OBJECTIVE To develop and validate an updated version of the QFracture algorithm for estimating the risk of a patient sustaining an osteoporotic fracture or hip fracture in a primary care population. DESIGN Prospective open cohort study using routinely collected data from 420 general practices in the United Kingdom to develop updated QFracture scores and 207 practices to validate scores. Cox's...

The biomechanics of hip fractures has been studied by many authors in the past; however, predictions of the fracture location and character remain difficult and speculative. The aims of the present study are threefold. First, to investigate whether proximal femur trochanteric and cervical geometrical metrics correlate with outcomes of dynamic drop tower testing carried out on human donor femurs...

AIM At present there is no data looking at modern multislice computerised tomography (CT) in the investigation of occult hip fracture. The aim of this study was to retrospectively compare the reports of patients sent for magnetic resonance imaging (MRI) or CT with negative radiographs and a clinical suspicion of a fractured neck of femur. METHODS All patients presenting to the hospital with a...

Patients with a fused hip can present with various clinical problems, such as contralateral hip arthritis, ipsilateral knee arthritis and degenerative disc disease. There are significant deforming forces at the proximal femur in patients with a fused hip who have ipsilateral subtrochanteric fractures. We report a 66-year-old patient with a spontaneously fused right hip, who sustained an ipsilat...

PURPOSE We aimed to quantify proximal femoral shortening after operation with compression hip screws for intertrochanteric fracture in patients under the age of 60 years. MATERIALS AND METHODS We followed 37 consecutive patients with intertrochanteric fractures treated with compression hip screws from March 2005 to February 2014. We designated the aspect of the fracture, a defect of the poste...

BACKGROUND Some studies have previously shown that geometry of proximal femur can affect the probability of fracture and type of fracture. It happens since the geometry of the proximal femur determines how a force is applied to its different parts. In this study, we have compared proximal femur's geometric characteristics in femoral neck (FNF), intertrochanteric (ITF) and Subtrochanteric (STF) ...

CONTEXT Celiac disease (CD) is associated with an increased fracture risk, an increase that persists after diagnosis. A significant proportion of patients with CD have persistent villous atrophy (VA) on follow-up biopsy. OBJECTIVE The objective of the study was to determine whether persistent VA impacts long-term fracture risk. DESIGN This was a cohort study. SETTING AND PATIENTS We ident...

INTRODUCTION Osteoporosis and related fractures constitute a significant burden on modern healthcare. The standard method of diagnosing osteoporosis with a dual-energy X-ray absorptiometry (DXA) scan is limited by accessibility and expense. The thickness of the cortex of the proximal femur on plain radiographs has been suggested to be a method for indicating osteoporosis and as a risk factor of...

PURPOSE There is a continuing need to improve the prediction of hip fractures to identify those at highest risk, enabling cost-effective use of preventative therapies. METHODS The aim of this work was to validate an innovative imaging biomarker for hip fracture by modelling the shape and texture of the proximal femur assessed from dual energy X-ray absorptiometry (DXA) scans. Scans used were ...

hip protectors and their role in hip fracture prevention    hemmati maslak pak m [1] , ganaei r [2]    received: 26 jan, 2011 accepted: 19 apr, 2011   abstract  background & aims: hip fractures in the elderly are the most common orthopedic injury and puts high financial stress the family and society. mortality in hip fracture is 20 percent compared with deaths from other orthopedic problems. th...