{"id":"https://openalex.org/W80929280","doi":null,"title":"Biomechanical considerations of hip and spine fractures in osteoporotic bone.","display_name":"Biomechanical considerations of hip and spine fractures in osteoporotic bone.","publication_year":1997,"publication_date":"1997-01-01","ids":{"openalex":"https://openalex.org/W80929280","mag":"80929280","pmid":"https://pubmed.ncbi.nlm.nih.gov/9143985"},"language":"en","primary_location":{"id":"pmid:9143985","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/9143985","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Instructional course lectures","raw_type":"Journal Article"},"volume":null,"type":"article","indexed_in":["pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5111922267","display_name":"Wilson C. Hayes","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1316535847","display_name":"Beth Israel Deaconess Medical Center","ror":"https://ror.org/04drvxt59","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1316535847"]},{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"W C Hayes","raw_affiliation_strings":["Harvard Medical School, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Harvard Medical School, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA","institution_ids":["https://openalex.org/I1316535847","https://openalex.org/I136199984"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5016393923","display_name":"Elizabeth R. Myers","orcid":"https://orcid.org/0000-0003-4576-7320","observed_orcids":["https://orcid.org/0000-0003-4576-7320"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"E R Myers","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.753,"has_fulltext":false,"cited_by_count":34,"citation_normalized_percentile":{"value":0.72277799,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":89,"max":97},"biblio":{"volume":"46","issue":null,"first_page":"431","last_page":"8"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10071","display_name":"Bone health and osteoporosis research","score":0.8389000296592712,"subfield":{"id":"https://openalex.org/subfields/2732","display_name":"Orthopedics and Sports Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10071","display_name":"Bone health and osteoporosis research","score":0.8389000296592712,"subfield":{"id":"https://openalex.org/subfields/2732","display_name":"Orthopedics and Sports Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10114","display_name":"Balance, Gait, and Falls Prevention","score":0.13230000436306,"subfield":{"id":"https://openalex.org/subfields/3612","display_name":"Physical Therapy, Sports Therapy and Rehabilitation"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11509","display_name":"Hip and Femur Fractures","score":0.015599999576807022,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/hip-fracture","display_name":"hip fracture","score":0.8050000071525574},{"id":"https://openalex.org/keywords/spinal-fractures","display_name":"spinal fractures","score":0.6620000004768372},{"id":"https://openalex.org/keywords/osteoporosis","display_name":"osteoporosis","score":0.9629999995231628},{"id":"https://openalex.org/keywords/sideways-fall","display_name":"sideways fall","score":0.7110000252723694},{"id":"https://openalex.org/keywords/fall-prevention","display_name":"fall prevention","score":0.6919999718666077},{"id":"https://openalex.org/keywords/bone-mineral-density","display_name":"bone mineral density","score":0.7590000033378601},{"id":"https://openalex.org/keywords/hip-fracture-risk-factors","display_name":"hip fracture risk factors","score":0.5529999732971191},{"id":"https://openalex.org/keywords/physique","display_name":"body build","score":0.7099999785423279},{"id":"https://openalex.org/keywords/fall-severity","display_name":"fall severity","score":0.6019999980926514},{"id":"https://openalex.org/keywords/impact-force","display_name":"impact force","score":0.6240000128746033},{"id":"https://openalex.org/keywords/older-adults","display_name":"older adults","score":0.3569999933242798}],"concepts":[{"id":"https://openalex.org/C2779079380","wikidata":"https://www.wikidata.org/wiki/Q333495","display_name":"Falling (accident)","level":2,"score":0.7641184329986572},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7196482419967651},{"id":"https://openalex.org/C2778885795","wikidata":"https://www.wikidata.org/wiki/Q240856","display_name":"Hip fracture","level":3,"score":0.6841750144958496},{"id":"https://openalex.org/C2776541429","wikidata":"https://www.wikidata.org/wiki/Q165328","display_name":"Osteoporosis","level":2,"score":0.6195874810218811},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.5198203325271606},{"id":"https://openalex.org/C111335779","wikidata":"https://www.wikidata.org/wiki/Q3454686","display_name":"Reduction (mathematics)","level":2,"score":0.511695146560669},{"id":"https://openalex.org/C2776516907","wikidata":"https://www.wikidata.org/wiki/Q5432181","display_name":"Fall prevention","level":4,"score":0.5002040863037109},{"id":"https://openalex.org/C99508421","wikidata":"https://www.wikidata.org/wiki/Q2678675","display_name":"Physical medicine and rehabilitation","level":1,"score":0.45244425535202026},{"id":"https://openalex.org/C190385971","wikidata":"https://www.wikidata.org/wiki/Q373494","display_name":"Injury prevention","level":3,"score":0.39807140827178955},{"id":"https://openalex.org/C3017944768","wikidata":"https://www.wikidata.org/wiki/Q1450463","display_name":"Poison control","level":2,"score":0.3956756591796875},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.1696455180644989},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.08674183487892151},{"id":"https://openalex.org/C2524010","wikidata":"https://www.wikidata.org/wiki/Q8087","display_name":"Geometry","level":1,"score":0.0},{"id":"https://openalex.org/C33923547","wikidata":"https://www.wikidata.org/wiki/Q395","display_name":"Mathematics","level":0,"score":0.0},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000058","descriptor_name":"Accidental Falls","qualifier_ui":"Q000517","qualifier_name":"prevention & control","is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001696","descriptor_name":"Biomechanical Phenomena","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006620","descriptor_name":"Hip Fractures","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":true},{"descriptor_ui":"D006620","descriptor_name":"Hip Fractures","qualifier_ui":"Q000503","qualifier_name":"physiopathology","is_major_topic":false},{"descriptor_ui":"D006620","descriptor_name":"Hip Fractures","qualifier_ui":"Q000517","qualifier_name":"prevention & control","is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010024","descriptor_name":"Osteoporosis","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":true},{"descriptor_ui":"D012307","descriptor_name":"Risk Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016103","descriptor_name":"Spinal Fractures","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":true},{"descriptor_ui":"D016103","descriptor_name":"Spinal Fractures","qualifier_ui":"Q000503","qualifier_name":"physiopathology","is_major_topic":false},{"descriptor_ui":"D016103","descriptor_name":"Spinal Fractures","qualifier_ui":"Q000517","qualifier_name":"prevention & control","is_major_topic":false},{"descriptor_ui":"D016474","descriptor_name":"Weight-Bearing","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"pmid:9143985","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/9143985","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Instructional course lectures","raw_type":"Journal Article"},{"id":"mag:80929280","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/9143985","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"PubMed","raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.9763000011444092,"display_name":"Good health and well-being"}],"study_designs":[],"awards":[{"id":"https://openalex.org/G6195032536","display_name":"FALL BIOMECHANICS AND HIP FRACTURE RISK","funder_award_id":"R01AR040321","funder_id":"https://openalex.org/F4320337362","funder_display_name":"National Institute of Arthritis and Musculoskeletal and Skin Diseases"}],"funders":[{"id":"https://openalex.org/F4320337362","display_name":"National Institute of Arthritis and Musculoskeletal and Skin Diseases","ror":"https://ror.org/006zn3t30"}],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":4,"referenced_works":["https://openalex.org/W27345404","https://openalex.org/W2077252476","https://openalex.org/W2157590079","https://openalex.org/W2322424896"],"related_works":["https://openalex.org/W2076505399","https://openalex.org/W3195661835","https://openalex.org/W2011424885","https://openalex.org/W3194027515","https://openalex.org/W2151622267","https://openalex.org/W2107569718","https://openalex.org/W2894347836","https://openalex.org/W1965237520","https://openalex.org/W2020824375","https://openalex.org/W192839043"],"abstract_inverted_index":{"Falls":[0],"and":[1,11,20,105,159,195,198,202,226,277,284,299,316,323,340,351],"fall-related":[2],"hip":[3,42,184,225,248,358,369],"fractures":[4,370],"are":[5,124,157,244],"among":[6,371],"the":[7,16,27,36,39,63,68,79,84,98,139,171,224,232,260,292,301,311,317,345,355,364,372],"most":[8],"serious,":[9],"common,":[10],"costly":[12],"medical":[13],"problems":[14],"facing":[15],"elderly.":[17],"Recently,":[18],"we":[19,123,326],"others":[21],"have":[22,91,148,165],"shown":[23],"that":[24,31,96,109,163,214,267,308,363],"falls":[25],"to":[26,46,49,83,113,138,206,220,246],"side,":[28],"particularly":[29],"those":[30,94,115],"end":[32],"with":[33,56],"impact":[34,189],"on":[35,269,272,278,337],"hip,":[37],"raise":[38],"risk":[40,54,102,117,135,304],"of":[41,72,81,136,173,236,294,303,313,320,344,357,368],"fracture":[43,185,249],"from":[44,250],"six-":[45],"thirty-fold,":[47],"compared":[48],"about":[50,78,231],"threefold":[51],"increases":[52],"in":[53,60,152,162,170,240,274,354],"associated":[55],"one":[57],"SD":[58],"reduction":[59],"BMD":[61,222],"at":[62,100,116,133,223],"hip.":[64],"And":[65],"yet,":[66],"despite":[67],"apparently":[69],"crucial":[70],"importance":[71],"sideways":[73],"falls,":[74,119],"little":[75,228],"is":[76,229,361],"known":[77,230],"mechanics":[80],"falling":[82,104,137],"side.":[85,140],"In":[86],"addition,":[87],"while":[88,142,210],"previous":[89,127],"studies":[90],"helped":[92],"identify":[93,114],"factors":[95],"place":[97],"elderly":[99,373],"high":[101],"for":[103,118,183,263],"provided":[106],"assessment":[107],"procedures":[108],"can":[110,217,331,374],"be":[111,218,332,375],"used":[112,219],"as":[120,122],"far":[121],"aware":[125],"no":[126],"work":[128],"has":[129],"successfully":[130],"identified":[131],"subjects":[132],"increased":[134],"Moreover,":[141],"rigorous,":[143],"multifactorial":[144],"fall":[145,153,270,275,324,349],"prevention":[146,186],"efforts":[147],"demonstrated":[149,168],"moderate":[150],"reductions":[151,169,273],"incidence,":[154],"such":[155,338],"programs":[156,290],"expensive":[158],"potentially":[160],"inefficient":[161],"they":[164,191,243],"not":[166],"consistently":[167],"numbers":[172],"injurious":[174],"falls.":[175],"While":[176],"trochanteric":[177],"padding":[178],"systems":[179],"show":[180],"considerable":[181],"promise":[182],"by":[187],"reducing":[188],"force,":[190],"involve":[192],"difficult":[193],"acceptance":[194],"compliance":[196],"issues":[197],"will":[199],"require":[200],"large":[201],"rigorous":[203],"clinical":[204],"trials":[205],"demonstrate":[207],"effectiveness.":[208],"Finally,":[209],"it":[211],"also":[212],"appears":[213],"osteodynamic":[215,295],"agents":[216],"increase":[221],"spine,":[227],"local":[233],"structural":[234],"consequences":[235],"these":[237,328],"changes":[238],"and,":[239],"particular,":[241],"if":[242],"sufficient":[245],"prevent":[247],"a":[251,306],"severe":[252],"fall.":[253],"The":[254],"findings":[255],"reviewed":[256],"here":[257],"thus":[258],"emphasize":[259],"continuing":[261],"need":[262],"combined":[264],"intervention":[265,329],"strategies":[266,330],"focus":[268],"prevention,":[271],"severity,":[276,325],"maintaining":[279],"or":[280,291],"increasing":[281],"bone":[282,314,352],"mass":[283],"strength,":[285],"either":[286],"through":[287],"targeted":[288,333],"exercise":[289],"use":[293],"agents.":[296],"By":[297],"developing":[298],"refining":[300],"factor":[302],"phi,":[305],"property":[307],"captures":[309],"both":[310],"contributions":[312],"density":[315],"confounding":[318],"influences":[319],"body":[321],"habitus":[322],"believe":[327],"more":[334],"appropriately.":[335],"Based":[336],"approaches":[339],"an":[341],"improved":[342],"understanding":[343],"complex":[346],"interplay":[347],"between":[348],"biomechanics":[350],"fragility":[353],"etiology":[356],"fracture,":[359],"there":[360],"hope":[362],"growing":[365],"worldwide":[366],"epidemic":[367],"substantially":[376],"abated.":[377]},"counts_by_year":[{"year":2021,"cited_by_count":3},{"year":2019,"cited_by_count":1},{"year":2018,"cited_by_count":1},{"year":2016,"cited_by_count":1},{"year":2015,"cited_by_count":2},{"year":2014,"cited_by_count":2},{"year":2013,"cited_by_count":3}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2016-06-24T00:00:00"}