Upper Extremity Fragility Fractures

The population of elderly patients is rapidly increasing in the United States and worldwide, leading to an increased prevalence of osteoporosis and a concurrent rise in fragility fractures. Fragility fractures are defined as fractures involving a low-energy mechanism, such as a fall from a standing...

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Published inThe Journal of hand surgery (American ed.) Vol. 46; no. 2; pp. 126 - 132
Main Authors Shoji, Monica M., Ingall, Eitan M., Rozental, Tamara D.
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.02.2021
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Summary:The population of elderly patients is rapidly increasing in the United States and worldwide, leading to an increased prevalence of osteoporosis and a concurrent rise in fragility fractures. Fragility fractures are defined as fractures involving a low-energy mechanism, such as a fall from a standing height or less, and have been associated with a significant increase in the risk of a future fragility fracture. Distal radius fractures in the elderly often present earlier than hip and vertebral fractures and frequently involve underlying abnormalities in bone mass and microarchitecture. This affords a unique opportunity for upper extremity surgeons to aid in the diagnosis and treatment of osteoporosis and the prevention of secondary fractures. This review aims to outline current recommendations for orthopedic surgeons in the evaluation and treatment of upper extremity fragility fractures.
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ObjectType-Review-1
ISSN:0363-5023
1531-6564
DOI:10.1016/j.jhsa.2020.07.010