Neck of femur fracture risk factors

Common risk factors in the development of distal radius fracture include age, female gender, and health conditions.

Many neck of femur fracture in people over 60 are due to osteoporosis if the fall was relatively minor such as a fall from a standing position. They can happen even in healthy bones if the trauma was severe enough such as a car accident or a fall off a bike.^[1][2][3][4]

• The incidence of neck of femur fracture has a bimodal distribution during the life span.
• The incidence is high in the pediatric population, drops during young to middle adulthood, and increases again in older adults.

• Gender distribution curves for neck of femur fracture incidence in the pediatric group indicate that boys have a higher risk of neck of femur fracture than girls.
• This gender difference continues during young to middle adulthood with men aged 19-49 years having more neck of femur fracture than women of the same age.
• Beyond that age, the rate of neck of femur fracture increases markedly such that women older than 50 years have a 15% lifetime risk, whereas the incidence in men remains low until they reach the age of 80 years.
• Globally, injury rates remain significantly higher in elderly women as compared with elderly men.

• Neck of femur fracture appears to occur less often in individuals with significant dementia.
• Health conditions resulting in poor bone quality include:^[5][6][7]
  • Osteoporosis
  • Chronic stroke
  • Diabetes
  • Rheumatoid arthritis
  • Chronic kidney disease

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