TY  - JOUR
PY  - 2013//
TI  - Risk factors for osteoporosis are common in young and middle-aged patients with femoral neck fractures regardless of trauma mechanism
JO  - Acta orthopaedica
A1  - Al-Ani, Amer N.
A1  - Neander, Gustaf
A1  - Samuelsson, Bodil
A1  - Blomfeldt, Richard
A1  - Ekström, Wilhelmina
A1  - Hedström, Margareta
SP  - 54
EP  - 59
VL  - 84
IS  - 1
N2  - 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>
LA  - en
SN  - 1745-3674
UR  - http://dx.doi.org/10.3109/17453674.2013.765639
ID  - ref1
ER  -