Fall Prevention and Osteoporosis (cont.)
Medical Author:
William C. Shiel Jr., MD, FACP, FACR
William C. Shiel Jr., MD, FACP, FACRDr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology. Medical Editor:
Jerry R. Balentine, DO, FACEP
Jerry R. Balentine, DO, FACEPDr. Balentine received his undergraduate degree from McDaniel College in Westminster, Maryland. He attended medical school at the Philadelphia College of Osteopathic Medicine graduating in1983. He completed his internship at St. Joseph's Hospital in Philadelphia and his Emergency Medicine residency at Lincoln Medical and Mental Health Center in the Bronx, where he served as chief resident. IN THIS ARTICLE
Why Is a Fall Likely to Cause a Broken Bone?The force and angle of a fallThe force of a fall (how hard a person lands) is a significant factor in whether a person will have a broken bone or not. For example, falling a longer distance increases the risk of fracture, so a taller person has a greater risk of a broken bone from falling than a shorter person does. The angle of a fall is also important. Falling sideways or straight down is more likely to cause a broken bone than falling backward. Any bone will break if the force from the fall is strong enough and if the fall occurs at a certain angle, but reducing the force of the fall or falling at a less dangerous angle may prevent fracture. Protecting oneself during a fallUsing one's reflexes and changing one's body position during a fall can protect a person from breaking a bone, especially the hip. Putting one's hands out to catch oneself is a reflex during a fall. If a person lands on his or her hands or grabs onto something while falling, he or she is less likely to break a hip, but the fall could break the wrist or arm. Of note, even though a broken arm or wrist is painful, it is less likely to cause long-term disability or death compared to a broken hip. Landing on a softer surface could reduce the risk of a fracture. That is why hip (trochanteric) pads are recommended for some people. For example, hip protectors may be a good idea for people in nursing homes or people who have already had a broken hip. Hip protectors are worn to reduce the impact of trauma and protect the bone when a fall occurs from a standing position. Studies have demonstrated that these hip protectors can protect people at risk of a broken hip. Must Read Articles Related to Fall Prevention and Osteoporosis
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Osteoporosis is a systemic skeletal disorder characterized by decreased bone mass and deterioration of bony microarchitecture.
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