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Home/Spine/Broken Wrists Signal Elevated Hip, Spine Fracture Risk
Spine

Broken Wrists Signal Elevated Hip, Spine Fracture Risk

August 3, 2016 1 min read Premium comments

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Broken Wrists Signal Elevated Hip, Spine Fracture Risk
Sources: Wikimedia Commons and Jerome Walker
Secondary

A study published in the Journal of Bone and Joint Surgery reveals that 15% of women over the age of 50 fall and fracture a wrist.

A broken wrist is bad enough, but the wrist fracture is like a cannery in a coal mine. It signals the presence of balance problems and the possibility of another fall that could fracture a hip.

Pamela Tabaar, editor in chief of Long-Term Living, reported that study participants who had experienced a wrist fracture had dynamic motion analysis scores nearly 150 points higher than the non-injured control group which indicated compromised balance.

Craig R. Louer, M.D., an orthopedic surgery resident at Washington University School of Medicine in St. Louis, who was the lead study author, warned “These fractures should signal the need for an evaluation and possible treatment for balance deficits to decrease the risk of subsequent higher risk injuries, such as hip or spine fractures.” He and his study colleagues found that older adults who sustain a wrist fracture are more likely to have poor balance compared to those who have not sustained this injury.

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Discussion

14
DS
Dr. Sarah MitchellOrthopedic Surgeon · Mayo Clinic

This is a fascinating development. In my practice we've seen similar outcomes with the revised protocol. The key differentiator seems to be patient selection criteria. Has anyone else noticed the correlation with BMI thresholds?

8
JT
James Thornton, MDSpine Fellow · HSS

Great point. I'd push back slightly on the conclusion, the sample size in the cited study is too small to draw population-level inferences. That said, the directional signal is compelling and worth a larger RCT.

5
RP
R. PatelSports Medicine · Stanford

We implemented a similar approach last year. Early results are promising but we're still gathering 12-month follow-up data. Happy to share our protocol if anyone is interested.

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