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Epidemiology of the femoral neck fracture in 1985, Niigata Prefecture, Japan

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Abstract

The incidence of the femoral neck fractures in 1985 was studied in Niigata Prefecture, Japan, which is on the “Japan Sea” at the central area of the Main Island of Japan. The author visited all hospitals within Niigata Prefecture, to study radiographs and records of patients who sustained femoral neck fractures. On October 1, 1985, the population of Niigata Prefecture was 2,474,829 (1,202,873 males and 1,271,956 females). The population over 65 years of age was 319,305, 12.9% of the total population (129,252 males and 190,053 females).

During 1985, there were 677 fractures of femoral neck (183 males and 494 females, i.e. 1∶2.7). Its incidence over 65 years of age was 9.3 in males and 23.9 females per 10,000 population/year. The ratio of cervical and trochanteric fractures was 231∶446 (1∶1.9), the latter amounting to two thirds of the femoral neck fractures.

The age specific incidence in Niigata Prefecture showed an exponential increase with increasing age like in Sweden or in the USA, but the age-adjusted incidence in Niigata Prefecture was one-fourth or one-fifth of that in those countries.

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References

  1. Knowelden, J., Buhr, A.J. and Dumbar, O.: Incidence of fractures in persons over 35 years of age, A report to the M.R.C. working party on fractures in the elderly. Brit. J. Prev. Soc. Med. 18:130–141, 1964.

    CAS  Google Scholar 

  2. Stewart, I.M.: Fractures of neck of femur, incidence and implication. Br. Med. J. 1:698–701, 1955.

    Article  PubMed  CAS  Google Scholar 

  3. Elabdien, B.S.Z., Olerud, S., Karlström, G. and Smedby, B.: Rising incidence of hip fracture in Uppsala, 1965–1980. Acta Orthop. Scand. 55:284–289, 1984.

    Google Scholar 

  4. Wong, P.C.: Fracture epidemiology in a mixed southeastern asian community (Singapore), Clin. Orthop. 45:55–61, 1966.

    PubMed  CAS  Google Scholar 

  5. Chalmer, J. and Ho, K.C.: Geographycal variation in senile osteoporosis. The association with physical activity. J. Bone Joint Surg. 52B:667–675, 1970.

    Google Scholar 

  6. Levine, S., Mankin, M., Menczel, J., Robin, G.M., Naor, E. and Steinberg, R.: Incidence of fractures of the proximal end of the femur in Jerusalem. J. Bone Joint Surg. 52-A:1193–1202, 1970.

    Google Scholar 

  7. Solomon, L.: Osteoporosis and fracture of the femoral neck in the South Africa Bantu. J. Bone Joint Surg. 50B:2–13, 1968.

    Google Scholar 

  8. Matkovic, V., Kostial, K., Simonovic, I., Buzina, R., Brodvec, A. and Nordin, B.E.C.: Bone status and fracture rates in two regions of Yugoslavia. Am. J. Clin. Nutr. 32:540–549, 1979.

    PubMed  CAS  Google Scholar 

  9. Gallagher, J.C., Melton, L.J., Riggs, B.L. and Bergstrath, E.: Epidemiology of fractures of the proximal femur in Rochester, Minnesota. Clin. Orthop. 150:163–171, 1980.

    PubMed  Google Scholar 

  10. Yano, K., Wasnich, R.D., Vogel, J.M. and Heilbran, L.K.: Bone measurements among middle-aged and elderly Japanese residents in Hawaii. Am. J. Epidemiology 119:751–764, 1984.

    CAS  Google Scholar 

  11. Garn, S.M., Pao, E.M. and Rihl, M.E.: Compact bone in Chinese and Japanese. Science 143:1439–1440, 1964.

    Article  PubMed  CAS  Google Scholar 

  12. Nordin, B.E.C.: International patterns of osteoporosis, Clin. Orthop. 45:17–30, 1966.

    PubMed  CAS  Google Scholar 

  13. Singh, M., Nagrath, A.R. and Maini, P.S.: Changes in trabecular pattern of the upper end of the femur as an index of osteoporosis. J. Bone Joint Surg. 52-A:457–467, 1970.

    Google Scholar 

  14. Singh, M., Riggs, B.L., Beabout, J.W. and Jowsey, J.: Femoral trabecular index for evaluation of spinal osteoporosis. Ann. Intern. Med. 77:63–67, 1972.

    PubMed  CAS  Google Scholar 

  15. Dalen, N., Helström, L.G. and Jacobson, B.: Bone mineral content and mechanical strength of the femoral neck, Acta Orthop. Scand. 47:503, 1976.

    PubMed  CAS  Google Scholar 

  16. Leichter, I., Margulies, J.Y., Weinreb, A., Mizrahi, J., Robin, G.C., Conforty, B., Mankin, M.: The relationship between bone density, mineral content, and mechanical strength in femoral neck, Clin. Orthop. 163:272–281, 1982.

    PubMed  Google Scholar 

  17. Bohr, H. and Schaadt, O.: Bone mineral content of femoral bone and the lumbar spine measured in women with fracture of the femoral neck by dual photon absorptiometry. Clin. Orthop. 179:240–245, 1983.

    PubMed  Google Scholar 

  18. Norimatsu, H., Mori, S., Uesato, T. and Katsuyama, N.: Bone mineral density of the spine and proximal femur in normal and osteoporotic subjects in Japan. Bone and Mineral. 5:213–222, 1989.

    Article  PubMed  CAS  Google Scholar 

  19. Aaron, J.E., Gallagher, J.C., Anderson, J., Stasiak, L., Longton, E.B., Nordin, B.E.C. and Nicholoson, M.: Frequency of osteomalacia and osteoporosis in fractures of the proximal femur. Lancet 1, 229–233, 1974.

    Article  PubMed  CAS  Google Scholar 

  20. Aaron, J.E., Gallagher, J.C. and Nordin, B.E.C.: Seasonal variation of histological osteomalacia in femoral neck fracture. Lancet 2, 84–85, 1974.

    Article  PubMed  CAS  Google Scholar 

  21. Evans, R.A., Ashwell, J.R. and Dunstan, C.R.: Lack of metabolic bone disease in patients with fracture of the femoral neck. Aust. N.Z.J. Med. 11:158–161, 1981.

    PubMed  CAS  Google Scholar 

  22. Johnell, O. and Nilsson, B.E.: Hip fracture and accident diposition, Acta orthop. Scand. 56:302–304, 1985.

    PubMed  CAS  Google Scholar 

  23. Abdon, N.J. and Nilsson, B.E.: Episodic cardiac arrhythmia and femoral neck fracture, Acta Med. Scand. 208, 73–79, 1980.

    PubMed  CAS  Google Scholar 

  24. Hansson, L.I., Ceder, L., Svensson, K. and Throngren, K.G.: Incidence of fractures of the distal radius and proximal femur, Comparison of patients in a mental hospital and the general population, Acta Orthop. Scand. 53:721–726, 1982.

    Article  PubMed  CAS  Google Scholar 

  25. Dretakis, E.K. and Christodoulou, N.A.: Significance of endogenic factors in the location of fractures of the proximal femur, Acta Orthop. Scand. 54, 198–203, 1983.

    PubMed  CAS  Google Scholar 

  26. Pogrund, H., Makin, M., Robin, G., Menczel, J. and Steinberg, R.: Osteoporosis in patients with fractured femoral neck in Jerusalem. Clin. Orthop. 124:165–172, 1977.

    PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Orthopedic Surgery, Niigata University School of Medicine, 951, Niigata City, Japan

    Tadashi Kawashima

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  1. Tadashi Kawashima
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Kawashima, T. Epidemiology of the femoral neck fracture in 1985, Niigata Prefecture, Japan. JBMM 7, 46–54 (1989). https://doi.org/10.1007/BF02911534

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