骨质疏松症、跌倒与股骨近端骨折中的年龄因素
Osteoporosis, falls, and age in fracture of the proximal femur.
作者信息
Cooper C, Barker D J, Morris J, Briggs R S
出版信息
Br Med J (Clin Res Ed). 1987 Jul 4;295(6589):13-5. doi: 10.1136/bmj.295.6589.13.
Abstract
The relative importance of osteoporosis and risk of falling in causing hip fracture is not known. Femoral neck bone mass was measured in 708 elderly people, all of whom had fallen and injured a hip. Below 75 years of age there was a steep increase in relative risk of fracture with reduced bone mass, measured by Singh grade. Above that age the increase in risk was small, and neuromuscular responses which protect the skeleton against trauma may be more important than bone mass.
摘要
骨质疏松症和跌倒风险在导致髋部骨折方面的相对重要性尚不清楚。对708名老年人进行了股骨颈骨量测量，他们均有过跌倒并髋部受伤的经历。在75岁以下，根据辛格分级法测量，随着骨量减少，骨折的相对风险急剧增加。75岁以上，风险增加较小，保护骨骼免受创伤的神经肌肉反应可能比骨量更重要。
相似文献
1
Osteoporosis, falls, and age in fracture of the proximal femur.骨质疏松症、跌倒与股骨近端骨折中的年龄因素
Br Med J (Clin Res Ed). 1987 Jul 4;295(6589):13-5. doi: 10.1136/bmj.295.6589.13.
2
Osteoporosis, falls, and age in fracture of the proximal femur.骨质疏松症、跌倒与股骨近端骨折中的年龄因素
Br Med J (Clin Res Ed). 1987 Aug 15;295(6595):444-5. doi: 10.1136/bmj.295.6595.444-d.
3
Absence of metabolic bone disease in the proximal femur in patients with fracture of the femoral neck.
J Bone Joint Surg Br. 1982;64(3):319-22. doi: 10.1302/0301-620X.64B3.7096397.
4
A multidisciplinary approach in patients with femoral neck fracture on an osteoporotic basis.对基于骨质疏松症的股骨颈骨折患者采取多学科方法。
Rom J Morphol Embryol. 2010;51(4):707-11.
5
New QCT analysis approach shows the importance of fall orientation on femoral neck strength.新的定量CT分析方法显示了跌倒方向对股骨颈强度的重要性。
J Bone Miner Res. 2005 Sep;20(9):1533-42. doi: 10.1359/JBMR.050510. Epub 2005 May 16.
6
Fractures of the proximal femur: correlates of radiological evidence of osteoporosis.股骨近端骨折：骨质疏松症放射学证据的相关因素
Skeletal Radiol. 2006 Apr;35(4):202-11. doi: 10.1007/s00256-005-0065-1. Epub 2006 Feb 10.
7
[Participation of osteoporosis in femoral neck fracture--bone mineral measurement of proximal femur using quantitative computed tomography].
Nihon Seikeigeka Gakkai Zasshi. 1989 Oct;63(10):1188-200.
8
Femoral structure and stiffness in patients with femoral neck fracture.股骨颈骨折患者的股骨结构与硬度
J Orthop Res. 2000 May;18(3):443-8. doi: 10.1002/jor.1100180317.
9
Determination of osteoporosis in patients with fractured femoral neck using the Singh index: a Jerusalem study.
Clin Orthop Relat Res. 1981 May(156):189-95.
10
Pain due to bone insufficiency as a symptom heralding femoral neck fracture.骨量不足引起的疼痛作为股骨颈骨折的先兆症状。
Rev Rhum Engl Ed. 1996 Jan;63(1):30-5.
引用本文的文献
1
Fracture risk based on high-resolution peripheral quantitative computed tomography measures does not vary with age in older adults-the bone microarchitecture international consortium prospective cohort study.基于高分辨率外周定量计算机断层扫描测量的骨折风险在老年人中不随年龄变化-骨骼微观结构国际联合会前瞻性队列研究。
J Bone Miner Res. 2024 May 24;39(5):561-570. doi: 10.1093/jbmr/zjae033.
2
The epidemiology of adult fractures according to the AO/OTA fracture classification.成人骨折的流行病学：基于 AO/OTA 骨折分类。
Ulus Travma Acil Cerrahi Derg. 2022 Jan;28(2):209-216. doi: 10.14744/tjtes.2020.26374.
3
Descriptive epidemiology of traumatic injuries in 18890 adults: a 5-year-study in a tertiary trauma center in iran.18890名成年人创伤性损伤的描述性流行病学：在伊朗一家三级创伤中心进行的为期5年的研究。
Asian J Sports Med. 2015 Mar;6(1):e23129. doi: 10.5812/asjsm.23129. Epub 2015 Mar 20.
4
Role of quantitative ultrasound to predict fracture among institutionalised older people with a history of fracture.
Osteoporos Int. 2009 Jan;20(1):105-12. doi: 10.1007/s00198-008-0638-7. Epub 2008 May 27.
5
Comparison of logistic and Bayesian classifiers for evaluating the risk of femoral neck fracture in osteoporotic patients.用于评估骨质疏松症患者股骨颈骨折风险的逻辑回归和贝叶斯分类器的比较。
Med Biol Eng Comput. 2001 Nov;39(6):633-7. doi: 10.1007/BF02345434.
6
The influence of alcohol consumption on the risk of vertebral deformity. European Vertebral Osteoporosis Study Group.饮酒对椎体畸形风险的影响。欧洲椎体骨质疏松研究小组。
Osteoporos Int. 1997;7(1):65-71. doi: 10.1007/BF01623463.
7
Femoral neck bone density and fracture risk.
Osteoporos Int. 1996;6 Suppl 3:24-6. doi: 10.1007/BF01623760.
8
Rationale and clinical indications for bone density measurements.
Osteoporos Int. 1996;6 Suppl 2:6-8. doi: 10.1007/BF01625233.
9
A prospective study of alcohol consumption and bone mineral density.一项关于饮酒与骨密度的前瞻性研究。
BMJ. 1993 Jun 5;306(6891):1506-9. doi: 10.1136/bmj.306.6891.1506.
10
When bone mass fails to predict bone failure.当骨量无法预测骨衰竭时。
Calcif Tissue Int. 1993;53 Suppl 1:S7-13. doi: 10.1007/BF01673395.
本文引用的文献
1
Determination of osteoporosis in patients with fractured femoral neck using the Singh index: a Jerusalem study.
Clin Orthop Relat Res. 1981 May(156):189-95.
2
Changes in bone mineral density of the proximal femur and spine with aging. Differences between the postmenopausal and senile osteoporosis syndromes.股骨近端和脊柱骨密度随年龄的变化。绝经后骨质疏松症和老年性骨质疏松症综合征之间的差异。
J Clin Invest. 1982 Oct;70(4):716-23. doi: 10.1172/jci110667.
3
Cortical and trabecular bone status in elderly women with femoral neck fracture.老年股骨颈骨折女性的皮质骨和小梁骨状况
Clin Orthop Relat Res. 1982 Jun(166):143-51.
4
On aging bone loss.论衰老性骨质流失。
Clin Orthop Relat Res. 1982 May(165):239-52.
5
Lack of metabolic bone disease in patients with fracture of the femoral neck.股骨颈骨折患者无代谢性骨病。
Aust N Z J Med. 1981 Apr;11(2):158-61. doi: 10.1111/j.1445-5994.1981.tb04224.x.
6
Postmenopausal osteoporosis.绝经后骨质疏松症
Br Med J (Clin Res Ed). 1982;285(6342):585-8. doi: 10.1136/bmj.285.6342.585.
7
Radiologic morphometry in patients with femoral neck fractures and elderly control subjects. Comparison with histomorphometric parameters.
Clin Orthop Relat Res. 1984 Mar(183):64-70.
8
Bone mineral content of femoral bone and the lumbar spine measured in women with fracture of the femoral neck by dual photon absorptiometry.通过双能光子吸收法测量股骨颈骨折女性的股骨和腰椎骨矿物质含量。
Clin Orthop Relat Res. 1983 Oct(179):240-5.
9
Relevance of osteoporosis in women with fracture of the femoral neck.骨质疏松症在股骨颈骨折女性中的相关性。
Br Med J (Clin Res Ed). 1984 Feb 25;288(6417):597-601. doi: 10.1136/bmj.288.6417.597.
10
Clinical significance and pathogenesis of osteoporosis.骨质疏松症的临床意义及发病机制。
Br Med J. 1971 Mar 13;1(5749):571-6. doi: 10.1136/bmj.1.5749.571.
Zotero 插件