ArticleOsteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA2006
Young patients with hip fracture: a population-based study of bone mass and risk factors for osteoporosis.
Article in Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 3 of them syntheses that pooled it.
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Who cites it
20 citing papers in PubMed, 3 syntheses or guidelines pooled it, 41 citations in OpenAlex.
- Pooled it
- Surgical approaches for inserting hemiarthroplasty of the hip in people with hip fractures.The Cochrane database of systematic reviews · 2025Pooled it
- [Austrian guidance for the pharmacological treatment of osteoporosis in postmenopausal women--update 2009].Wiener medizinische Wochenschrift. Supplement · 2009Guideline
- The optimal dosage regimen of vitamin D supplementation for correcting deficiency in adolescents: a pilot randomized controlled trial.European journal of clinical nutrition · 2018Trial
- Comorbidities and outcomes associated with young adult hip fracture: a systematic review and meta-analysis.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2026Review
- Identifying kinesiophobia subtypes and their determinants in patients with hip fractures: a latent profile analysis.Frontiers in psychiatry · 2025Article
- Article
- A Case Series of Young Patients with Low-Energy Femoral Neck Fractures.The Iowa orthopaedic journal · 2023Article
- Frailty and osteoporosis in patients with hip fractures under the age of 60-a prospective cohort of 218 individuals.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2022Article
- Assessing outcomes in hip fracture patients under the age of 60.Irish journal of medical science · 2022Article
- Comorbidity and mortality after hip fracture in nineteen thousand six hundred and eighty two patients aged eighteen to sixty five years in Denmark from 1996 to 2012.International orthopaedics · 2019Article
- Low bone density and high morbidity in patients between 55 and 70 years with displaced femoral neck fractures: a case-control study of 50 patients vs 150 normal controls.BMC musculoskeletal disorders · 2019Observational
- High failure rate after internal fixation and beneficial outcome after arthroplasty in treatment of displaced femoral neck fractures in patients between 55 and 70 years.Acta orthopaedica · 2018Article
- Incidence and excess mortality of hip fracture in young adults: a nationwide population-based cohort study.BMC musculoskeletal disorders · 2016Article
- Hip fracture risk assessment: artificial neural network outperforms conditional logistic regression in an age- and sex-matched case control study.BMC musculoskeletal disorders · 2013Article
- Secular reduction of excess mortality in hip fracture patients >85 years.BMC geriatrics · 2013Article
- Risk factors for osteoporosis are common in young and middle-aged patients with femoral neck fractures regardless of trauma mechanism.Acta orthopaedica · 2013Article
- The impact of substance abuse on osteoporosis screening and risk of osteoporosis in women with psychotic disorders.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2011Article
- Lower prevalence of hip fractures in foreign-born individuals than in Swedish-born individuals during the period 1987-1999.BMC musculoskeletal disorders · 2010Article
- White matter lesions and the risk of incident hip fracture in older persons: results from the progetto veneto anziani study.Archives of internal medicine · 2007Article
Corrections and comments
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Authors and funding
6 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionHip fracture in young patients is rare. The present study was aimed to clarify the comorbidity pattern and reveal relevant risk factors for osteoporosis and fracture in this patient group. MATERIALS AND
methodsUsing electronic diagnosis registers and lists of the operating theatres for the Oslo hospitals, patients with new hip fracture during two 1-year periods from May 1994 through April 1995 and from May 1996 through April 1997 were identified. All patients age 20-49 years at the time of fracture were included (n=49), and a detailed medical history was recorded. Thirty-two of the patients volunteered for examination and completed a questionnaire and interview to reveal risk factors for osteoporosis. Data from the Oslo Health Study served as reference material. Bone mineral density (BMD) was measured using dual x-ray absorptiometry, and Z-scores were calculated using healthy subjects from Oslo as reference.
resultsOf the patients identified, the median age was 40 years (range 25-49), and 63% were men. In 65% of the patients, the fracture occurred after a fall at the same level, in 16% it occurred after a fall from a higher level, and in 18% it occurred in a traffic accident. Twenty percent of the patients had a history of alcohol or drug abuse, 39% had neuromuscular diseases, and 12% had endocrine diseases. The patients examined had significantly more risk factors for osteoporosis than the reference population. The BMD expressed as Z-score for L2-4 was -1.0+/-0.9 (mean +/- SD; p<0.001), for femoral neck was -1.5+/-1.0 (p<0.001), and for total body was -1.3+/-1.1 (p<0.001). BMD was significantly lower than in controls for patients sustaining low-energy and high-energy trauma. There was a negative correlation between the total number of risk factors and BMD for lumbar spine (r=-0.35, p<0.05), femoral neck (r=-0.37, p=0.04), and total body (r=-0.55, p=0.001), respectively.
conclusionsThe majority of the young patients with hip fracture have a history of low-energy trauma, comorbidity predisposing for falls or decreased bone strength, as well as several risk factors for osteoporosis. The BMD was significantly lower than in the reference population regardless of the trauma mechanism.
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