Possible predisposing factors for the second hip fracture
Among 1685 patients who sustained a hip fracture at the island of Crete (Greece) in a 4-year period we found 106 patients with bilateral noncontemporary hip fractures. Pathologic hip fractures and fractures that emerged from high energy trauma were excluded. To investigate the possible factors predi...
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| Veröffentlicht in: | Calcified tissue international 1998-04, Vol.62 (4), p.366-369 |
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| creator | Dretakis, K E Dretakis, E K Papakitsou, E F Psarakis, S Steriopoulos, K |
| description | Among 1685 patients who sustained a hip fracture at the island of Crete (Greece) in a 4-year period we found 106 patients with bilateral noncontemporary hip fractures. Pathologic hip fractures and fractures that emerged from high energy trauma were excluded. To investigate the possible factors predisposing to the later fracture in the sound hip, we studied these 106 patients and compared them with the 1579 patients who sustained a single hip fracture (control group). There was no significant difference between the mean age of the bilateral group at the time of the first hip fracture (78.3 +/- 7.4 years, range 52-94 years) and the mean age of the control group (77.3 +/- 11.9 years, range 50-101 years). We found no significant difference in the bone status between the two groups, using both lumbar spine dual photon absorptiometry (DXA) and calcaneus broadband ultrasound attenuation (BUA). Falls, which were the main cause of all the hip fractures, were much more common in the bilateral group. The second hip fracture was of the same location (trochanteric or cervical) in 92% of the trochanteric and 68% of cervical fractures and a tendency to greater displacement or instability was observed. Of the second hip fractures 75% happened in the first 48 months after the first one. The mean interval time was much longer (160 months) when a neck fracture was followed by a trochanteric one. |
| doi_str_mv | 10.1007/s002239900446 |
| format | Article |
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Pathologic hip fractures and fractures that emerged from high energy trauma were excluded. To investigate the possible factors predisposing to the later fracture in the sound hip, we studied these 106 patients and compared them with the 1579 patients who sustained a single hip fracture (control group). There was no significant difference between the mean age of the bilateral group at the time of the first hip fracture (78.3 +/- 7.4 years, range 52-94 years) and the mean age of the control group (77.3 +/- 11.9 years, range 50-101 years). We found no significant difference in the bone status between the two groups, using both lumbar spine dual photon absorptiometry (DXA) and calcaneus broadband ultrasound attenuation (BUA). Falls, which were the main cause of all the hip fractures, were much more common in the bilateral group. The second hip fracture was of the same location (trochanteric or cervical) in 92% of the trochanteric and 68% of cervical fractures and a tendency to greater displacement or instability was observed. Of the second hip fractures 75% happened in the first 48 months after the first one. The mean interval time was much longer (160 months) when a neck fracture was followed by a trochanteric one.</description><identifier>ISSN: 0171-967X</identifier><identifier>EISSN: 1432-0827</identifier><identifier>DOI: 10.1007/s002239900446</identifier><identifier>PMID: 9504964</identifier><language>eng</language><publisher>United States: Springer Nature B.V</publisher><subject>Absorptiometry, Photon ; Accidental Falls - statistics & numerical data ; Age Factors ; Aged ; Aged, 80 and over ; Bone and Bones - diagnostic imaging ; Bone Density - physiology ; Cervical Vertebrae - injuries ; Data Interpretation, Statistical ; Female ; Femoral Neck Fractures - complications ; Femoral Neck Fractures - etiology ; Fractures, Bone - complications ; Fractures, Bone - etiology ; Fractures, Bone - pathology ; Greece - epidemiology ; Hip Fractures - complications ; Hip Fractures - epidemiology ; Hip Fractures - etiology ; Humans ; Male ; Middle Aged ; Recurrence ; Severity of Illness Index ; Spinal Fractures - complications ; Spinal Fractures - etiology ; Time Factors</subject><ispartof>Calcified tissue international, 1998-04, Vol.62 (4), p.366-369</ispartof><rights>Springer-Verlag New York Inc. 1998</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c347t-b22bece0156ca662e3aceb693c0abe43b9c126c63ef8e49ab1ee7858b38f543</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9504964$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Dretakis, K E</creatorcontrib><creatorcontrib>Dretakis, E K</creatorcontrib><creatorcontrib>Papakitsou, E F</creatorcontrib><creatorcontrib>Psarakis, S</creatorcontrib><creatorcontrib>Steriopoulos, K</creatorcontrib><title>Possible predisposing factors for the second hip fracture</title><title>Calcified tissue international</title><addtitle>Calcif Tissue Int</addtitle><description>Among 1685 patients who sustained a hip fracture at the island of Crete (Greece) in a 4-year period we found 106 patients with bilateral noncontemporary hip fractures. Pathologic hip fractures and fractures that emerged from high energy trauma were excluded. To investigate the possible factors predisposing to the later fracture in the sound hip, we studied these 106 patients and compared them with the 1579 patients who sustained a single hip fracture (control group). There was no significant difference between the mean age of the bilateral group at the time of the first hip fracture (78.3 +/- 7.4 years, range 52-94 years) and the mean age of the control group (77.3 +/- 11.9 years, range 50-101 years). We found no significant difference in the bone status between the two groups, using both lumbar spine dual photon absorptiometry (DXA) and calcaneus broadband ultrasound attenuation (BUA). Falls, which were the main cause of all the hip fractures, were much more common in the bilateral group. The second hip fracture was of the same location (trochanteric or cervical) in 92% of the trochanteric and 68% of cervical fractures and a tendency to greater displacement or instability was observed. Of the second hip fractures 75% happened in the first 48 months after the first one. 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Dretakis, E K ; Papakitsou, E F ; Psarakis, S ; Steriopoulos, K</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c347t-b22bece0156ca662e3aceb693c0abe43b9c126c63ef8e49ab1ee7858b38f543</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1998</creationdate><topic>Absorptiometry, Photon</topic><topic>Accidental Falls - statistics & numerical data</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Bone and Bones - diagnostic imaging</topic><topic>Bone Density - physiology</topic><topic>Cervical Vertebrae - injuries</topic><topic>Data Interpretation, Statistical</topic><topic>Female</topic><topic>Femoral Neck Fractures - complications</topic><topic>Femoral Neck Fractures - etiology</topic><topic>Fractures, Bone - complications</topic><topic>Fractures, Bone - etiology</topic><topic>Fractures, Bone - pathology</topic><topic>Greece - epidemiology</topic><topic>Hip Fractures - complications</topic><topic>Hip Fractures - epidemiology</topic><topic>Hip Fractures - etiology</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Recurrence</topic><topic>Severity of Illness Index</topic><topic>Spinal Fractures - complications</topic><topic>Spinal Fractures - etiology</topic><topic>Time Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Dretakis, K E</creatorcontrib><creatorcontrib>Dretakis, E K</creatorcontrib><creatorcontrib>Papakitsou, E F</creatorcontrib><creatorcontrib>Psarakis, S</creatorcontrib><creatorcontrib>Steriopoulos, K</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Proquest Nursing & Allied Health Source</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biological Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Calcified tissue international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dretakis, K E</au><au>Dretakis, E K</au><au>Papakitsou, E F</au><au>Psarakis, S</au><au>Steriopoulos, K</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Possible predisposing factors for the second hip fracture</atitle><jtitle>Calcified tissue international</jtitle><addtitle>Calcif Tissue Int</addtitle><date>1998-04-01</date><risdate>1998</risdate><volume>62</volume><issue>4</issue><spage>366</spage><epage>369</epage><pages>366-369</pages><issn>0171-967X</issn><eissn>1432-0827</eissn><abstract>Among 1685 patients who sustained a hip fracture at the island of Crete (Greece) in a 4-year period we found 106 patients with bilateral noncontemporary hip fractures. Pathologic hip fractures and fractures that emerged from high energy trauma were excluded. To investigate the possible factors predisposing to the later fracture in the sound hip, we studied these 106 patients and compared them with the 1579 patients who sustained a single hip fracture (control group). There was no significant difference between the mean age of the bilateral group at the time of the first hip fracture (78.3 +/- 7.4 years, range 52-94 years) and the mean age of the control group (77.3 +/- 11.9 years, range 50-101 years). We found no significant difference in the bone status between the two groups, using both lumbar spine dual photon absorptiometry (DXA) and calcaneus broadband ultrasound attenuation (BUA). Falls, which were the main cause of all the hip fractures, were much more common in the bilateral group. The second hip fracture was of the same location (trochanteric or cervical) in 92% of the trochanteric and 68% of cervical fractures and a tendency to greater displacement or instability was observed. Of the second hip fractures 75% happened in the first 48 months after the first one. The mean interval time was much longer (160 months) when a neck fracture was followed by a trochanteric one.</abstract><cop>United States</cop><pub>Springer Nature B.V</pub><pmid>9504964</pmid><doi>10.1007/s002239900446</doi><tpages>4</tpages></addata></record> |
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| subjects | Absorptiometry, Photon Accidental Falls - statistics & numerical data Age Factors Aged Aged, 80 and over Bone and Bones - diagnostic imaging Bone Density - physiology Cervical Vertebrae - injuries Data Interpretation, Statistical Female Femoral Neck Fractures - complications Femoral Neck Fractures - etiology Fractures, Bone - complications Fractures, Bone - etiology Fractures, Bone - pathology Greece - epidemiology Hip Fractures - complications Hip Fractures - epidemiology Hip Fractures - etiology Humans Male Middle Aged Recurrence Severity of Illness Index Spinal Fractures - complications Spinal Fractures - etiology Time Factors |
| title | Possible predisposing factors for the second hip fracture |
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