PATIENT Female, 30. PRIMARY DIAGNOSIS Intertrochanteric fracture under an arthrodesed hip. CO-EXISTING DISEASES Developmental dysplasia of the hip. MEDICATION Pain • inability to walk. CLINICAL PROCEDURE Open reduction and internal fixation. SPECIALTY Orthopedics and traumatology. OBJECTIVE Rare disease, Unusual setting of medical care. BACKGROUND An intertrochanteric fracture amo...

T his appendix describes the assumptions used in OTA’s analysis of the impact of hormone replacement therapy (HRT) on hip fractures. OTA’s model assumes that HRT affects fracture risk through its impact on bone mass as measured by bone mineral density (BMD). The rationale for this assumption is twofold. First, the causal relationship between HRT and bone loss is well-established and precisely e...

The authors evaluated the incidence of hip fracture and subsequent mortality in Korea using nationwide data obtained from the Health Insurance Review and Assessment Service. This study was performed on patient population, aged 50-yr or older who underwent surgical procedures because of hip fracture (ICD10; S720, S721). All patients were followed using patient identification code to identify dea...

Fatty infiltration of muscle, myosteatosis, increases with age and results in reduced muscle strength and function and increased fall risk. However, it is unknown if increased fatty infiltration of muscle predisposes to hip fracture. We measured the mean Hounsfield unit (HU) of the lean tissue within the midthigh muscle bundle (thigh muscle HU, an indicator of intramuscular fat), its cross-sect...

1. Parker M, Johansen A. Hip fracture. BMJ 2006; 333: 27–30. 2. Salkeld G, Cameron ID, Cumming R. Quality of life related to fear of falling and hip fracture in older women: a time trade off study. BMJ 2000; 320: 341–6. 3. Peterson MB, Jørgensen HL, Hansen K et al. Factors affecting postoperative mortality of patients with displaced femoral neck fracture. Injury 2006; 37: 705–11. 4. Dolan P, To...

The association between vitamin D levels and incident fractures in older men is uncertain. To test the hypothesis that low serum 25-hydroxyvitamin D [(25(OH)D] levels are associated with an increased risk of fracture, we performed a case-cohort study of 436 men with incident nonspine fractures, including 81 hip fractures, and a random subcohort of 1608 men; average follow-up time 5.3 years. Ser...

BACKGROUND Elderly nursing home residents are at increased risk of hip fracture; however, the efficacy of fracture prevention strategies in this population is unclear. OBJECTIVE We performed a scoping review of randomized controlled trials of interventions tested in the long-term care (LTC) setting, examining hip fracture outcomes. METHODS We searched for citations in 6 respective electroni...

Hip fracture has increasingly become a social and economic burden. The relationship between serum 25-hydroxyvitamin D levels and the risk of hip fracture reported by previous studies remains controversial. We searched Pubmed and Embase to identify studies reporting the relationship between serum 25-hydroxyvitamin D levels and risk of hip fracture. Fifteen prospective cohort studies with a total...

BACKGROUND Hypertension is one of the most common encountered medical comorbidities after hip fracture. Whether fracture is a potential risk factor for hypertension remains poorly understood. The aim of our study was to examine the risk of prehypertension and hypertension in the participants with and without a history of fracture. METHODS We conducted a retrospective case-control study of 3,5...

Background:  Hip fracture Management in supine position on a fracture table with biplane fluoroscopic views has some difficulties which leads to prolongation of surgery and increasing x- rays’ dosage. The purpose of this study was to report the results and complications of hip fracture management in lateral position on a conventional operating table with just anteroposterior fluoroscopic view. ...