Diabetes mellitus and risk of hip fractures: a meta-analysis. Risk of low-energy fracture in type 2 diabetes patients: a meta-analysis of observational studies. Am J Epidemiol. Displaced intracapuslar hip fractures in the working age alcohol-abusing patient.
Scott Med J. Alcohol intake as a risk factor for fracture. Download references. The funding body had no rule in the design of the study, data collection, data analysis, data interpretation or in writing the manuscript. You can also search for this author in PubMed Google Scholar. SB contributed to study conception and design, data collection, performed the statistical analysis with support from the Department of Data and Analytics at Akershus University Hospital and wrote the manuscript.
JEG contributed to study conception and design, interpretation of data, and critical revision of the manuscript. FF contributed to study conception and design, interpretation of data, and critical revision of the manuscript. CR contributed to study conception and design, interpretation of data, and critical revision of the manuscript.
SEU contributed to study conception and design, data collection, interpretation of data, and critical revision of the manuscript. All authors read and approved the final manuscript.
Correspondence to Stefan Bartels. Informed consent was obtained from all individual participants included in the study. Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Reprints and Permissions. Bartels, S. BMC Musculoskelet Disord 20, Download citation.
Received : 25 March Accepted : 19 July Published : 14 August Anyone you share the following link with will be able to read this content:. Sorry, a shareable link is not currently available for this article.
Provided by the Springer Nature SharedIt content-sharing initiative. Skip to main content. Search all BMC articles Search. Download PDF. Background Regardless of age, a displaced femoral neck fracture FNF is a severe injury and will almost always require hospitalization and surgery [ 1 ].
Statistical analysis Continuous variables are presented as mean values and categorical variables were summarized by the number of subjects and percentage in each category.
Table 1 Baseline characteristics according to the two different groups Full size table. Full size image. Table 2 Differences in hip function between cases before fracture and controls Full size table. Differences in hip function presented by HOOS for both groups and before fracture. T-score values for fracture and control group. Table 4 Logistic regression with Odd ratio obtaining displaced FNF for multivariate analyses and with adjustments Full size table.
Availability of data and materials Due to regulations from the Norwegian Data Inspectorate and according to Norwegian personal protections laws, publication of the complete dataset is not legal or appropriate. References 1. Google Scholar 2. Article Google Scholar 6. Article Google Scholar 7. This portion of your femur bone is measured because it has a larger percentage of soft bone than the rest of your femur.
This makes it more vulnerable to a fracture. Hip fractures are a big concern; not just for individuals, but also for the strain it places on the health care system worldwide.
Among those who survive, almost one-half never return to their previous level of independence. Falling on your hip is a common cause of a hip fracture. Improving your balance is as important as improving the strength of the muscles around your hips. Exercise is an essential ingredient to bone health. If you have osteoporosis, therapeutic exercise needs to be part of your osteoporosis treatment program.
But what exercises should you do and which ones should you avoid? What exercises build bone and which ones reduce your chance of a fracture? Is Yoga good for your bones? Who should you trust when it comes to exercises for osteoporosis? A great resource on exercise and osteoporosis is my free, seven day email course called Exercise Recommendations for Osteoporosis.
After you provide your email address, you will receive seven consecutive online educational videos on bone health — one lesson each day. You can look at the videos at anytime and as often as you like. I cover important topics related to osteoporosis exercise including:.
Enter your email address and I will start you on this free course. I do not SPAM or share your email address or any information with third parties.
You can unsubscribe from my mail list at any time. Many of my patients often confuse the neck of the femur with the neck pain that they erroneously associate when they have osteoporosis. These are two separate things.
The neck pain you experience is not caused by your osteoporosis other than the anxiety caused by a low Bone Mineral Density test score.
I explain this in my blog dedicated to osteoporosis neck pain. At the top of the femur is a thin piece or strip of bone that connects the long shaft of the thigh bone to the head of the femur. That thin strip of bone is femoral neck. The head of the femur is semi-dome shaped bone that rests in the hip.
Why do we care about the femoral neck fractures? There are certain parts of our body that has more soft bone, or trabecular bone. The femoral neck is one such area. Throughout our body, we have cortical bone — very hard bone — and we have the soft spongy bone.
The long shaft of our femur has lots of cortical bone. But, bone in the neck of femur has a very high percentage of trabecular bone — soft spongy bone. Much like bone in each vertebrae, your ribs, and your skull. After that we can talk about is how to protect your neck of femur when you exercise. A recent very small study in the Journal of Physical Therapy Science 6 looked specifically at whether closed kinetic chain or open kinetic chain exercises helped the neck of femur and specifically increase femoral neck bone density.
I define, below, closed kinetic chain exercises and open kinetic chain exercises. The study concluded that patients should practice closed kinetic chain exercises. The capsule is the area that contains the fluid that lubricates and nourishes the hip joint. Fractures in this area are categorized based on the location of the fracture along the femoral neck:.
More than 90 percent of these fractures occur in people older than They are more common in women. A femoral neck fracture can tear the blood vessels and cut off the blood supply to the femoral head. If the blood supply to the femoral head is lost, the bone tissue will die a process called avascular necrosis , leading to the eventual collapse of the bone.
Fractures that occur in places where the blood supply is not disrupted have a better chance of healing. For these reasons, treatment for an elderly patient with displaced femoral fractures will depend upon the location of the break and the quality of the blood supply.
The standard of care for a displaced fracture where the blood supply is disrupted involves replacing the femoral head hemiarthroplasty or a total hip arthroplasty. Trauma is the most common cause of femoral neck fractures. Being over the age of 50 or having a medical condition that weakens your bones, such as osteoporosis , increases your risk of a fracture in the femoral neck. Having bone cancer is also a risk factor. Falls are the most common cause of femoral neck fractures in older adults.
In younger people, these fractures most often result from high-energy trauma, such as a vehicle collision or fall from a great height.
Femoral neck fractures are rare in children. Along with high-energy trauma, they can also be caused by low bone mineral density, such as osteopenia or osteoporosis, or by other conditions like cerebral palsy or muscular dystrophy.
The most common symptom of a femoral neck fracture is pain in the groin that gets worse when you put weight on the hip or try to rotate the hip. If your bone is weakened by osteoporosis, cancer, or another medical condition, you might experience groin pain leading up to the time of the fracture.
With a femoral neck fracture, your leg may appear shorter than your uninjured leg, or your leg may be externally rotated with your foot and knee turned outward. A doctor can usually determine if you have a hip fracture based on the position of your hip and leg, along with your symptoms.
Article Info. Abstract Average life expectancy is getting longer due to medical developments and improvements in living standards. Acknowledgement Supported by : Gwangju Health University. Blake GM and Fogelman I. Bone densitometry and the diagnosis of osteoporosis. Semin Nucl Med. A comparative study of computed digital absorptiometry and conventional dual-energy X-ray absorptiometry in postmenopausal women. Osteoporos Int.
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