Comprehensive Care of Orthopaedic Injuries in the Elderly. Edited

Zuckerman, Joseph D.; Urban, Matthew W.; Schwarzenberg,

doi:10.1097/00005131-199103000-00027

Cited by 18 publications

(23 citation statements)

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“…This is in agreement with an earlier study conducted in Kuwait. [11] Osteoporosis has been identified as the main risk factor of hip fracture among elderly individuals,[16181920] and osteoporotic hip fractures have been found to occur with minimal trauma. [10162122]…”

Section: Discussionmentioning

confidence: 99%

Mechanisms of hip fracture in Owerri, Nigeria, and its associated variables

Ck¹,

Jervas²,

Anyanwu³

et al. 2013

Ann Med Health Sci Res

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Background:Hip fracture has been associated with various risk factors, including osteoporosis, excessive alcohol consumption, physical inactivity, visual impairment, aging, sex, rural/urban inhabitation, race and climatic variations. Mechanisms of hip fractures in many parts of the world have been documented, and include road traffic accident (RTA), gunshot injury, fall from heights and many others. There is paucity of such documentation in Owerri, Nigeria.Aim:This study was designed to investigate the mechanism of hip fractures in Owerri, Nigeria, and to determine its prevailing factors.Materials and Methods:The study was conducted in hospitals located in Owerri, Nigeria. Cases of hip fracture were identified from the medical register while data were sourced from the medical record department for hip fractures that occurred between 1st January 2002 and 31st December 2008 for patients resident in Owerri and aged between 10 years and above.Results:The study uncovered a total of 105 cases of hip fractures over the study period in 65% (n = 68) males and 35% (n = 37) females. Proportion of hip fractures as a result of fragility fracture mechanisms was significantly higher in females than in the males (P < 0.001), while the reverse was the case for RTA mechanisms. In the same vein, proportion of hip fractures as a result of moderate trauma mechanisms was significantly higher in the elderly than in the young patients (P < 0.001), while the reverse was the case for RTA mechanisms.Conclusion:Mechanism of hip fractures in Owerri, Nigeria, can be associated with gender and age. RTA had the largest single contributory mechanism of hip fractures in Owerri. Therefore, public health campaigns and promotions should be created to reduce the influence of RTA on hip fracture among this population. Among the elderly population, hip fracture was mostly sustained from fragility trauma mechanisms, suggesting that osteoporosis is a major contributory factor of hip fracture among this population.

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Section: Discussionmentioning

confidence: 99%

Mechanisms of hip fracture in Owerri, Nigeria, and its associated variables

Ck¹,

Jervas²,

Anyanwu³

et al. 2013

Ann Med Health Sci Res

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show abstract

“…By the sixth decade," the tendinous fibers of the rotator muscles undergo significant degenerative chanpes that weaken and predispose them to injury. , 2 Codman," in a classic treatise on disease of the shoulder, identified a "critical zone" near the insertion of the supraspinatus tendon where rotator tears commonly occur. Rothman and Parke" subsequently studied the critical zone and suggested the area was relatively hypovascular and that this contributed to degeneration of the supraspinatus tendon, a conjecture 0002-8614/92/$3.50 supported by Rathburn and Mcnab."…”

Section: Discussionmentioning

confidence: 99%

Rotator Cuff Tears in the Elderly: A Brief Review of Two Cases

Rousseau¹

1992

J American Geriatrics Society

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“…Conservative treatment of this fracture results in decubitus ulcer, joint contractures, pneumonia, urinary tract infection and thromboembolic complications. 1 Fracture healing accompanied by external rotation, varus deformity and shortening because of the inability of traction to effectively counteract the deforming muscular forces. 1 Operative treatment is aimed for fracture reduction and stabilization, which permits early patient mobilization and minimizes the complications.…”

Section: Introductionmentioning

confidence: 99%

Clinical outcome of primary cemented hemiarthroplasty in unstable trochanteric fractues in elderly patients

Mukherjee

Ganguli

2018

Int J Res Orthop

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Background: Management of unstable trochanteric fracture in elderly patients is challenging due to poor bone quality. Fracture stabilization and early mobilization is very important in preventing the complications. Fixation of the fracture with proximal femoral nail and dynamic hip screw has its complication and it takes time to mobilization of the patient after consolidation of fracture. Cemented bipolar hemiarthroplasty in osteoporotic unstable comminuted trochanteric fracture helps in early mobility and reduces complications.Methods: We prospectively analyzed 20 cases of cemented hemiarthroplasty in unstable intertrochanteric fractures. The functional outcomes were assessed based by Harris hip score.Results: The functional outcome measured with Harris hip score is excellent to good in most of the patients.Conclusions: Primary cemented hemiarthroplasty in unstable trochanteric fracture in elderly results in early ambulation with good functional outcome.

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Comprehensive Care of Orthopaedic Injuries in the Elderly. Edited

Cited by 18 publications

References 0 publications

Mechanisms of hip fracture in Owerri, Nigeria, and its associated variables

Mechanisms of hip fracture in Owerri, Nigeria, and its associated variables

Rotator Cuff Tears in the Elderly: A Brief Review of Two Cases

Clinical outcome of primary cemented hemiarthroplasty in unstable trochanteric fractues in elderly patients

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