Hip Fracture: A Complex Illness Among Complex Patients
Authors: William W. Hung, R. Sean Morrison
Journal: Annals of Internal Medicine (2012)

Letters3 January 2012Hip Fracture: A Complex Illness Among Complex PatientsWilliam W. Hung, MD and R. Sean Morrison, MDWilliam W. Hung, MDFrom James J. Peters Veterans Affairs Medical Center, Bronx, NY 10468, and Mount Sinai School of Medicine, New York, NY 10029.Search for more papers by this author and R. Sean Morrison, MDFrom James J. Peters Veterans Affairs Medical Center, Bronx, NY 10468, and Mount Sinai School of Medicine, New York, NY 10029.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-156-1-201201030-00028 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:Although the vast majority of hip fracture patients are treated surgically, approximately 6% do not receive surgery (1). There are a paucity of data to guide treatment decisions in this population, and well-designed prospective studies are needed. In the absence of such data, extrapolation from studies that have used regional techniques (for example, femoral nerve blocks) before and after surgical repair suggests that they are viable and effective options for reducing systemic opioid requirements and improving the management of hip fracture pain (2). A more definitive study on efficacy is currently under way. Nevertheless, pain control in patients ...References1. Neuman MD, Fleisher LA, Even-Shoshan O, Mi L, Silber JH. Nonoperative care for hip fracture in the elderly: the influence of race, income, and comorbidities. Med Care. 2010;48:314-20. [PMID: 20355262] CrossrefMedlineGoogle Scholar2. Abou-Setta AM, Beaupre LA, Rashiq S, Dryden DM, Hamm MP, Sadowski CA, et al. Comparative effectiveness of pain management interventions for hip fracture: a systematic review. Ann Intern Med. 2011;155:234-45. [PMID: 21844549] LinkGoogle Scholar3. Lyles KW, Colón-Emeric CS, Magaziner JS, Adachi JD, Pieper CF, Mautalen C, et al; HORIZON Recurrent Fracture Trial. Zoledronic acid and clinical fractures and mortality after hip fracture. N Engl J Med. 2007;357:1799-809. [PMID: 17878149] CrossrefMedlineGoogle Scholar4. Colón-Emeric C, Kuchibhatla M, Pieper C, Hawkes W, Fredman L, Magaziner J, et al. The contribution of hip fracture to risk of subsequent fractures: data from two longitudinal studies. Osteoporos Int. 2003;14:879-83. [PMID: 14530910] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAuthors: William W. Hung, MD; R. Sean Morrison, MDAffiliations: From James J. Peters Veterans Affairs Medical Center, Bronx, NY 10468, and Mount Sinai School of Medicine, New York, NY 10029.Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M11-1559. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoHip Fracture: A Complex Illness Among Complex Patients William W. Hung and R. Sean Morrison Comparative Effectiveness of Pain Management Interventions for Hip Fracture: A Systematic Review Ahmed M. Abou-Setta , Lauren A. Beaupre , Saifee Rashiq , Donna M. Dryden , Michele P. Hamm , Cheryl A. Sadowski , Matthew R.G. Menon , Sumit R. Majumdar , Donna M. Wilson , Mohammad Karkhaneh , Shima S. Mousavi , Kai Wong , Lisa Tjosvold , and C. Allyson Jones Hip Fracture: A Complex Illness Among Complex Patients Joanne Lynn Hip Fracture: A Complex Illness Among Complex Patients Rajiv K. Dixit Metrics 3 January 2012Volume 156, Issue 1_Part_1Page: 71KeywordsHip fracturesMortalityNerve blockOpioidsOsteoporosisPatientsPneumoniaProspective studiesSurgerySurgical repair ePublished: 3 January 2012 Issue Published: 3 January 2012 Copyright & PermissionsCopyright © 2012 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...