@article{ref1,
title="Risk factors for osteoporosis are common in young and middle-aged patients with femoral neck fractures regardless of trauma mechanism",
journal="Acta orthopaedica",
year="2013",
author="Al-Ani, Amer N. and Neander, Gustaf and Samuelsson, Bodil and Blomfeldt, Richard and Ekström, Wilhelmina and Hedström, Margareta",
volume="84",
number="1",
pages="54-59",
abstract="Background and purpose There have been few prospective studies examining young and middle-aged patients with hip fracture. We therefore investigated background data, risk factors, and the trauma mechanism in young and middle-aged patients with femoral neck fracture. Patients and methods 185 patients, 27 young (20-49 years old) and 158 middle-aged (50-69 years old) were prospectively included in a multicenter study lasting 3 years. Background data and risk factors for osteoporosis and fracture were obtained, and the type of injury was classified as low-energy trauma, high-energy trauma, or sports injury. Results In the young age group, the fracture occurred because of low-energy trauma in two-fifths of patients and because of sport injury in two-fifths of patients. The rest occurred because of high-energy trauma. The corresponding proportions for the middle-aged group were four-fifths, one tenth, and one tenth (p < 0.001). There was a higher proportion of men (19/27) in the young group than in the middle-aged group (69/158) (p = 0.001). One fifth of the young patients were smokers as compared to two-fifths in the middle-age group (p = 0.04). One quarter of the patients reported high-volume alcohol drinking, with no difference between the two groups. Furthermore, three-quarters of the young patients and four-fifths of the middle-aged patients had one or more risk factors for osteoporosis and fracture. Interpretation A minority of patients in each age group had high-energy trauma as the cause of their femoral neck fracture. Lifestyle factors and other non-trauma-related risk factors appear to have been important contributors to the occurrence of femoral neck fracture in both age groups.<p /> <p>Language: en</p>",
language="en",
issn="1745-3674",
doi="10.3109/17453674.2013.765639",
url="http://dx.doi.org/10.3109/17453674.2013.765639"
}