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偏瘫后髋部骨折。

Hip fracture after hemiplegia.

作者信息

Mulley G, Espley A J

出版信息

Postgrad Med J. 1979;55(642):264-5. doi: 10.1136/pgmj.55.642.264.

DOI:10.1136/pgmj.55.642.264
PMID:471862
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2428127/
Abstract

In a series of 57 hemiplegic patients who subsequently fractured their hips, it was found that hip fracture occurred significantly more often on the hemiplegic side. Hip fracture was equally common in right- and left-sided hemiplegia, and often occurred within one year of the stroke. Two factors seem to be important in the genesis of hip fractures in hemiplegic patients: the tendency of stroke patients to fall to the affected side as a result of impaired locomotor function, and the development of disuse osteoporosis in the hemiplegic limb.

摘要

在一系列57例随后发生髋部骨折的偏瘫患者中,发现髋部骨折在偏瘫侧发生的频率明显更高。右侧和左侧偏瘫患者发生髋部骨折的情况同样常见,且常发生在中风后的一年内。在偏瘫患者髋部骨折的发生过程中,两个因素似乎很重要:中风患者由于运动功能受损而倾向于向患侧跌倒,以及偏瘫肢体发生废用性骨质疏松。

相似文献

1
Hip fracture after hemiplegia.偏瘫后髋部骨折。
Postgrad Med J. 1979;55(642):264-5. doi: 10.1136/pgmj.55.642.264.
2
Analysis of prosthetic replacement in treatment of femoral neck fracture on the hemiplegia side in the elderly.老年偏瘫侧股骨颈骨折人工关节置换治疗分析
Chin J Traumatol. 2004 Jun;7(3):138-42.
3
A prospective study on hip fractures in patients with previous cerebrovascular accidents.一项关于既往有脑血管意外患者髋部骨折的前瞻性研究。
Injury. 1992;23(5):297-9. doi: 10.1016/0020-1383(92)90171-n.
4
Amelioration of hemiplegia-associated osteopenia more than 4 years after stroke by 1 alpha-hydroxyvitamin D3 and calcium supplementation.中风4年多后,补充1α-羟基维生素D3和钙可改善偏瘫相关性骨质减少。
Stroke. 1997 Apr;28(4):736-9. doi: 10.1161/01.str.28.4.736.
5
Hip fracture in stroke patients. Epidemiology and rehabilitation.中风患者的髋部骨折。流行病学与康复
Acta Orthop Scand. 1985 Jun;56(3):226-7. doi: 10.3109/17453678508993000.
6
Development of osteopenia in the hemiplegic finger in patients with stroke.
Eur Neurol. 1996;36(5):278-83. doi: 10.1159/000117272.
7
Internal fixation versus conservative treatment for elderly patients with a trochanteric hip fracture in conjunction with post-stroke hemiplegia.老年股骨转子间骨折合并中风后偏瘫患者的内固定治疗与保守治疗对比
Injury. 2016 Oct;47(10):2169-2172. doi: 10.1016/j.injury.2016.07.011. Epub 2016 Jul 9.
8
Periarticular calcification in a hemiplegic limb--a rare complication of a stroke.偏瘫肢体关节周围钙化——中风的一种罕见并发症。
J Am Geriatr Soc. 1970 Nov;18(11):916-21. doi: 10.1111/j.1532-5415.1970.tb02843.x.
9
Significance of muscular disturbances in the localization of fractures of the proximal femur.肌肉紊乱在股骨近端骨折定位中的意义。
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10
[Femoral neck fractures in hemiplegic patients].[偏瘫患者的股骨颈骨折]
Ned Tijdschr Geneeskd. 1976 Feb 28;120(9):369-74.

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2
Stepping characteristics during externally induced lateral reactive and voluntary steps in chronic stroke.慢性脑卒中患者在外部诱发的横向反应性和随意性迈步期间的迈步特征。
Gait Posture. 2019 Jun;71:198-204. doi: 10.1016/j.gaitpost.2019.05.001. Epub 2019 May 3.
3
Poststroke hip fracture: prevalence, clinical characteristics, mineral-bone metabolism, outcomes, and gaps in prevention.中风后髋部骨折:患病率、临床特征、矿物质骨代谢、结局及预防方面的差距
Stroke Res Treat. 2013;2013:641943. doi: 10.1155/2013/641943. Epub 2013 Sep 25.
4
Quantifiable patterns of limb loading and unloading during hemiparetic gait: Relation to kinetic and kinematic parameters.偏瘫步态中肢体加载和卸载的可量化模式:与动力学和运动学参数的关系。
J Rehabil Res Dev. 2012;49(9):1293-304. doi: 10.1682/jrrd.2011.02.0018.
5
Randomized clinical stroke rehabilitation trials in 2005.2005年的随机临床中风康复试验。
Neurochem Res. 2007 Apr-May;32(4-5):807-21. doi: 10.1007/s11064-006-9211-y. Epub 2006 Dec 27.
6
Alterations of bone mineral density of the femurs in hemiplegia.偏瘫患者股骨骨密度的改变。
Calcif Tissue Int. 1995 Apr;56(4):259-62. doi: 10.1007/BF00318043.
7
Avoidable complications of stroke.中风的可避免并发症。
J R Coll Physicians Lond. 1982 Apr;16(2):94-7.
8
Post-stroke hip fractures.中风后髋部骨折
Arch Orthop Trauma Surg (1978). 1988;107(6):345-7. doi: 10.1007/BF00381059.

本文引用的文献

1
The fractured hip in hemiplegic patients.
Geriatrics. 1957 Dec;12(12):687-90.
2
Prevention of falls in the hemiplegic patient.偏瘫患者跌倒的预防
Geriatrics. 1956 Jul;11(7):306-11.
3
Unilateral osteoporosis in longstanding hemiplegia in the elderly.老年人长期偏瘫所致的单侧骨质疏松症。
J Am Geriatr Soc. 1967 Jan;15(1):59-64. doi: 10.1111/j.1532-5415.1967.tb05337.x.
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Verticality perception and ambulation in hemiplegia.
Arch Phys Med Rehabil. 1970 Feb;51(2):105-10.
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Complications in the rehabilitation of hemiplegic patients.偏瘫患者康复中的并发症
Med Clin North Am. 1969 May;53(3):541-59.