Abstract
Background:
Established risk factors for hip fracture exist for older individuals. Young adults (less than 50 years old) presenting with hip fractures have received little attention.
Methods:
The records of all adults, presenting over a 5-year period (1999–2004), to a large inner city teaching hospital, with a diagnosis of hip fracture, were reviewed. Of the 2,778 subjects, 196 involved people less than 65 years of age, limiting this to those less than 50 years old left 42 subjects [30 F/12 M, median (IQR) age 43 (37–47) years old]. Stepwise logistic regression analysis was performed to examine for clinical risk factors.
Results:
In this cohort regression analysis revealed a history of high impact trauma (β = 0.219, p = 0.002) and intravenous drug abuse (β = 0.206, p = 0.003) as predictors for risk of hip fracture.
Conclusions:
Our data suggest that intravenous drug abusers under 50 are a particular group that we should be targeting for intervention strategies.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Aitken M. Aetiology of osteoporosis. In: Aitken M (Ed.Osteoporosis in clinical practice. J Wright and Sons Ltd, Bristol 1984, pp 49–70.
Askin SR, Bryan RS. Femoral neck fractures in young adults. Clin Orthop 1976;114:259–64.
Barnes R, Brown JT, Garden RS, Nicol EA. Subcapital fractures of the femur. A prospective review. J Bone Joint Surg 1976;58B:2–24.
Zetterberg CH, Irstam L, Andersson GBJ. Femoral neck fractures in young adults. Acta Orthop Scand 1982;53:427–35.
Compston JE. Sex steroids and bone. Physiol Res 2001;81:419–47.
McLellan AR, Gallagher SJ, Fraser M, McQuillian C. The fracture liaison service: success of a program for the evaluation and management of patients with osteoporotic fracture. Osteoporos Int 2003;14:1028–34.
Boden SD, Labropoulos P, Saunders R. Hip fracture in young patients: is this early osteoporosis? Calcif Tissue Int 1990;46:65–72.
Robinson CM, Court-Brown CM, McQueen MM, Christie J. Hip fractures in adults younger than 50 years of age. Epidemiology and results. Clin Orthop Relat Res 1995;312:238–46.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Cheng, K., Montgomery, S., Housley, S. et al. Clinical Risk Factors for Hip Fracture in Young Adults Under 50 Years Old. Eur J Trauma Emerg Surg 35, 40–42 (2009). https://doi.org/10.1007/s00068-008-7177-y
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00068-008-7177-y