Skip to main content
Erschienen in: The journal of nutrition, health & aging 8/2019

05.08.2019

Spontaneous Insufficiency Fractures

verfasst von: M. Brennan, P. M. O’Shea, S. T. O’Keeffe, E. C. Mulkerrin

Erschienen in: The journal of nutrition, health & aging | Ausgabe 8/2019

Einloggen, um Zugang zu erhalten

Abstract

Spontaneous insufficiency fractures are caused by normal or physiological stress on weakened bone. The leading cause of insufficiency fractures is osteoporosis which has a propensity to affect older patients. Other causes or associated factors are disorders which affect bone metabolism, collagen formation, bone remodelling and medications such as bisphosphonates and glucocorticoids. Pathological fractures and abuse are important causes of unexplained fractures which warrant careful consideration. Spontaneous fractures of the long bones affect on average 1% of nursing home residents per year and tend to occur in patients who are bed-bound with joint contractures. Preventative measures for spontaneous insufficiency fractures include optimising nutrition to include an adequate intake of protein, calcium and vitamin D, maintaining mobility and preventing long periods of bed-rest and treatment of underlying pre-disposing conditions.
Literatur
1.
Zurück zum Zitat Fujiwara S. Importance of raising awareness elderly. Int. J. Clin. Rheumatol 2010;5(4):395–397CrossRef Fujiwara S. Importance of raising awareness elderly. Int. J. Clin. Rheumatol 2010;5(4):395–397CrossRef
2.
Zurück zum Zitat Viceconti M, Taddei F, Cristofolini L, Martelli S, Falcinelli C, & Schileo E. Are spontaneous fractures possible? An example of clinical application for personalised, multiscale neuro-musculo-skeletal modelling. Journal of biomechanics. 2012;45(3):421–426.CrossRef Viceconti M, Taddei F, Cristofolini L, Martelli S, Falcinelli C, & Schileo E. Are spontaneous fractures possible? An example of clinical application for personalised, multiscale neuro-musculo-skeletal modelling. Journal of biomechanics. 2012;45(3):421–426.CrossRef
3.
Zurück zum Zitat Donnelly E, Saleh A, Unnanuntana A, Lane JM. Atypical femoral fractures: epidemiology, etiology, and patient management. Current opinion in supportive and palliative care. 2012;6(3):348–354.CrossRef Donnelly E, Saleh A, Unnanuntana A, Lane JM. Atypical femoral fractures: epidemiology, etiology, and patient management. Current opinion in supportive and palliative care. 2012;6(3):348–354.CrossRef
4.
Zurück zum Zitat Marshall RA, Mandell JC, Weaver MJ, Ferrone M, Sodickson A, Khurana B. Imaging Features and Management of Stress, Atypical, and Pathologic Fractures. Radiographics: a review publication of the Radiological Society of North America, Inc. 2018;38(7): 2173–2192CrossRef Marshall RA, Mandell JC, Weaver MJ, Ferrone M, Sodickson A, Khurana B. Imaging Features and Management of Stress, Atypical, and Pathologic Fractures. Radiographics: a review publication of the Radiological Society of North America, Inc. 2018;38(7): 2173–2192CrossRef
5.
Zurück zum Zitat Kazemian G H, Manafi Rasi A, Amoozadeh Omrani F, Yamrali A. Spontaneous Fractures or Physical Abuse?. J Orthop Spine Trauma. 2016;2(3):e4938.CrossRef Kazemian G H, Manafi Rasi A, Amoozadeh Omrani F, Yamrali A. Spontaneous Fractures or Physical Abuse?. J Orthop Spine Trauma. 2016;2(3):e4938.CrossRef
6.
Zurück zum Zitat Kane RS, Goodwin JS. Spontaneous fractures of the long bones in nursing home patients. Am J Med 1991;90: 263–266CrossRef Kane RS, Goodwin JS. Spontaneous fractures of the long bones in nursing home patients. Am J Med 1991;90: 263–266CrossRef
7.
Zurück zum Zitat Kane RS, Burns EA, Goodwin JS. Minimal trauma fractures in older nursing home residents. The interaction of functional status, trauma, and site of fracture. J Am Geriatr Soc. 1995;43:156–159.CrossRef Kane RS, Burns EA, Goodwin JS. Minimal trauma fractures in older nursing home residents. The interaction of functional status, trauma, and site of fracture. J Am Geriatr Soc. 1995;43:156–159.CrossRef
8.
Zurück zum Zitat Martin-Hunyadi C, Heitz D, Kaltenbach G et al. Spontaneous insufficiency fractures of long bones: a prospective epidemiological survey in nursing home subjects. Archives of gerontology and geriatrics. 2000;31(3): 207–214CrossRef Martin-Hunyadi C, Heitz D, Kaltenbach G et al. Spontaneous insufficiency fractures of long bones: a prospective epidemiological survey in nursing home subjects. Archives of gerontology and geriatrics. 2000;31(3): 207–214CrossRef
9.
Zurück zum Zitat Takamoto S, Saeki S, Yabumoto Y et al. Spontaneous fractures of long bones associated with joint contractures in bedridden elderly inpatients: clinical features and outcome. Journal of the American Geriatrics Society 2005;53(8): 1439–1441.CrossRef Takamoto S, Saeki S, Yabumoto Y et al. Spontaneous fractures of long bones associated with joint contractures in bedridden elderly inpatients: clinical features and outcome. Journal of the American Geriatrics Society 2005;53(8): 1439–1441.CrossRef
10.
Zurück zum Zitat Takamoto S, Masuyama T, Nakajima M et al. Alterations of bone mineral density of the femurs in hemiplegia. Calicif Tissue Int 1995;56:259–262CrossRef Takamoto S, Masuyama T, Nakajima M et al. Alterations of bone mineral density of the femurs in hemiplegia. Calicif Tissue Int 1995;56:259–262CrossRef
11.
Zurück zum Zitat Ha YC, Cho MR, Park KH, Kim SY, Koo KH. Is surgery necessary for femoral insufficiency fractures after long-term bisphosphonate therapy?. Clinical Orthopaedics and Related Research 2010;468(12): 3393–3398CrossRef Ha YC, Cho MR, Park KH, Kim SY, Koo KH. Is surgery necessary for femoral insufficiency fractures after long-term bisphosphonate therapy?. Clinical Orthopaedics and Related Research 2010;468(12): 3393–3398CrossRef
12.
Zurück zum Zitat Ing-Lorenzini K, Desmeules J, Plachta O, Suva D, Dayer P, Peter R. Low-energy femoral fractures associated with the long-term use of bisphosphonates. Drug Safety 2009;32(9): 775–785CrossRef Ing-Lorenzini K, Desmeules J, Plachta O, Suva D, Dayer P, Peter R. Low-energy femoral fractures associated with the long-term use of bisphosphonates. Drug Safety 2009;32(9): 775–785CrossRef
13.
Zurück zum Zitat Kanis JA, Johansson H, Oden A, Johnell O, De Laet C, Melton III LJ, Eisman JA. A meta-analysis of prior corticosteroid use and fracture risk. Journal of bone and mineral research 2004;19(6): 893–899CrossRef Kanis JA, Johansson H, Oden A, Johnell O, De Laet C, Melton III LJ, Eisman JA. A meta-analysis of prior corticosteroid use and fracture risk. Journal of bone and mineral research 2004;19(6): 893–899CrossRef
14.
Zurück zum Zitat National Osteoporosis Guideline Group NOGG 2017: Clinical guideline for the prevention and treatment of osteoporosis National Osteoporosis Guideline Group NOGG 2017: Clinical guideline for the prevention and treatment of osteoporosis
15.
Zurück zum Zitat Leblanc AD, Schneider VS, Evans HJ et al. Bone mineral loss and recovery after 17 weeks of bed rest. J. Bone Miner. Res. 1990;5:843–850CrossRef Leblanc AD, Schneider VS, Evans HJ et al. Bone mineral loss and recovery after 17 weeks of bed rest. J. Bone Miner. Res. 1990;5:843–850CrossRef
16.
Zurück zum Zitat Appell HJ. Muscular atrophy following immobilization. A review. Sports Med. 1990;10:42–58CrossRef Appell HJ. Muscular atrophy following immobilization. A review. Sports Med. 1990;10:42–58CrossRef
17.
Zurück zum Zitat Conti F, Piscitelli P, Italiano G et al. Adherence to Calcium and Vitamin D supplementations: results from the ADVICE Survey. Clinical cases in mineral and bone metabolism. 2012;9(3):157.PubMedPubMedCentral Conti F, Piscitelli P, Italiano G et al. Adherence to Calcium and Vitamin D supplementations: results from the ADVICE Survey. Clinical cases in mineral and bone metabolism. 2012;9(3):157.PubMedPubMedCentral
18.
Zurück zum Zitat Cramer JA, Gold DT, Silverman SL, Lewiecki EM. A systematic review of persistence and compliance with bisphosphonates for osteoporosis. Osteoporosis International 2007;18(8): 1023–1031.CrossRef Cramer JA, Gold DT, Silverman SL, Lewiecki EM. A systematic review of persistence and compliance with bisphosphonates for osteoporosis. Osteoporosis International 2007;18(8): 1023–1031.CrossRef
19.
Zurück zum Zitat Morley JE, Abbatecola AM, Argiles JM et al. Sarcopenia with limited mobility: an international consensus. Journal of the American Medical Directors Association. 2011;12(6):403–9.CrossRef Morley JE, Abbatecola AM, Argiles JM et al. Sarcopenia with limited mobility: an international consensus. Journal of the American Medical Directors Association. 2011;12(6):403–9.CrossRef
20.
Zurück zum Zitat Landi F, Liperoti R, Fusco D et al. Prevalence and Risk Factors of Sarcopenia Among Nursing Home Older Residents, The Journals of Gerontology: 2012;A:67A(1): 48–55CrossRef Landi F, Liperoti R, Fusco D et al. Prevalence and Risk Factors of Sarcopenia Among Nursing Home Older Residents, The Journals of Gerontology: 2012;A:67A(1): 48–55CrossRef
21.
Zurück zum Zitat Mitchell SL, Teno JM, Kiely DK et al. The clinical course of advanced dementia. New England Journal of Medicine. 2009;361(16):1529–38.CrossRef Mitchell SL, Teno JM, Kiely DK et al. The clinical course of advanced dementia. New England Journal of Medicine. 2009;361(16):1529–38.CrossRef
Metadaten
Titel
Spontaneous Insufficiency Fractures
verfasst von
M. Brennan
P. M. O’Shea
S. T. O’Keeffe
E. C. Mulkerrin
Publikationsdatum
05.08.2019
Verlag
Springer Paris
Erschienen in
The journal of nutrition, health & aging / Ausgabe 8/2019
Print ISSN: 1279-7707
Elektronische ISSN: 1760-4788
DOI
https://doi.org/10.1007/s12603-019-1234-6

Weitere Artikel der Ausgabe 8/2019

The journal of nutrition, health & aging 8/2019 Zur Ausgabe

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.