Background factors in patients with hip fractures--differences between cervical and trochanteric fractures.

I Sernbo, O Johnell
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Abstract

Comparisons were made between 133 men with cervical fractures and 151 men with trochanteric fractures and 308 women with cervical fractures and 449 women with trochanteric fractures. All patients with hip fractures were studied consecutively and prospectively. Patients were interviewed a few days after admission and their medical records studied. We found great differences in background factors between patients with cervical and trochanteric fractures but these differences seemed to depend largely on age. In an age-matched material we find that patients with trochanteric fractures are more prone to such fragility fractures as vertebral fracture, trochanteric fracture and fracture of the upper end of the humerus. This could mean that trochanteric fractures occur in bone of lower trabecular mass.

髋部骨折患者的背景因素——颈椎骨折与粗隆骨折的差异。
对133名男性颈椎骨折患者和151名男性粗隆骨折患者以及308名女性颈椎骨折患者和449名女性粗隆骨折患者进行比较。对所有髋部骨折患者进行连续、前瞻性研究。入院几天后对患者进行了访谈,并研究了他们的医疗记录。我们发现颈椎和粗隆骨折患者的背景因素存在很大差异,但这些差异似乎主要取决于年龄。在一份年龄匹配的资料中,我们发现粗隆骨折患者更容易发生脆性骨折,如椎体骨折、粗隆骨折和肱骨上端骨折。这可能意味着转子骨折发生在下小梁肿块处。
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