Variation in risk factors for fractures at different sites.
Variation in risk factors for fractures at different sites.
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DOI：
10.1007/s11914-009-0022-3
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发表时间：
2009-12
影响因子：
4.3
通讯作者：
中科院分区：
文献类型：
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作者：
老年人的骨折是重要的医学问题。风险因素的知识是成功的预防措施是必不可少的，但当不同病因的骨折部位相结合，任何一个部位的风险因素是难以识别，并可能完全错过。在老年人中，髋部、肱骨近端和椎骨骨折的发生率随年龄增长而增加，但前臂远端和足部骨折的发生率不随年龄增长而增加。低骨密度与髋部、前臂远端、椎骨和肱骨近端骨折密切相关，但与足部骨折无关。大多数髋部骨折、前臂远端骨折和肱骨近端骨折是由跌倒引起的，而足部骨折和椎骨骨折的比例较小。虚弱的人很可能骨折他们的髋关节或肱骨近端，而健康，活跃的人往往骨折他们的前臂远端。我们强烈建议研究在特定地点的基础上确定风险因素。
Fractures in older people are important medical problems. Knowledge of risk factors is essential for successful preventive measures, but when fracture sites of diverse etiology are combined, risk factors for any one site are difficult to identify and may be missed entirely. Among older people, incidence rates of hip, proximal humerus, and vertebral fractures increase with age, but not rates of distal forearm and foot fractures. Low bone mineral density is strongly associated with hip, distal forearm, vertebral, and proximal humerus fractures, but not foot fracture. Most fractures of the hip, distal forearm, and proximal humerus result from a fall, whereas smaller proportions of fractures of the foot and vertebrae follow a fall. Frail people are likely to fracture their hip or proximal humerus, while healthy, active people tend to fracture their distal forearm. We strongly recommend that studies identify risk factors on a site-specific basis.