement may also be considered in complicated fractures or those with poor bone quality. (
  • As the femur fracture usually involves the weight bearing joint it may cause long term problems such as loss of knee motion or instability and long term arthritis. (
  • Distinguishing between work-related and intrinsic degenerative diseases of the hip, knee, neck and shoulder is often complicated. (
  • As with any intra-articular fracture , a persistent articular surface step predisposed the joint to premature secondary osteoarthritis . (
  • It includes an extended physiotherapy program with self-management tips for patients with hip fractures to use upon leaving hospital. (
  • Urinary excretion of CTX and free D-Pyr, but not other markers, was higher in patients with hip fracture than in age-matched controls (p = 0.02 and 0.005, respectively). (
  • The orthopaedic team at NHS Forth Valley has gained the accolade of the most improved unit in Scotland for treating patients with hip fractures. (
  • Patients with hip fracture do not receive blood transfusions if they are asymptomatic and have a postoperative hemoglobin level equal to or higher than 80 g/L. (
  • Patients with hip fracture are screened for delirium using a validated tool as part of their initial assessment and then at least once every 12 hours while in hospital, after transitions between settings, and after any change in medical status. (
  • Patients with hip fracture receive postoperative care from an interdisciplinary team in accordance with principles of geriatric care. (
  • Patients with hip fracture and/or their family and caregivers are given information on patient care that is tailored to meet the patient's needs and delivered at appropriate times in the care continuum. (
  • Patients with hip fracture participate in an interdisciplinary rehabilitation program (in an inpatient setting, a community setting, or a combination of both) with the goal of returning to their pre-fracture functional status. (
  • Patients with hip fracture transition through several care environments during recovery. (
  • The purpose of this study was to examine information exchange by physiotherapists during care handoffs o f patients with hip fracture. (
  • Using an ethnographic approach, 11 patients with hip fracture and their networks of family caregivers (n=8) and health care providers (n=24) were recruited in a rural community of southwestern Ontario. (
  • In 2003, the estimated 304,000 patients with hip fractures had an average hospital stay of 6.5 days. (
  • This centred on the use of rehabilitation assistants who have been employed to increase mobility and independence in patients who have experienced a hip fracture. (
  • Developing a Multidisciplinary Rehabilitation Package Following Hip Fracture. (
  • To determine the association between PPI therapy and risk of hip fracture. (
  • The risk of hip fractures associated with PPI use. (
  • Long-term PPI therapy, particularly at high doses, is associated with an increased risk of hip fracture. (
  • Many epidemiologic were published to investigate the association between obesity and risk of hip fracture, but the magnitudes of the association varied among those studies [15] - [29] . (
  • There were also follow-ups until December 2010 to monitor their risk of hip fractures. (
  • There was no effect on the risk of hip fracture for those who consumed a diet rich in meat and refined starch. (
  • Assoc Prof Koh said the research team was in the process of looking into how the combination of lifestyle factors including diet, physical activity, BMI, smoking and alcohol consumption can come together to influence the risk of hip fracture. (
  • Even short-term use of popular acid-reducing heartburn drugs may raise the risk of hip fractures, U.S. researchers said on Monday. (
  • A study in August's Canadian Medical Association Journal suggested long-term use of proton pump inhibitors - for at least five years - may raise the risk of hip fractures. (
  • Dr. Douglas Corley, who led the study, said in a statement "the increased risk with short-term use of acid-suppressing drugs suggests that even relatively brief periods of use may be associated with increased risk of hip fractures. (
  • Combining the measurement of BMD and bone resorption may be useful to improve the assessment of the risk of hip fracture in elderly women. (
  • Is there an increased risk of hip fracture in multiple sclerosis? (
  • Impaired ambulation, frequent falls, and prolonged immobilization combined with the high rate of vitamin D deficiency in people with multiple sclerosis (MS) could lead to an increased risk of hip fracture. (
  • The obese women with low BMD have clearly the highest risk of hip fracture. (
  • Few studies have investigated whether fish consumption is associated with risk of hip fractures. (
  • Cox proportional hazard regression models with death as a competing risk were used to evaluate the association of fish intake with risk of hip fracture. (
  • The association between fish intake and risk of hip fracture was not linear and displayed a threshold, with low intake of fish being associated with an increased risk of hip fracture in men (HR (Hazard Ratio) = 1.84, 95% CI 1.10, 3.08). (
  • Physical activity was independently associated with reduced risk of hip fracture after controlling for confounding factors. (
  • Very active and active past physical activity markedly reduced risk of hip fracture in comparison to subjects with inactive past physical activity. (
  • In addition, women taking supplemental doses of vitamin A have an increased risk of hip fracture. (
  • Reduce Risk of Hip Fracture By Hopping (or Jumping Rope)? (
  • Not surprisingly, subtrochanteric fracture has significantly higher rates of malunion and nonunion than other femoral fractures do. (
  • There were more females with osteoporotic hip fractures , and there were significantly more males with secondary osteoporotic hip fractures . (
  • Indeed, low blood levels of magnesium are very common in the population, especially among middle-aged to elderly individuals who are also prone to fractures. (