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Updated: May 30, 2026

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Imaging of the Microstructural Failure Mechanism in the Human Hip
Published on: September 29, 2023
[General trend of hip fractures]
Thierry Chevalley1, François R Herrmann, Edith Guilley
1Service des maladies osseuses, Département des Spécialités de Médecine, HUG, Genève 14. thierry.chevalley@hcuge.ch
Revue Medicale Suisse
|July 29, 2011
Summary
Osteoporosis causes significant health burdens, with hip fractures declining in incidence. However, an aging population means more fractures overall, and non-hip fractures are increasing.
Area of Science:
- Gerontology
- Public Health
- Epidemiology
Context:
- Osteoporosis presents a significant global health challenge, particularly concerning hip fractures which lead to high mortality, disability, and economic costs.
- Western countries, including Switzerland and Geneva, have observed a declining trend in age-adjusted hip fracture incidence since the 1990s, especially among women.
- Despite declining incidence rates, the absolute number of hip fractures is projected to rise due to population aging.
Purpose:
- To analyze trends in hip fracture incidence and hospitalizations for osteoporotic fractures in Switzerland.
- To assess the impact of demographic shifts, specifically population aging, on future fracture burden.
- To investigate the contrasting trends between hip and non-hip osteoporotic fractures.
Summary:
- Hip fracture incidence has decreased in Western countries since 1990, a trend also seen in Geneva and Switzerland.
- Population aging is expected to offset this decline, potentially increasing the total number of hip fractures in the coming decades.
- Conversely, age-adjusted hospitalizations for major non-hip osteoporotic fractures have shown an increasing trend in Switzerland.
Impact:
- Highlights the ongoing and evolving public health impact of osteoporosis beyond hip fractures.
- Underscores the need for proactive strategies to manage the increasing burden of osteoporotic fractures in aging populations.
- Informs public health policy and resource allocation for osteoporosis prevention and management, considering different fracture types.
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