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QJM Advance Access published online on August 9, 2007
QJM, doi:10.1093/qjmed/hcm067
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© The Author 2007. Published by Oxford University Press on behalf of the Association of Physicians. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Hip fractures after stroke and their prevention

P.K. Myint1,2, K.E.S. Poole3 and E.A. Warburton1

From the 1Lewin Stroke and Rehabilitation Unit, Department of Clinical Neurosciences, and 3Department of Rheumatology, Addenbrooke's Hospital, Cambridge, and 2School of Medicine, Health Policy and Practice, University of East Anglia, Norwich, UK

Address correspondence to Dr P.K. Myint, c/o Clinical Gerontology Unit, Level 2 F&G Block, Box 251, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Hills Road, Cambridge CB2 0QQ, UK. email: pkyawmyint{at}aol.com


  Abstract

Increased fracture risk is a recognized complication following stroke. Bone loss following a hemiplegic stroke has been proposed as a major risk factor for post-stroke hip fracture, with a recent focus on the development of novel therapeutic measures to prevent bone loss and fractures after stroke. We briefly review the literature on the epidemiology and pathophysiology of bone loss and hip fracture after stroke, and then critically review recent studies on preventive strategies.


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