Investigation of the History of Distal Radius Fractures in Patients Over 55 Years Old Suffering from Hip Fractures

Document Type : RESEARCH PAPER


Department of orthopedics, Akhtar Hospital, School of medicine, Shahid Beheshti University of medical science, Tehran, Iran



Objectives: This study aimed to examine the incidence of distal radius fractures in patients aged 55 
and above who had also experienced hip fractures. Osteoporosis-associated fractures, particularly hip 
fractures, are common and serious in older individuals with reduced bone density. Previous research 
has suggested a relationship between hip fractures and distal radius fractur es.
Methods: The study included patients over 55 years old who had presented with hip fractures at Akhtar Hospital in 
the past five years. Patients with a history of hip fractures more than five years before experiencing the distal radius 
fracture were excluded. Personal information was extracted from medical records, and the collected data were 
analyzed in SPSS software using statistical methods, such as t-tests and paired t-tests.
Results: This study involved 1,745 patients with hip fractures and 183 individuals without fractures. The average 
age of the patients was 75.8±10.4 years old, with the majority being female (59.6%). Among the hip fractures, 59.6%, 
34.5%, and 5.9% were intertrochanteric fractures, neck of femur fractures, and subtrochanteric fractures, 
respectively. Overall, 15.8% of individuals with hip fractures also had distal radius fractures. The average age and 
gender distribution of the patients were similar in both groups, with no significant difference. However, the 
prevalence of distal radius fractures was significantly higher in the hip fracture group, compared to the control group.
Conclusion: It was found that individuals over the age of 55 with distal radius fractures, especially females, are 
more susceptible to hip fractures. Distal radius fractures have a significant impact on the occurrence of hip fractures 
in patients. Therefore, older individuals with osteoporosis should be cautious and avoid high-risk activities that could 
lead to falls and fractures.
 Level of evidence: III


Main Subjects

1. Navab M, Mehrpour M, Reza S, Jaafari M. Hospital cost in 
elderly patients with hip fracture in a teaching hospital. 
Iranian Journal of Orthopedic Surgery. 2020; 5(2):80-84.
2. Lönnroos E, Kautiainen H, Karppi P, et al. Increased incidence 
of hip fractures. A population based-study in Finland. Bone. 
2006; 39(3):623-627. doi: 10.1016/j.bone.2006.03.001.
3. Hershkovitz A, Polatov I, Beloosesky Y, Brill S. Factors 
affecting mortality of frail hip-fractured elderly patients. Arch 
Gerontol Geriatr. 2010; 51(2):113-116. doi: 
4. Tinetti ME. Preventing falls in elderly persons. N Engl J 
Med.2003; 348(1):42-9. doi: 10.1056/NEJMcp020719.
5. Chen JS, Sambrook PN, Simpson JM, et al. Risk factors for hip 
fracture among institutionalised older people. Age 
Ageing.2009; 38(4):429-34. doi: 10.1093/ageing/afp051.
6. Emami M, Namazi H, Solouki MS, Ensafdaran M. Evaluation of 
the relation of bone densitometery with the risk of hip 
fracture. 2008.
7. Aliasgarzadeh A, Bahrami A, Ramazani M, Najafipoor F, 
Moradi A, Larijani B L. Incidence of osteoporotic hip fracture 
in above 50 year old peoples of Tabriz in years 2004-2006. 
Iranian Journal of Endocrinology and Metabolism. 2009; 
8. Keene GS, Parker MJ, Pryor GA. Mortality and morbidity after 
hip fractures. BMJ. 1993; 307(6914):1248-50. doi: 
9. Parker M, Johansen A. Hip fracture. BMJ. 2006; 333(7557):27-
30. doi: 10.1136/bmj.333.7557.27.
10. Zhang J, Munger RG, West NA, Cutler DR, Wengreen HJ, 
Corcoran CD. Antioxidant intake and risk of osteoporotic hip 
fracture in Utah: an effect modified by smoking status. Am J 
Epidemiol. 2006; 163(1):9-17. doi: 10.1093/aje/kwj005.
11. Carbone L, Bůžková P, Fink HA, et al. Hip fractures and heart 
failure: findings from the Cardiovascular Health Study. Eur 
Heart J. 2010; 31(1):77-84. doi: 10.1093/eurheartj/ehp483.
12. Haentjens P, Johnell O, Kanis JA, et al. Evidence from data 
searches and life‐table analyses for gender‐related 
differences in absolute risk of hip fracture after Colles' or 
spine fracture: Colles' fracture as an early and sensitive 
marker of skeletal fragility in white men. J Bone Miner Res. 
2004; 19(12):1933-44. doi: 10.1359/JBMR.040917.
13. Daruwalla ZJ, Huq SS, Wong KL, et al. Hip fractures, preceding 
distal radius fractures and screening for osteoporosis: should 
we be screening earlier? A minimum 10-year retrospective 
cohort study at a single centre. Osteoporos Int. 2016; 
27(1):361-6. doi: 10.1007/s00198-015-3375-8.
14. Mallmin H, Ljunghall S, Persson I, Naessén T, Krusemo U-B, 
Bergström R. Fracture of the distal forearm as a forecaster of 
subsequent hip fracture: a population-based cohort study 
with 24 years of follow-up. Calcif Tissue Int. 1993; 52(4):269-
72. doi: 10.1007/BF00296650.
15. Owen R, MELTON III L, Ilstrup D, Johnson K, Riggs B. Colles' 
fracture and subsequent hip fracture risk. Clin Orthop Relat 
Res. 1982 (171):37-43. 16. Sadeghipour A, Poorfathi H, Adl HL, Parish M. Eveluation of 
incidence and causes of hip fracture in pepoles more than 65 
years age in Tabriz Shohada Hospital. 2018.
17. Gultac E, Acan A, Kilinc C, Akgun U, Aydogan N. Comparison of 
Hip Fracture Surgery in Octogenarians with 50-80 Year-old 
patients: Treatment Patterns, Outcomes and Predictors of 
Perioperative Adverse Events. Iranian Journal of Orthopedic 
Surgery. 2021; 19(1):29-35. 
18. Nguyen ND, Pongchaiyakul C, Center JR, Eisman JA, Nguyen 
TV. Identification of high‐risk individuals for hip fracture: a 
14‐year prospective study. J Bone Miner Res. 2005; 
20(11):1921-8. doi: 10.1359/JBMR.050520.
19. Soltani A, Sedaghat M, Adibi H, et al. Risk factor analysis of 
osteoporosis in women referred to bone densitometry unit of 
Endocrinology and Metabolism Research Center of Tehran 
University of Medical Sciences. 2002.
20. Yoon B-H, Lee Y-K, Kim S-C, Kim S-H, Ha Y-C, Koo K-H. 
Epidemiology of proximal femoral fractures in South Korea. 
Arch Osteoporos. 2013:8:157. doi: 10.1007/s11657-013-
21. Chen C-W, Huang T-L, Su L-T, et al. Incidence of subsequent 
hip fractures is significantly increased within the first month 
after distal radius fracture in patients older than 60 years. J 
Trauma Acute Care Surg. 2013; 74(1):317-21. doi: 
22. Khosla S, Amin S, Orwoll E. Osteoporosis in men. Endocr Rev. 
2008; 29(4):441-64. doi: 10.1210/er.2008-0002.
23. Bilezikian JP. Osteoporosis in men. J Clin Endocrinol Metab. 
1999; 84(10):3431-4. doi: 10.1210/jcem.84.10.6060.
24. Lauritzen JB. Hip fractures: incidence, risk factors, energy 
absorption, and prevention. Bone. 1996; 18(1 Suppl):65S75S. doi: 10.1016/8756-3282(95)00382-7