Fracture interactions
Alle deler > BILL > Studier > Osteoporose
Finsen,V., Haave,Ø., Benum,P.:
FRACTURE INTERACTION IN THE EXTREMITIES. THE POSSIBLE RELEVANCE OF POSTTRAUMATIC OSTEOPENIA.
Clin. Orthop. 240; 244-249, 1989.
Regional osteopenia may persist after certain fracture types. In order to investigate the practical importance of this we studied 2744 past fractures in 1659 patients with present fractures. Radius fractures rarely occurred ipsilateral to previous radius fractures, while fractures of the hand more often were ipsilateral to previous hand fractures. Hip fractures were rarely ipsilateral to previous hip fractures. Patients with previous cervical hip fractures, unlike those with previous trochanteric fractures, had a predominance of subsequent fractures distal to the hip ipsilaterally. Those with previous femoral shaft fractures were more likely to have subsequent fractures ipsilaterally. Both femoral shaft and patella fractures were more often seen on the side of previous lower extremity fractures. Patients with previous tibia fractures had more subsequent fractures of the femur and tibia ipsilaterally and present tibia fractures were more frequently ipsilateral when these fracture types had occurred in the past. It is suggested that some of these shifts from the equal distribution of fractures between the two sides may be due to post-traumatic.