Alcohol and drug use in adults younger than 60 years with hip fracture – A comparison of validated instruments and the clinical eye

•Earlier studies on alcohol and drugs use in non-elderly with hip fractures have not used validated questionnaires such as the AUDIT and DUDIT.•A majority of individuals under 60 years sustaining a hip fracture do not exhibit troublesome use of neither alcohol nor drugs.•Still, hazardous alcohol consumption is more common than in the general population. Women may have almost as high rate as men.•Drug related problems seem to be only slightly more common than in the population.•Validated questionnaires do not identify the same individuals as a clinical evaluation based on contact with the patient and reading of chart does. It is a common preconception that young individuals sustaining hip fractures have alcohol and/or drug use disorder. It is important to evaluate the actual use to avoid complications and plan the rehabilitation. The primary objective was to assess alcohol and drug consumption in hip fracture patients