1979
DOI: 10.1136/pgmj.55.642.264
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Hip fracture after hemiplegia

Abstract: Summary In a series of 57 hemiplegic patients who subsequently fractured their hips, it was found that hip fracture occurred significantly more often on the hemiplegic side. Hip fracture was equally common in right- and left-sided hemiplegia, and often occurred within one year of the stroke. Two factors seem to be important in the genesis of hip fractures in hemiplegic patients: the tendency of stroke patients to fall to the affected side as a result of impaired locomotor function… Show more

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Cited by 81 publications
(28 citation statements)
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“…1 These fractures usually occur relatively late after stroke onset and affect the paretic side of the body. [2][3][4][5] Hip fractures are associated with more deaths, disabilities, and medical costs than all other osteoporosis-related fractures combined. 6 We previously measured the bone mineral density (BMD) in patients with stroke in the second metacarpal bone and demonstrated a decrease in the bone mass in the hemiplegic limb that corresponded to the degree of palsy and vitamin D deficiency, 7 which may explain why hip fractures in patients poststroke occur almost exclusively on the hemiplegic side of the body.…”
Section: T He Risk Of a Hip Fracture Inmentioning
confidence: 99%
“…1 These fractures usually occur relatively late after stroke onset and affect the paretic side of the body. [2][3][4][5] Hip fractures are associated with more deaths, disabilities, and medical costs than all other osteoporosis-related fractures combined. 6 We previously measured the bone mineral density (BMD) in patients with stroke in the second metacarpal bone and demonstrated a decrease in the bone mass in the hemiplegic limb that corresponded to the degree of palsy and vitamin D deficiency, 7 which may explain why hip fractures in patients poststroke occur almost exclusively on the hemiplegic side of the body.…”
Section: T He Risk Of a Hip Fracture Inmentioning
confidence: 99%
“…4 On the other hand, from 4% to 15% of hip fractures occur as a late complication of stroke, with Ն79% occurring on the hemiplegic side. [7][8][9][10] To prevent hip fracture, the goal of this study was to determine the bone turnover and bone mass in hemiplegic patients at different phases of recovery from stroke. We examined the differences in biochemical indices of bone metabolism and turnover and the changes in bone density between patients in an earlier recovery period (Ͻ1 year, early group) and those in a later recovery stage (illness duration between 1 and 2 years, long-term group).…”
mentioning
confidence: 99%
“…Researchers have long recognized that stroke survivors experience excess bone loss (i.e., in addition to that associated with normal aging) in the paretic upper limbs and in the lower limbs [2][3][4]. Bone loss in the lower limb is a particularly serious concern, because stroke survivors have a hip fracture risk two to four times higher than that of age-and sex-matched healthy individuals [5][6].…”
Section: Introductionmentioning
confidence: 99%