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Hip fracture

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Hip Fracture
A hip fracture is another term for a broken hip. It is a common injury that mainly affects older women who often have underlying osteoporosis. Your hip can break in different places.

 


HIP FRACTURES
Hip fractures are one of the most devastating and costly problems commonly faced by the older population.

Hip fracture surgery
Definition
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 part of the hip joint.

Hip fracture
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Hip fracture surgeries
Alternate Names : Inter-trochanteric fracture repair, Subtrochanteric fracture repair, Femoral neck fracture repair, Trochanteric fracture repair, Hip pinning surgery
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Hip fracture: Broken bone in the hip, a key health problem among the elderly, usually due to a fall or other kind of trauma involving direct impact to the hip bone which has been weakened by osteoporosis.

Hip Fracture
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Hip Fracture
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Hip fracture is more common in older people because bones become thinner and weaker from calcium loss as a person ages, generally due to osteoporosis. Bones affected by osteoporosis are more likely to break if a person falls.

A hip fracture is a break in the bones of your hip (near the top of your leg). It can happen at any age, although it is more common is people 65 years of age and older. As you get older, the inside of your bones becomes porous from a loss of calcium.

A hip fracture is more than a broken bone. If you are older, breaking your hip can mean a major change in your life. You will likely need surgery, and it can take as long as a year to recover.

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Hip Fractures
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Hip fractures usually result from a fall.
Because osteoporosis weakens the bones and makes them much more likely to break, hip fractures occur more often as men and women get older.

A hip fracture is a serious injury, particularly if you're older, and complications can be life-threatening. Fortunately, surgery to repair a hip fracture is usually very effective, although recovery often requires time and patience.

A hip fracture is another term for a broken hip. It is a complete or partial break in the top part of the thighbone. The thighbone, also called the femur, inserts into the hip joint.
What are the causes and risks of the injury?

Symptoms of HIP FRACTURE
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Hip Fracture
Causes
Factors that may contribute to a hip fracture include: ...

hip fracture
hp frkt noun a fracture of the ball at the top of the femur
hip girdle ...

Hip Fracture Prevention - Hip Protectors
Medical Author: William C. Shiel Jr., MD, FACP, FACR ...

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Most hip fractures occur in one of two locations — the femoral neck or the intertrochanteric region....
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For hip fractures, risk decreased too, from 15 per 10,000 for non-HRT users to 10 per 10,000 HRT users.

About Hip Fracture
What is a hip fracture?
A hip fracture is a break in the femur (thigh bone) of the hip joint. Joints are areas where two or more bones meet. The hip joint is a "ball and socket" joint where the femur meets the pelvic bone.

Hip fractures are a significant and serious cause of sudden hip pain. Hip fractures become more common as people age because falls are more likely and bones become less dense.

Hip fractures are rare in people under 70.
Breast Cancer Survivors May Face Early Hip Fracture Risk
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Hip fractures become more common as people age because falls are more likely and bones become less dense. People with osteoporosis can get a fracture from simple, everyday activities, not just a dramatic fall or injury.

Hip fractures typically occur as a result of a fall and may also be difficult to heal after surgical repair because of poor bone quality.
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Hip fractures are always serious. They are a major source of disability and can result in life-threatening complications.

Hip fractures are another common consequence of osteoporosis, accounting for one-quarter of osteoporosis-related breaks. A hip fracture can lead to a downward spiral of declining health, decreased mobility and increased frailty.

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About 300,000 hip fractures
About 700,000 vertebral (spine) fractures
About 250,000 wrist fractures
About 300,000 fractures at other sites ...

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In postmenopausal women, it has shown to be effective at reducing bone loss, increasing bone density in the spine and hip, and reducing the risk of spine and hip fractures.
Risedronate.

By inhibiting bone resorption, bisphosphonates preserve bone mass and can decrease vertebral and hip fractures by 50%. To treat osteoporosis, bisphosphonates can be given orally. Alendronate Some Trade Names
FOSAMAX
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There are also risk factors for hip fracture that are independent of your BMD test results.

Have had a hip fracture. The risk for pressure sores continues even after coming home from the hospital or nursing home.
Cannot control their bladder or bowels. Excess moisture can irritate or soften skin and lead to pressure sores.

Zoledronic acid and clinical fractures and mortality after hip fracture. N Engl J Med 2007; 357:1799.
Delmas PD, Bjarnason NH, Mitlak BH, et al.

Twenty percent to 30% of people who fall suffer moderate to severe injuries such as lacerations, hip fractures, or head traumas. These injuries can make it hard to get around or live independently, and increase the risk of early death.6,7 ...

1 in 6 women will suffer a wrist or hip fracture.
50% of people who have a hip fracture will never be able to walk independently again.
A woman's risk of a hip fracture is equal to the combined risk of developing breast, uterine, and ovarian cancer.

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Each year, 80,000 men suffer a hip fracture and one-third of these men die within a year.
Osteoporosis can strike at any age.
Osteoporosis is responsible for more than 1.

There were also benefits of estrogen plus progestin, including fewer cases of hip fractures and colon cancer.
Because the harm of HRT for healthy post-menopausal women in this trial was greater than the benefit, the researchers stopped the trial.

Hip fractures around the world actually occur more frequently in populations that consume higher levels of calcium derived mainly from dairy products. Populations with more hip fractures are those that have higher intakes of protein.

Older people are more prone to hip fractures because bones become less dense as we age. In some cases, a person develops osteoporosis - a disease characterised by the excessive loss of bone tissue.

Proton pump inhibitors may be associated with a greater risk of hip fractures, and clostridium difficile-associated diarrhea.

Women have a quick decrease in estrogen with menopause. Men have only ¼ as many hip fractures as women. However, men over the age of 75 are three times more likely to die after a hip fracture than are women.

Immobility (for example, during recovery from a hip fracture)
Menopause
Narrowed urethra
Not drinking enough fluids
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Prostate inflammation or enlargement
Sexual intercourse, especially if you have multiple partners ...

Colorectal Cancer and Hip Fractures
While we've heard much about increased risks, as doctors have long suspected some conditions actually benefit from HRT.

If your tests indicate continuing bone loss, your doctor likely will recommend that you take medicine to increase bone density and decrease your risk of spine and hip fractures.

Femoral neck - A primary site of hip fracture; the portion of the femur between the femoral head and the shaft. [See: Fluoride-Induced Bone Fractures in Human Clinical Trials ] ...

This is the case with vitamin A, which has been found to increase the risk of hip fractures when more than 4,300 international units (IU) are taken daily.

They also found that African Americans, who consume on average more than 1,000mg of calcium per day, are nine times more likely to experience hip fractures than are South African blacks, whose daily calcium intake is only 196mg.

It has been shown to reduce the occurrence of spinal fractures, but not hip fractures.
What other treatments are used in osteoporosis?
These treatments are quite specialised and not commonly used.

Some persons with osteoporosis become severely disabled as a result of weakened bones. Hip fractures leave about half of patients unable to walk independently. This is one of the major reasons people are admitted to nursing homes.

The operation is sometimes performed for other problems such as hip fractures or aseptic necrosis (a condition in which the bone of the hip ball dies). Circumstances vary, but generally patients are considered for total hip replacements if: ...

Limited physical activity
Housebound
Poor nutrition
Smoking
Mother or maternal grandmother with hip fracture (a genetic disposition)
Other factors that may increase the risk of vertebral fractures include the following: ...

Staying still (immobile) for a long period of time (for example, while you are recovering from a hip fracture)
Menopause
Narrowed urethra
Not drinking enough fluids
Pregnancy
Prostate inflammation or enlargement ...

Statins may also strengthen bone tissue. Thus, people over 50 taking statins (to lower cholesterol) had fewer hip fractures, as was reported in 2000 in the Journal of the American Medical Association (JAMA).
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However, the low heart rate observed in third-degree or Mobitz II AV block may lead to syncopal episodes with major injuries (eg, head trauma, hip fracture), exacerbation of congestive heart failure, ...

See also: Fracture, Fractures, Symptom, Osteoporosis, Prevention