BMJ 1995; 310 doi: https://doi.org/10.1136/bmj.310.6984.950 (Published 08 April 1995) Cite this as: BMJ 1995;310:950

One in every six white women in the United States will have a hip fracture in her lifetime, and a prospective study of 9516 women aged 65 or older has highlighted some lesser known risk factors (New England Journal of Medicine 1995;332:767-73). The risk was higher among women who had previous fractures of any type after the age of 50, were tall at the age of 25, rated their health fair or poor, had previous hyperthyroidism, had been treated with long acting benzodiazepines or anticonvulsants, ingested greater amounts of caffeine, or spent fewer than four hours a day on their feet. Treating impaired visual function was shown to be one step that could reduce the risk.

Repair of an inguinal hernia is the most common operation done on children in Western countries; in the United States around 7% of all boys have a herniorrhaphy. Argument continues about the advisability of exploring the other groin after the operation. The “American Journal of Surgery” (1995;169:285) argues that the chance of finding a true hernia by contralateral surgical exploration is less than 6%, and its verdict is against such investigation.

Guidelines on the management of men with symptoms of …

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