সংজ্ঞা
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.
কারণসমূহ
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
ঝুঁকির কারণ
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
- বংশগতি
- 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
- কম পুষ্টি উপাদান
- Deficient intake or absorption of calcium and vitamin D
- Low body weight
- শারীরিক নিষ্ক্রিয়তা
- দুর্বলতা
- Poor balance and coordination
- ধূমপান
- Excessive alcohol use
- Chronic disease or fragile health
- ডায়াবেটিস
- কিডনি রোগ
- Irregular heart beat or low blood pressure
- আর্থ্রাইটিস
- পারকিনসন রোগ
- 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
- হার্ট ফেইলিউর
লক্ষণ
উপসর্গ অন্তর্ভুক্ত হতে পারে:
- Pain in the hip
- Difficulty or inability to stand, walk, or move the hip
- Abnormal appearance of the broken leg:
- Looks shorter
- Turns outward
রোগ নির্ণয়
The doctor will ask about your symptoms and how the injury occurred. A physical exam will be done.
Images may be taken of your bones. This can be done with:
- এক্স-রে
- Bone scan or magnetic resonance imaging (MRI) scan
চিকিৎসা
The goal is to get you back on your feet as quickly as possible while your broken bone heals. For older patients, staying in bed for even several days may lead to serious complications.
চিকিত্সা অন্তর্ভুক্ত:
Prompt Emergency Treatment
- Taking all weight off the injured leg and immobilizing the fracture
- Checking vital signs such as blood pressure
- Treating problems such as internal blood loss
- Pain control with pain killers and other drugs
সার্জারি
Surgery is performed. This may involve:
- Inserting a surgical plate and screws at the fracture site
- Replacing the hip with a metal implant, which has a ball that fits into the hip socket and an attached stem which goes into the thigh bone to hold the implant in place
Physical Assistance
You may require:
- Exercises or therapy to help you return to your normal level of activity
- A cane or walker as advised by your doctor
- Help with activities of daily living
If you are diagnosed with a hip fracture, follow your doctor’s instructions.
প্রতিরোধ
Early corrective action may help lessen many of the factors that can lead to a hip fracture. Here’s what you can do:
- Eat a diet with nutrients for strong bones such as calcium, vitamin D, and protein.
- Ask your doctor before you begin exercising. Exercises should include weight-bearing activities and strengthening exercises.
- Talk to your doctor if you are at risk for osteoporosis.
- Ask your doctor if any of your medications may contribute to bone loss or symptoms of lightheadedness, drowsiness, or confusion.
- Get your eyes checked regularly.
- Reduce falling hazards at work and home:
- Clean spills and slippery areas right away.
- Remove tripping hazards such as loose cords, rugs, and clutter.
- Use non-slip mats in the bathtub and shower.
- Install grab bars next to the toilet and in the shower or tub.
- Put in handrails on both sides of stairways.
- Walk only in well-lit rooms, stairs, and halls.
- Keep flashlights on hand in case of a power outage.