BACKGROUND One in four Swedish women suffers a hip fracture yielding high morbidity and mortality. We wanted to revalidate a 4-item clinical risk score and evaluate a portable heel bone mineral density (BMD) technique regarding hip and fragility fracture risk among elderly women. METHODS In a population-based prospective cohort study we used clinical risk factors from a baseline questionnaire...

50% of postmenopausal women and 10%–20% of older men, causing substantial morbidity, mortality and cost to society. Prevention of osteoporotic fractures is an important component of health care that relies on the accurate prediction of who is likely to sustain a fracture. Although predicting events is not easy, models that predict fracture have been developed and then validated in external popu...

Along with the lengthening life span, maintaining good quality of life in the elderly is an important goal. We determined frequency and risk factors for osteoporosis and associated fractures among a Japanese cohort in Hiroshima and Nagasaki, known as the Adult Health Study (AHS). We found lower bone mass and a higher vertebral fracture prevalence among Japanese women, compared to women of Japan...

The World Health Organization fracture risk assessment tool (FRAX) and the Garvan fracture risk calculator are both widely available tools for individualized fracture risk prediction in daily practice. The FRAX model is implemented in several guidelines and most widely used at present. However, clinicians should take into account the differences between the models, especially with regard to the...

BACKGROUND AND PURPOSE A variety of risk factors have been hypothesized to contribute to the development of fracture-healing complications; however, population-based estimates of the strength of these risk factors are limited. In this case-control study, we evaluated patient-related risk factors for fracture-healing complications. METHODS Using the United Kingdom General Practice Research Dat...

BACKGROUND New methods for diagnosing osteoporosis and evaluating fracture risk are being developed. We aim to study the association between low-frequency (LF) axial transmission ultrasound and hip fracture risk in a population-based sample of older women. METHODS The study population consisted of 490 community-dwelling women (78-82 years). Ultrasound velocity (V(LF)) at mid-tibia was measure...

a radiolucent table with the patient in the supine position with slight knee flexion. This is particularly useful in an anterior approach. The standard surgical approaches include the traditional Watson-Jones anterolateral approach, which can facilitate implant placement. However, exposure and reduction of the fracture can be difficult in a large or obese patient. The anterior Smith-Petersen ap...

BACKGROUND risk factors for hip fracture in community-dwelling individuals have been extensively studied, but there have been fewer studies of institutionalised older people. METHODS a total of 1,894 older people (1,433 females, 461 males; mean age 86 years, SD 7.1 years) were recruited from 52 nursing homes and 30 intermediate-care nursing care facilities in Australia during March 1999 and F...

BACKGROUND To evaluate factors associated with whether patients associate their fracture with future fracture risk. METHODS Fragility fracture patients participated in a telephone interview. Unadjusted odds ratios (OR, [95% CI]) were calculated to identify factors associated with whether patients associate their fracture with increased fracture risk or osteoporosis. Predictors identified in u...