It is important for people that have osteoporosis to have an understanding of where fractures occur most often. Although a fracture can occur anywhere, the most common areas are listed in this article. Signs of a fracture may be identified by pain or disfigurement.
Major Fracture Sites: The most common areas where fractures occur are the spine, hip and wrist. Spine fractures commonly occur in the following areas: (T6 -T8) and (T12 – L1). Hip fractures in patients with osteoporosis commonly occur in the femoral neck. This type of fracture increases the risk of serious health issues, especially for older individuals due to a lack of blood supply. All of the blood supply to the femoral head (the ball portion of the hip) comes through the neck of the femur. If this blood supply is damaged, there is no backup. One of the problems with hip fractures is that damage can occur to these blood vessels when the hip breaks. This can lead to the bone of the femoral head actually dying. Once this occurs, the bone is no longer able to maintain itself. This can lead to one of the complications of a hip fracture called avascular necrosis (AVN). Wrist fractures are also common for people that have osteoporosis. Occurrence of a wrist fracture increases the odds of having a clinically important functional decline by 48%.
The purpose of this article is to provide information about major fracture sites for people with osteoporosis. As stated above, fractures can occur anywhere in the body. The best way to avoid fractures is to stop bone loss, increase bone density and to avoid situation that put a person in a position that increases their risk of falling.
Reference: The Intelligent Patient Guide to Osteoporosis, Dr. Sutton, R.A.L., Dr. Josse, G.L., 2009.