Current therapies allow for early mobilization, thus reducing the risk of complications associated with prolonged bed rest. Morbidity and mortality rates have been reduced in femoral shaft fractures, mainly as the result of changes in methods of fracture immobilization. However, the women with five or more risk factors had an even greater risk of hip fracture if their bone density Z score was in the lowest tertile. Hip fracture incidence was 17 times greater among 15% of the women who had five or more of the risk factors, exclusive of bone density, compared with 47% of the women who had two risk factors or less. Thus, hip fractures are strongly associated with BMD in the proximal femur, but there are also many clinical predictors of hip fracture risk that are independent of bone density. Persons with osteoporosis are also more likely to break their femur. A fracture of the proximal femoral is common in the elderly, with special emphasis on intracapsular (of the femoral neck) and extracapsular (trantrochanteric and subtrochanteric). Older persons (over 70) have a higher incidence of femoral fracture. The reduction of Bone Mass Density (BMD) related to age is the main factor which predisposes the elderly to a greater risk of hip fracture. The incidence is steadily increasing probably due to the demographic changes and the steady rise in the average life expectancy of the population and therefore the presence of a larger number of elderly patients. The incidence of femoral fracture is generally higher in those older than 65 years the rate of femoral fractures in the general population is 3 fractures per 10,000, annually. Volume 4 - Issue 3 Femoral Trochantric and Proximal Humerus Fracture, from Diagnosis to RehabilitationĪ prospective, hospital-based, case study of an in-patient, a doctor, who received physiotherapy and reported functional improvementÄepartment of Physiotherapy, Kauvery Hospital, Chennai, India
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