Mulley G, Espley A J
Postgrad Med J. 1979;55(642):264-5. doi: 10.1136/pgmj.55.642.264.
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.
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。