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Hip fractures after stroke and their prevention
P K Myint1, K E S Poole, E A Warburton
1Lewin Stroke and Rehabilitation Unit, Department of Clinical Neurosciences, Addenbrooke's Hospital, Cambridge, UK. pkyawmyint@aol.com
QJM : Monthly Journal of the Association of Physicians
|August 19, 2007
Summary
Stroke survivors face higher fracture risks. This review examines bone loss after stroke and evaluates new strategies to prevent fractures and bone density loss in patients with hemiplegia.
Area of Science:
- Neurology
- Orthopedics
- Gerontology
Background:
- Stroke survivors have an increased risk of fractures, particularly hip fractures.
- Bone loss following hemiplegic stroke is a significant contributing factor to this elevated fracture risk.
- Preventing post-stroke bone loss and fractures is a growing clinical concern.
Purpose of the Study:
- To review the epidemiology and pathophysiology of bone loss and hip fracture after stroke.
- To critically evaluate recent therapeutic strategies aimed at preventing bone loss and fractures in stroke survivors.
Main Methods:
- Literature review of epidemiological and pathophysiological studies.
- Critical analysis of recent research on preventive interventions for post-stroke bone loss and fractures.
Main Results:
- Stroke is associated with significant bone loss, increasing fracture incidence.
- Various therapeutic measures are being investigated to mitigate bone loss and prevent fractures post-stroke.
- Evidence on the efficacy of current preventive strategies requires further investigation.
Conclusions:
- Bone loss is a critical factor in post-stroke fracture risk.
- Novel therapeutic strategies show promise but require rigorous evaluation.
- Further research is needed to establish effective interventions for bone health in stroke survivors.
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