Are patients with hip fractures more osteoporotic? Review of the evidence

作者: Steven R. Cummings

DOI: 10.1016/0002-9343(85)90343-2

关键词: MedicineDentistryElderly personsControl subjectsBone massPhysical therapySkeleton (computer programming)Hip fractureGeneral Medicine

摘要: Abstract This report critically reviews 15 case-control studies that disagree about whether patients who fracture their hip are significantly more osteoporotic than persons of similar age do not. The most rigorously designed observed less bone mass in the hips with fractures In control subjects, but differences were usually small and overlapping. Measurements at other sites skeleton did not consistently find differences. Those protected against ascertainment bias generally found smaller Patients appear to be distinctly age. Therefore, factors besides mass, such as a tendency fall, may important determinants which elderly will have fractures; thus, measurements might reliable way identify those greatest risk fracture.

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