We assessed the relationship between the onset of pain and the fall in a consecutive series of 1,212 patients admitted to a single hospital with an acute hip fracture. 915 patients could be evaluated.
The overall incidence of spontaneous fractures was 7%, but this fell to 5% if pathological fractures were excluded.
The incidence of fractures without a fall was 6%. 2% of patients gave a history of pain for up to 8 weeks before the fall and only 2 of the patients gave a history of acute pain in the hip, causing them to fall.
Physicians should be aware that a spontaneous hip fracture can occur without any history of trauma and such fractures are likely to be pathological or intracapsular.
Mots-clés Pascal : Fracture pathologique, Hanche, Spontané, Epidémiologie, Incidence, Symptomatologie, Physiopathologie, Etude longitudinale, Homme, Membre inférieur, Système ostéoarticulaire pathologie
Mots-clés Pascal anglais : Pathologic fracture, Hip, Spontaneous, Epidemiology, Incidence, Symptomatology, Pathophysiology, Follow up study, Human, Lower limb, Diseases of the osteoarticular system
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Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0466237
Code Inist : 002B16H. Création : 03/02/1998.