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Breaking Point: Who's at Risk for Proximal Humeral Fractures?
Published: Jul 17, 2024
Proximal humeral fractures don't happen randomly. Certain factors can increase your risk of experiencing this painful shoulder injury. Understanding these risk factors is key to prevention.
The Age Factor
Age is a significant risk factor for proximal humeral fractures. These injuries are most common in older adults, with over 70% occurring in people over 60. The highest incidence is among those aged 73-78. As we age, our bones naturally become more brittle and susceptible to fractures, even from relatively minor falls.
The Gender Gap
Women are at higher risk for proximal humeral fractures than men. In fact, these fractures are three to four times more common in females. This gender disparity is largely due to the effects of menopause on bone density. After menopause, women experience a more rapid decline in bone mass, making their bones more fragile.
The Bone Density Dilemma
Low bone density is a major risk factor for proximal humeral fractures. Conditions like osteoporosis, which weaken bones, significantly increase the risk of fractures. Even a minor fall or bump can result in a fracture when bones are fragile. Regular bone density screenings can help identify those at risk.
The Fall Factor
Frequent falls are another key risk factor. In fact, 87-93% of proximal humeral fractures in older adults occur after a fall from standing height. Factors that increase fall risk, such as poor balance, muscle weakness, vision problems, or certain medications, indirectly increase the risk of these fractures. Fall prevention strategies are crucial for reducing fracture risk.
Frequently Asked Questions
Yes, but they're less common and often result from high-energy trauma.
It can, by increasing fall risk and impacting bone health.
Yes, some medications can affect bone density or increase fall risk.
Yes, genetic factors can influence bone density and fracture risk.
Absolutely. Diet, exercise, and habits like smoking all impact bone health.
Knowledge is Power
Understanding your risk factors is the first step in preventing proximal humeral fractures and maintaining shoulder health.
References
- Court-Brown CM, Garg A, McQueen MM. The epidemiology of proximal humeral fractures. Acta Orthop Scand 2001; 72:365.
- Chu SP, Kelsey JL, Keegan TH, et al. Risk factors for proximal humerus fracture. Am J Epidemiol 2004; 160:360.
- Lee SH, Dargent-Molina P, Bréart G, EPIDOS Group. Epidemiologie de l'Osteoporose Study. Risk factors for fractures of the proximal humerus: results from the EPIDOS prospective study. J Bone Miner Res 2002; 17:817.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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