Chicken or the Egg?

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DO FALLS CAUSE HIP FRACTURES OR HIP FRACTURES CAUSE FALLS?

Basic Facts: Falls are responsibly for >95% of all hip fractures. Yet only around 1-2% of falls cause hip fractures.

Role of Bone Density: Since low bone density may cause bones to fracture, does not therefore mean that hip fractures commonly happen before the fall even occurs?

Verdict: Dr SN Robinovitch and his team demonstrated that in a cohort of video‐captured 2377 falls by 646 residents in two long‐term care facilities all hip fractures happened only AFTER pelvic impact with the ground after a fall J Bone Miner Res. 2020 Oct; 35(10): 1914–1922.

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