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Risk of fractures after stroke
Devin L Brown1, Lewis B Morgenstern, Jennifer J Majersik
1Stroke Program, University of Michigan Medical School, Ann Arbor, MI 48109, USA.
Background:
The aim of this study was to determine the risk of fractures after stroke/transient ischemic attack (TIA) in relatively young patients.
Methods:
Administrative claims data were identified for patients aged 18 years and older hospitalized for stroke/TIA from 1997 to 2005 using ICD-9 codes. Fractures after stroke/TIA were identified for the same time period.
Results:
The median age was 56 years. Females represented 47%. There were 411 ischemic strokes, 195 TIAs and 36 intracerebral hemorrhages, as well as 46 fractures in 41 individuals. The risk of fracture after stroke/TIA was 1.2% at 30 days and 3.1% at 1 year. There was no significant difference in survival free from fracture between ischemic stroke and TIA cases (p = 0.8489).
Conclusions:
Patients with stroke/TIA, including men and younger patients, appear to be at risk for bone fractures.
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Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...
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