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Review Question - QID 3105

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QID 3105 (Type "3105" in App Search)
A 74-year-old female falls from a standing height and sustains the fracture shown in Figure A. The occurrence of this injury most increases her risk of subsequently sustaining which of the following fractures in the future?
  • A

Sacral fracture

2%

45/2288

Hip fracture

66%

1515/2288

Distal radius fracture

17%

378/2288

Distal fibula fracture

1%

12/2288

Distal humerus fracture

14%

330/2288

  • A

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Clinton et al performed a Level 2 study of 8049 women that demonstrated that proximal humeral fractures independently increased the risk of a subsequent hip fracture. The risk was more than five times in the first year after the humeral fracture but was not associated with a significant increase in the hip fracture risk in subsequent years.

Johnell et al performed a Level 4 review that found that men and women had an increased risk of hip, forearm and spine fractures following a prior spine, hip or shoulder fracture.

Schousboe et al performed a Level 2 investigation of 9516 community-dwelling elderly women and found that 521 hip fractures occurred after 10 years of follow-up. They found that prior non-spine fractures, non-hip fractures, and prevalent moderate to severe radiographic vertebral fractures were modestly associated with incident hip fracture.

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