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Imaging of the Microstructural Failure Mechanism in the Human Hip
Published on: September 29, 2023
Hip fractures in the elderly-: A Clinical Anatomy Review
Peter G Collin1, Anthony V D'Antoni1, Marios Loukas2
1Department of Pathobiology, CUNY School of Medicine/The Sophie Davis School of Biomedical Education, The City College of New York, CUNY, New York, New York.
Insights
Hip fractures are increasing globally, impacting elderly populations and necessitating surgical interventions. Understanding hip anatomy, aging effects, and fracture pathology is crucial for effective surgical approaches.
Area of Science:
- Anatomy
- Gerontology
- Orthopedic Surgery
Background:
- Rising global elderly populations correlate with increased hip fracture incidence and associated medical burdens.
- Hip fractures and corrective surgeries create significant healthcare demands, underscoring the need for a thorough understanding of hip joint anatomy.
- Age-related changes impact hip joint integrity, increasing fracture risk and complicating surgical considerations.
Purpose of the Study:
- To review the clinically relevant anatomy of the healthy hip joint.
- To discuss age-related changes affecting the hip joint.
- To examine hip fractures and their surgical correction.
Main Methods:
- Literature review of anatomical, geriatric, and surgical studies.
- Analysis of age-related anatomical changes impacting hip integrity.
- Examination of fracture pathology and surgical techniques.
Main Results:
- Detailed review of the vascular, neural, and musculoskeletal structures of the hip.
- Explanation of how fracture location influences anatomical disruption.
- Discussion of the interplay between normal anatomy, aging, and fracture pathology.
Conclusions:
- A comprehensive understanding of hip anatomy, aging, and fracture pathology is essential for surgical decision-making.
- Clinically relevant anatomical knowledge guides the surgical approach to hip fractures.
- Age-related factors significantly influence hip fracture risk and management strategies.
Abstract:
As elderly populations rise worldwide, the amount of hip fractures have continued to increase and result in substantial medical burdens in many countries. This increase goes hand-in-hand with an increase in surgical procedures to correct hip fractures. The medical burden imparted by hip fractures and their corrective surgeries necessitate a clinically relevant understanding of the hip joint including the vascular, neural, and musculoskeletal structures directly associated with and neighboring the joint. It is critical to appreciate how the normal hip anatomy is disrupted by a fracture and how this disruption is heavily influenced by the fracture's location. The effects of advancing age on the integrity of the hip joint and the risk of hip fractures further complicate hip anatomy. Consequentially, normal hip anatomy, aging and the pathology introduced by fractures play major roles in how hip fractures are approached surgically. This article aims to review the clinically relevant anatomy of the healthy hip joint, age-related changes that influence the joint, hip fractures, and corrective surgeries for hip fractures. Clin. Anat. 30:89-97, 2017. © 2016 Wiley Periodicals, Inc.
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