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Timing of subsequent fractures after an initial fracture.

van Geel TA, Huntjens KM, van den Bergh JP, Dinant GJ, Geusens PP - Curr Osteoporos Rep (2010)

Bottom Line: These studies show that the subsequent fracture risk is not constant, but fluctuates over time.The risk of subsequent vertebral, hip, and nonvertebral non-hip fractures is highest immediately after initial hip, clinical, and radiographic vertebral fractures and nonvertebral fractures and declines afterward, regardless of gender, age, and initial fracture location.These studies indicate the need for early action after an initial fracture with medical interventions that have an effect within a short term to reduce the preventable risks of subsequent fractures.

View Article: PubMed Central - PubMed

Affiliation: Department of General Practice, Maastricht University/Caphri, PO Box 616, 6200 MD Maastricht, The Netherlands. t.vangeel@hag.unimaas.nl

ABSTRACT
A prior fracture is a well-documented risk factor for a subsequent fracture and it doubles the risk of subsequent fractures. Few studies have investigated the time that elapses between the initial and subsequent fracture. These studies show that the subsequent fracture risk is not constant, but fluctuates over time. The risk of subsequent vertebral, hip, and nonvertebral non-hip fractures is highest immediately after initial hip, clinical, and radiographic vertebral fractures and nonvertebral fractures and declines afterward, regardless of gender, age, and initial fracture location. These studies indicate the need for early action after an initial fracture with medical interventions that have an effect within a short term to reduce the preventable risks of subsequent fractures.

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Percentage of subsequent fractures during a 5-year follow-up period
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Fig3: Percentage of subsequent fractures during a 5-year follow-up period

Mentions: One study focused on the risk of hip, forearm, clinical vertebral, or shoulder fractures in women and men between 60 and 80 years of age from the time they had a hip, clinical vertebral, or shoulder fracture in both outpatients and hospitalized patients [6]. Of all subsequent hip, clinical vertebral, forearm, or shoulder fractures during a follow-up of 5 years, 34% occurred within the first year after the initial fracture (range, 31% to 45%) and progressively decreased to 9% during the 5th year (Fig. 3) [6].Fig. 3


Timing of subsequent fractures after an initial fracture.

van Geel TA, Huntjens KM, van den Bergh JP, Dinant GJ, Geusens PP - Curr Osteoporos Rep (2010)

Percentage of subsequent fractures during a 5-year follow-up period
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC2902743&req=5

Fig3: Percentage of subsequent fractures during a 5-year follow-up period
Mentions: One study focused on the risk of hip, forearm, clinical vertebral, or shoulder fractures in women and men between 60 and 80 years of age from the time they had a hip, clinical vertebral, or shoulder fracture in both outpatients and hospitalized patients [6]. Of all subsequent hip, clinical vertebral, forearm, or shoulder fractures during a follow-up of 5 years, 34% occurred within the first year after the initial fracture (range, 31% to 45%) and progressively decreased to 9% during the 5th year (Fig. 3) [6].Fig. 3

Bottom Line: These studies show that the subsequent fracture risk is not constant, but fluctuates over time.The risk of subsequent vertebral, hip, and nonvertebral non-hip fractures is highest immediately after initial hip, clinical, and radiographic vertebral fractures and nonvertebral fractures and declines afterward, regardless of gender, age, and initial fracture location.These studies indicate the need for early action after an initial fracture with medical interventions that have an effect within a short term to reduce the preventable risks of subsequent fractures.

View Article: PubMed Central - PubMed

Affiliation: Department of General Practice, Maastricht University/Caphri, PO Box 616, 6200 MD Maastricht, The Netherlands. t.vangeel@hag.unimaas.nl

ABSTRACT
A prior fracture is a well-documented risk factor for a subsequent fracture and it doubles the risk of subsequent fractures. Few studies have investigated the time that elapses between the initial and subsequent fracture. These studies show that the subsequent fracture risk is not constant, but fluctuates over time. The risk of subsequent vertebral, hip, and nonvertebral non-hip fractures is highest immediately after initial hip, clinical, and radiographic vertebral fractures and nonvertebral fractures and declines afterward, regardless of gender, age, and initial fracture location. These studies indicate the need for early action after an initial fracture with medical interventions that have an effect within a short term to reduce the preventable risks of subsequent fractures.

Show MeSH
Related in: MedlinePlus