Evaluation of Common Fractures of the Hip in the Elderly

Abstract

Hip fractures in the geriatric population are a common injury encountered in the emergency department. The recommendations for preoperative medical workup and management of these patients have recently been evaluated. Although medical therapies have been designed in an attempt to decrease the rate of these fractures, attempts to medically manage osteoporosis has created a new “atypical” fracture pattern that must be recognized and managed appropriately. The current recommendations for preoperative medical evaluation and management of patients with hip fractures will be reviewed. In addition, the epidemic of new fractures created by long-term bisphosphonate use will be described, and the current recommendations for the management of these fractures detailed.

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Correspondence to Patrick Strotman.

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Patrick Strotman declares that he has no conflict of interest.

William Lack declares that he has no conflict of interest.

Mitchell Bernstein has received compensation from Smith & Nephew, Synthes, and Ellipse for service as a consultant.

Michael Stover declares that he has no conflict of interest.

Hobie Summers declares that he has no conflict of interest.

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This article is part of the Topical Collection on Emergency Medicine

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Strotman, P., Lack, W., Bernstein, M. et al. Evaluation of Common Fractures of the Hip in the Elderly. Curr Geri Rep 5, 38–43 (2016). https://doi.org/10.1007/s13670-016-0161-1

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Keywords

  • Atypical femur fracture
  • Bisphosphonate fracture
  • Hip fracture
  • Intertrochanteric femur fracture
  • Osteoporosis
  • Fragility fracture
  • Cardiac clearance
  • Preoperative evaluation
  • Mortality