What is the most common type of fracture among patients with osteoporosis?

Osteoporosis causes bones to become weak and brittle — so brittle that a fall or even mild stresses such as bending over or coughing can cause a fracture. Osteoporosis-related fractures most commonly occur in the hip, wrist or spine.

Bone is living tissue that is constantly being broken down and replaced. Osteoporosis occurs when the creation of new bone doesn't keep up with the loss of old bone.

Osteoporosis affects men and women of all races. But white and Asian women, especially older women who are past menopause, are at highest risk. Medications, healthy diet and weight-bearing exercise can help prevent bone loss or strengthen already weak bones.

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Symptoms

There typically are no symptoms in the early stages of bone loss. But once your bones have been weakened by osteoporosis, you might have signs and symptoms that include:

  • Back pain, caused by a fractured or collapsed vertebra
  • Loss of height over time
  • A stooped posture
  • A bone that breaks much more easily than expected

When to see a doctor

You might want to talk to your doctor about osteoporosis if you went through early menopause or took corticosteroids for several months at a time, or if either of your parents had hip fractures.

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Fractures caused by osteoporosis are debilitating for sufferers and their families, can lead to premature death, and impose an enormous cost burden on society.

 

The most common fractures caused by osteoporosis are hip, spine, wrist and shoulder (humerus) fractures. Arguably, hip fractures are the most catastrophic for sufferers and their families, and are the most costly to the health system. About 4,000 people per annum suffer a hip fracture in New Zealand.

In 2007, Osteoporosis NZ commissioned The Burden of Osteoporosis in New Zealand report (BONZ). The BONZ report provided estimates and forecasts of the numbers of fractures in 2007, 2013 and 2020, and their associated costs.

What is the most common type of fracture among patients with osteoporosis?

Key findings of the BONZ report are illustrated in the graphs below. The number of fractures caused by osteoporosis at all sites in the skeleton was expected to rise from 84,000 cases in 2007 to almost 116,000 by 2020. Based on costs in 2007 dollars, the direct costs for fracture care were expected to rise from almost $300 million in 2007 to $411 million by 2020. Conservative estimates of the rate of healthcare inflation would suggest the cost in 2020 will actually be around $580 million.

* n.b. Costs shown are in 2007 dollars.

What is the most common type of fracture among patients with osteoporosis?

What is the most common type of fracture among patients with osteoporosis?

 

Fracture begets fracture

One of the important findings of studies on the incidence of fractures in populations of many countries is that fracture begets fracture. Those people who have suffered a first fracture caused by osteoporosis are at double the risk of suffering second fractures, as compared with their peers who have not broken a bone.

The International Osteoporosis Foundation (IOF) has described this as a fragility fracture cycle. The graphic below shows how osteoporosis can progress from causing a wrist fracture in the 50s, to fractures of the spine in the 60s and 70s and, finally, hip fracture in the 80s.

What is the most common type of fracture among patients with osteoporosis?

*Morbidity in this context means suffering symptoms associated with disease states. Hip fractures usually have the most significant adverse impact on sufferers

Given that half of hip fracture patients will suffer a previous fracture before breaking their hip, it is absolutely essential that, whenever a person (male or female) aged 50 years and over suffers a fracture resulting from a minor fall or bump, they undergo an osteoporosis assessment. Such an assessment can enable modern medicines to be used to prevent future fractures, including hip fractures.

Studies from several developed countries suggest that about one in six women aged 50 years and over have suffered a fracture that has resulted in them seeking medical attention. For men, the proportion is lower at around 6%. So people who have already suffered fractures caused by osteoporosis are a minority of the total population. However, they make up half of all the people who will break their hip one day in the absence of osteoporosis treatment and appropriate lifestyle advice.

The expert panel rated open fractures of the arm (except proximal humerus) and fractures of the tibia/fibula, patella, ribs, and sacrum as being highly likely because of osteoporosis in older Caucasian women but a lower likelihood in younger African American men.

Which types of fractures are more common in elderly people due to osteoporosis?

One in two women and one in five men will suffer from an osteoporotic fragility fracture, which is defined as any low-energy trauma fracture. The most common fragility fractures are proximal humerus, hip, distal radius, and spinal fractures.

How common are fractures in osteoporosis?

Worldwide, osteoporosis causes more than 8.9 million fractures annually, resulting in an osteoporosis fracture every 3 seconds [1]

What is the most common fracture type?

The clavicle, more commonly called the “collarbone”, is one of the most frequently fractured bones in the body. In fact, it's the most common site for a fracture in children. Clavicle fractures can happen to infants during birth as they pass through the birth canal.