Prefracture syndrome of the hip fracture: a case control study

Clinical and Experimental Rheumatology

J.B. Gauvain¹  J. Jenn¹  K. Briot¹  M. Fleury¹  M. Dubois¹  C. Roux¹ 

关键词: Hip fracture;    osteoporosis;    stress fracture;    elderly;    frailty.;   

DOI  :  

学科分类：医学（综合）

来源: Pacini Editore SpA

【 摘 要 】

BACKGROUND:Hip fractures result from both bone fragility and trauma, more often a sideways fall. Spontaneous hip fractures have been described; in such cases, patients reported pain (`prefracture` syndrome) in the hip region for weeks before the fracture. OBJECTIVES:To identify the proportion of patients who had a pain in the hip region before a hip fracture, to compare this proportion to the one observed in controls and to describe the characteristics of this pain. PATIENTS AND METHODS:For a period of 6 months, each subject (>65 years) treated for hip fracture was prospectively recruited in an orthopaedic surgery department. Exclusion criteria were: alterations of cognitive functions (defined by a mini mental state <20), refusal, and fractures related to bone metastasis or multiple myeloma. Subjects were compared to sex-matched controls consulting in an acute care geriatrics unit. They were asked about the occurrence of pain in hip region before the fracture and its characteristics.RESULTS:Thirty-eight patients (31 women, 7 men, mean age 83.1 [±7.6]) were included and were compared to 38 sex-matched controls (31 women, 7 men, mean age 82.7 [±6.9]). Among the 38 patients with hip fracture, 10 (26.3%) reported a pain in the hip region, compared with 2 (5.3%) in the control group (p=0.01).CONCLUSIONS:A better recognition of `prefracture` pain in the elderly may allow adequate management and treatment of patients, in order to avoid a proportion of hip fractures.

【 授权许可】

Unknown