Lizaur-Utrilla A, Puchades Orts A, Sanchez del Campo F, Anta Barrio J, Gutierrez Carbonell P
Clin Orthop Relat Res. 1987 May(218):24-31.
From 1974 until 1982, the cases of 1287 patients with trochanteric fractures of the femur were examined. The incidence of this injury (16.6 per 100,000 persons per year) was lower than in other countries and increased over time. The predominance of the injury in women was 2:1 and the average age was 76.6 years. Women had a higher average age, but there was a progressive increase in age among men. There were no seasonal differences in the frequency of the injury. Seventy-seven percent of the cases were due to moderate trauma; most injuries occurred in the home. Sixty-four percent of the patients had associated diseases. Radiologic morphometry, using the Singh index and a modified method of the cortical-shaft index, was used in 246 patients older than 60 years of age; 84% of these patients had poor bone quality. There was no correlation between the degree of osteopenia and sex, although there was a correlation between osteopenia and fracture type.
1974年至1982年期间，对1287例股骨转子间骨折患者的病例进行了检查。这种损伤的发生率（每年每10万人中有16.6例）低于其他国家，且随时间推移有所增加。女性患者的损伤占比为2:1，平均年龄为76.6岁。女性的平均年龄较高，但男性的年龄呈逐渐上升趋势。损伤发生频率不存在季节性差异。77%的病例是由中度创伤所致；大多数损伤发生在家中。64%的患者伴有其他疾病。对246例60岁以上患者采用了放射学形态测量法，使用辛格指数和皮质骨-骨干指数的改良方法；这些患者中84%的骨质质量较差。骨质减少程度与性别之间无相关性，尽管骨质减少与骨折类型之间存在相关性。
