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Hip Fracture  
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Copyright © Nucleus Medical Media, Inc.

Definition  

A hip fracture is a break in the thigh bone just below the hip joint. The hip joint consists of a ball at the top of the thigh bone and a rounded socket in the pelvis. Most hip fractures occur 1-2 inches below the ball portion of the hip in the neck of the thigh bone.

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Causes  

Factors that may contribute to a hip fracture include:

  • Falls—the most frequent cause
  • Motor vehicle accidents and other types of major trauma
  • Stress fractures in athletes—rare
  • Bone conditions such as osteomalacia—rare
  • Bone tumors—rare
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Risk Factors  

Factors that increases your chance of getting a hip fracture include:

  • Previous hip fracture or history of falling
  • Age: 65 years or older
  • Sex: female, especially after menopause
  • Heredity
    • Family history of fractures later in life
    • Small-boned, slender body—low body weight
    • Caucasian or Asian race
  • Others:
    • Osteoporosis—a bone-thinning condition that weakens all bones
    • Poor nutrition
    • Deficient intake or absorption of calcium and vitamin D
    • Low body weight
    • Physical inactivity
    • Weakness
    • Poor balance and coordination
    • Smoking
    • Excessive alcohol use
    • Chronic disease or fragile health
    • Diabetes
    • Kidney disease
    • Irregular heart beat or low blood pressure
    • Arthritis
    • Parkinson's disease
    • History of stroke
    • Mental impairments including Alzheimer’s disease
    • Problems with vision
    • Certain medications which cause lightheadedness, drowsiness, or weakness
    • Cortisone or other steroids
    • Thyroid disorder
    • Heart failure
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Symptoms  

Symptoms may include:

  • Pain in the hip
  • Difficulty or inability to stand, walk, or move the hip
  • Abnormal appearance of the broken leg:
    • Looks shorter
    • Turns outward