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Journal of Bone and Joint Surgery - British Volume, Vol 90-B, Issue 1, 72-77.
doi: 10.1302/0301-620X.90B1.18773  
Copyright © 2008 by British Editorial Society of Bone and Joint Surgery
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Characteristics of males over 50 years who present with a fracture

EPIDEMIOLOGY AND UNDERLYING RISK FACTORS

S. Sharma, FRCS(Tr & Orth), SpR Orthopaedics1; M. Fraser, RGN, BSc, Osteoporosis Nurse Specialist2; F. Lovell, RGN, ONC, BSc (Hons), Osteoporosis Nurse Specialist3; A. Reece, FRCS(Tr & Orth), Orthopaedic Consultant1; and A. R. McLellan, MD, FRCP, Consultant Endocrinologist Bone Metabolism Unit2

1 Department of Orthopaedic Surgery
2 Western Infirmary, Dumbarton Road, Glasgow G11 6NT, UK
2 Mineral Metabolism Unit Glasgow Royal Infirmary, Glasgow G4 0SF, UK

Correspondence should be sent to Dr A. R McLellan; e-mail: alastair.mclellan{at}northglasgow.scot.nhs.uk

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.






(c) British Editorial Society of Bone and Joint Surgery All Rights Reserved
Registered charity no: 209299     Print ISSN: 0301-620X
Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General