Characteristics of males over 50 years who present with a fracture: epidemiology and underlying risk factors.

J Bone Joint Surg Br

Department of Orthopaedic Surgery, Glasgow Royal Infirmary, Glasgow G4 0SF, UK.

Published: January 2008

Osteoporosis and fragility fractures in men constitute a considerable burden in healthcare. We have reviewed 2035 men aged over 50 years with 2142 fractures to clarify the epidemiology of these injuries and their underlying risk factors. The prevalence of osteoporosis ranged between 17.5% in fractures of the ankle and 57.8% in those of the hip. The main risk factors associated with osteoporosis were smoking (47.4%), alcohol excess (36.2%), body mass index < 21 (12.8%) and a family history of osteoporosis (8.4%). Immobility, smoking, self-reported alcohol excess, a low body mass index, age >/=72 and loss in height were significantly more common among men with fractures of the hip than in those with fractures elsewhere.

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http://dx.doi.org/10.1302/0301-620X.90B1.18773DOI Listing

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