CHANGING PREVALENCE OF OSTEOMALACIA IN HIP-FRACTURES IN SOUTHEAST SCOTLAND OVER A 20-YEAR PERIOD

被引：5

作者：

ROBINSON, CM

MCQUEEN, MM

WHEELWRIGHT, EF

GARDNER, DL

SALTER, DM

机构：

[1] Department of Orthopaedics, Princess Margaret Rose Orthopaedic Hospital, Edinburgh

[2] Department of Pathology, University of Edinburgh, Edinburgh

来源：

INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED | 1992年 / 23卷 / 05期

关键词：

D O I：

10.1016/0020-1383(92)90172-O

中图分类号：

R4 [临床医学];

学科分类号：

1002 [临床医学]; 100602 [中西医结合临床];

摘要：

In a randomized study of 81 patients with fresh hip fractures who underwent bone biopsy at the time of surgery there was no histologically detectable osteomalacia. This represented a fall in prevalence since a similar study 20 years previously had shown a 12 per cent incidence in the same population. The implications for routine histological screening and measurement of serum bone biochemistry in patients with hip fractures is discussed. The majority of patients in the study group had histologically detectable osteoporosis suggesting that this was an important factor in the aetiology of femoral neck fractures.

引用

页码：300 / 302

页数：3

共 11 条

[1]

Aaron, Gallagher, Anderson, Et al., Frequency of osteomalacia and osteoporosis in fractures of the proximal femur, Lancet, 1, (1974)

[2]

Campbell, Komm, Hosking, Et al., How common is osteomalacia in the elderly?, Lancet, 2, (1984)

[3]

Chalmers, Barclay, Davison, Et al., Quantitative measurements of osteoid in health and disease, Clin. Orthop. Rel. Res., 63, (1969)

[4]

Courpron, Meunier, Bressot, Et al., Amount of bone in iliac crest biopsy. Significance of the trabecular bone volume. Its values in normal and in pathological conditions, Bone Histomorphometry, (1966)

[5]

Hoikka, Aluaua, Savolainen, Et al., Osteomalacia in fractures of the proximal femur, Acta Orthop. Scand., 53, (1982)

[6]

Jenkins, Roberts, Webster, Et al., Osteomalacia in elderly patients with fracture of the femoral neck: a clinico-pathological study, J. Bone Joint Surg., 55 B, (1973)

[7]

Melsen, Melsen, Mosekilde, Et al., Histomorphometric analysis of normal bone from the iliac crest, Acta Pathol. Microbiol. Scand., 86, (1978)

[8]

Revell, Histomorphometry of bone, J. Clin. Pathol., 36, (1983)

[9]

Wallace, The increasing incidence of fractures of the proximal femur: an orthopaedic epidemic, Lancet, 1, (1983)

[10]

Wilton, Hosking, Pawley, Et al., Osteomalacia and femoral neck fractures, J. Bone Joint Surg., 69 B, (1987)

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