Objective

This case study describes a perimortem hip fracture in a documented individual from the Robert J. Terry Skeletal Collection. The purpose of this paper is to comprehend how co-occurring conditions contributed to fracture risk and to understand the effect of the injury on this individual.

Materials and Methods

A 73-year-old female from the Terry Collection with a fracture of the left proximal femur was assessed macroscopically, and images were taken with a Keyence VHX-2000 digital microscope. Documentation concerning the individual’s history and contemporary treatment of hip fractures was explored.

Results

Assessment demonstrated impaction of fractured elements occurred as a result of the inferior displacement of the femoral head into the femoral neck. Eburnation and hinge fractures are present on the fracture margins. Bending deformities of the sacrum, sternum, and ribs indicate underlying osteomalacia. No evidence of surgical intervention was observed.

Conclusions

Both osteomalacia and osteoporosis contributed to overall fracture risk in this case, which demonstrates how complex underlying factors can interact to increase the probability of fracture, and influence post-fracture mortality.

Significance

This report is the first case study, to date, of a healing hip fracture in which the circumstances of the fracture and the medical history of the individual are known.

Limitations

To fully investigate osteoporosis, bone mineral density for this individual should be compared with others in the collection.

Suggestions for Further Research

The effect of co-occurring conditions on fracture risk should be explored in the wider Terry Collection, and in other skeletal collections.

中文翻译：

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骨质疏松症、骨软化症和髋部骨折：特里收藏的案例研究。

客观的

本案例研究描述了 Robert J. Terry 骨骼收藏中记录的个人的死前髋部骨折。本文的目的是了解同时发生的情况如何导致骨折风险，并了解受伤对这个人的影响。

材料和方法

一名来自 Terry Collection 的 73 岁女性左股骨近端骨折接受了宏观评估，并使用 Keyence VHX-2000 数码显微镜拍摄了图像。探讨了有关个人历史和当代髋部骨折治疗的文件。

结果

评估表明，由于股骨头向下移位到股骨颈中，发生了骨折元件的嵌塞。骨折边缘存在烧焦和铰链骨折。骶骨、胸骨和肋骨的弯曲畸形表明潜在的骨软化症。没有观察到手术干预的证据。

结论

在这种情况下，骨软化症和骨质疏松症都导致了整体骨折风险，这表明复杂的潜在因素如何相互作用以增加骨折的可能性，并影响骨折后的死亡率。

意义

这份报告是迄今为止第一个关于髋部骨折愈合的案例研究，其中骨折的情况和个体的病史是已知的。

限制

为了全面调查骨质疏松症，应该将这个人的骨矿物质密度与集合中的其他人进行比较。

进一步研究的建议

应在更广泛的 Terry 收藏和其他骨骼收藏中探索同时发生的条件对骨折风险的影响。