Ankle fractures have features of an osteoporotic fracture

Abstract

Ankle fracture had features of osteoporotic fracture that is characterized by age- and gender-dependent low bone attenuation. Ankle fracture should not be excluded from the clinical and research interest as well as from the benefit of osteoporosis management.

Obesity and fractures in postmenopausal women

“…Reduced, normal and increased BMD have all been reported in patients with ankle fracture [19][20][21][22]. Some studies [23,24] have demonstrated a decrease in the incidence of ankle fractures in women after the age of 60 years; however, in a large study [25] of 91 490 ankle fractures, of which 57% had occurred in women, an agerelated increase in incidence rate was seen in women but not in men.…”

Proton pump inhibitor use and the risk of fractures among an older adult cohort

“…We did not limit our outcomes to study only fractures because of limited trauma, as work has shown that high‐trauma fractures are associated with low bone mineral density and therefore a higher risk of subsequent fracture particularly among older adult populations . Ankle fractures, though sometimes not considered in studies of osteoporotic fractures, were included here because these fractures have features of osteoporotic fractures that are subject to age and sex‐dependent low bone attenuation . We chose these fracture sites in part based on results from a prior validation study at KPWA (unpublished).…”

Management of ankle fractures in the elderly

“…In a recent CT study of 194 ankles, elderly patients showed more complex fracture patterns and significantly higher bone attenuation than the younger age group, suggestive of osteoporosis. 20 Routine osteodensitometry and adequate medication after confirming the diagnosis of osteoporosis are mandatory in the management of these patients.…”