ABSTRACT
Objective To observe the BMD threshold of hip fracture in the elderly, analyze the pre-imposing factors leading to femoral neck fracture or intertrochanteric fracture, and provide some evidences for fracture prevention. Methods The BMD examination were performed on 496 fractured patients over 60 years old which were grouped after admission according to their age, gender and fracture types, and then the results were statistically analyzed. Results The BMD of fracture cases in the elderly over 60 years old was 2.5 s less than peak bone volume. There is no obvious difference in BMD between femoral neck fracture and intertrochanteric fracture among various age groups. According to our study, most hip fractures happened at the age of 60-79 years, accounting for 73%of all hip fractures. Conclusions Decreased bone mass or osteoporosis is an important factor leading to hip fracture in the elderly. The fracture types (femoral neck fracture or intertrochanteric fracture) depend mainly on the impaction force to the hip, not only on the BMD change.
ABSTRACT
Objective To observe the difference of bone mineral den sity(BMD )between the young and the aged people,old healthy people and old patients with hip fra cture;the incidence of hip frac-ture in the aged was also observed in order t o find out the relationship of hip fracture with osteoporosis in the aged.Met hods BMDof lumbar(L 2~4 ),femoral neck,Wards triangle and trochanteric area was measured in the healthy males(63case)and fe males(58cases)with in the age range of 20t o35years,and the BMD was evalu ated in the healthy male and female over60y ears with hip fractures.The445cases of hip fracture were reviewed from19 91to2000,of them218were males and226females with the average age o f 73.6years in males and71.9years in fe males.Results Allof quantitati ve data was analysed sta tistically.There was sig nificant difference in BMD between the young and the aged people(P