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Q J Med 2000; 93: 501-506
© 2000 Association of Physicians

Review

Management of osteoporosis in patients with hip fractures

R.M. Francis1,, S.P. Baillie2, A.J. Chuck3, P.R. Crook4, T. Daymond5, N. Dunn6, J.N. Fordham7, C. Kelly8 and A. Rodgers9

1 From the Department of Medicine (Geriatrics), University of Newcastle upon Tyne, 2 Department of Medicine for the Elderly, North Tyneside General Hospital, North Shields, 3 Department of Rheumatology, Dryburn Hospital, Durham, 4 Department of Rheumatology, Wansbeck General Hospital, Ashington, 5 Department of Rheumatology, Sunderland District General Hospital, 6 Department of Rheumatology, Hartlepool General Hospital, 7 Department of Rheumatology, South Cleveland Hospital, Middlesbrough, 8 Department of Rheumatology, Queen Elizabeth Hospital, Gateshead, and 9 Department of Geriatric Medicine, South Tyneside District Hospital, South Shields, UK


   Introduction
 
Hip fractures are a major cause of excess mortality, morbidity and health and social service expenditure in elderly people.1 Patients who survive hip fractures are at high risk of further fracture,2,3 yet most receive no treatment for osteoporosis or advice on reducing falls. A number of guidelines on the management of osteoporosis have been published, but these contain little specific advice on the management of patients with hip fracture.4–6 A group of physicians from the North-East of England interested in osteoporosis has therefore met on a number of occasions, to develop practical advice on the management of osteoporosis in patients with hip fractures.


   Scale of the problem
 
Bone is lost with advancing age in both men and women, leading to an increased risk of fractures after minimal trauma. The major osteoporotic fractures are those of the forearm, vertebral body and hip. Each year, about 60 000 hip fractures occur in the UK, causing excess . . . [Full Text of this Article]


   Risk factors for hip fracture
 

   Management of patients with hip fracture
 

   Investigation of patients with hip fracture
 

   Treatment for osteoporosis in patients with hip fracture
 

   Reduction of falls
 

   Reduction of impact of falls
 

   Management of the individual patient
 

   Acknowledgments
 

   Notes
 

   References
 

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Statins and Fracture Risk
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