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To test the hypothesis, we compared, in a simulated sideways fall, the hip impact energy to the energy\u00a0needed to fracture the femur. Ten femurs from elderly donors were tested using a novel drop-tower protocol for replicating the hip fracture dynamics during a fall on the side. The impact energy was varied for each femur according to the donor\u2019s body weight, height and soft-tissue thickness,\u00a0by adjusting the drop height and mass. The fracture pattern, force, energy, strain in the superior femoral neck, bone morphology and microarchitecture were evaluated. Fracture patterns were consistent with clinically relevant hip fractures, and the superior neck strains and timings were comparable with the literature. The hip impact energy (11 \u2013 95 J) and the fracture energy (11 \u2013 39 J) ranges overlapped and showed comparable variance (CV = 69 and 61%, respectively). The aBMD-based definition of osteoporosis correctly classified 7 (70%) fracture\/non-fracture cases. The incorrectly classified cases presented large impact energy variations, morphology variations and large subcortical voids as seen in microcomputed tomography. In conclusion, the risk of osteoporotic hip fracture in a\u00a0sideways fall depends on both body anthropometry and bone\u00a0strength.<\/jats:p>","DOI":"10.1007\/s10439-020-02682-y","type":"journal-article","created":{"date-parts":[[2020,11,12]],"date-time":"2020-11-12T20:02:46Z","timestamp":1605211366000},"page":"1380-1390","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Body Anthropometry and Bone Strength Conjointly Determine the Risk of Hip Fracture in a Sideways Fall"],"prefix":"10.1007","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1231-2728","authenticated-orcid":false,"given":"Marco","family":"Palanca","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Egon","family":"Perilli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saulo","family":"Martelli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2020,11,12]]},"reference":[{"key":"2682_CR1","doi-asserted-by":"crossref","first-page":"269","DOI":"10.1016\/j.jmbbm.2019.04.038","volume":"96","author":"S Askarinejad","year":"2019","unstructured":"Askarinejad, S., J. 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