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Hip Fracture

What is a hip fracture?

By , About.com Guide

Updated April 29, 2010

About.com Health's Disease and Condition content is reviewed by the Medical Review Board

A broken hip is a common injury, especially in elderly individuals. In the United States, hip fractures are the most common broken bone that requires hospitalization; about 300,000 Americans are hospitalized for a hip fracture every year.

A "broken hip" and a "hip fracture" mean the same thing!

How do hip fractures happen?
Hip fractures in the elderly are most often caused by a fall, usually a seemingly insignificant fall. In younger patients with stronger bones, more common causes of a broken hip include high-energy injuries such as car accidents. Hip fractures can also be caused by bone weakened from tumor or infection, a problem called a pathologic fracture.

A broken hip in the elderly can be explained primarily by weak bones and osteoporosis. Elderly patients with osteoporosis are at much higher risk of developing a hip fracture than someone without osteoporosis. Other risk factors associated with hip fracture are female sex, Caucasian race, slightly built individuals, and limited physical activity.

How much of the problem of broken hips is due to osteoporosis?
Osteoporosis is a condition that causes loss of bone mass; the composition of the bone is normal, but it is thinner than in normal individuals. With thinner, weaker bones, patients with osteoporosis are at much greater risk for developing a hip fracture from accidents such as falls.

Are all hip fractures the same?
No. Hip fractures are generally separated into two types of fractures:

Treatment of a hip fracture almost always requires surgery. In some cases, such as some stress fractures of the hip, or in patients who have severe medical problems that prevent surgical treatment, non-operative treatment may be recommended. However, most all hip fractures are treated with surgery. The type of surgery that is preferred depends on the type of fracture. Read on for more information about the treatment of hip fractures....
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