Bone Mineral Density is Not Correlated with One-Year Functional Outcome in Distal Radial Fractures: A Preliminary Study

Boymans, Tim A.E.J.; Helden, Svenhjalmar van; Kessels, Alfons; Broeke, Rene ten; Brink, Peter R.

doi:10.1007/s00068-008-8120-y

Cited by 4 publications

(2 citation statements)

References 25 publications

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“…So, there is a probable long-term impact of age on fracture appearance, although in the present study, a low BMD corresponding to osteoporosis was not associated with patient-related functional outcome in the first-year post-fracture. This contrasts with postmenopausal women, where osteoporosis negatively impacted DASHscore independent of fracture appearance and comorbidities [6], although a far from universal association [38,39]. Possibly, association is obscured in our study by the relatively low number, with larger studies required before definitive conclusions can be made.…”

Section: Discussioncontrasting

confidence: 59%

Patient-related outcome, fracture displacement and bone mineral density following distal radius fracture in young and older men

Egund

McGuigan

Egund

et al. 2020

BMC Musculoskelet Disord

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Background Distal radius fractures can adversely affect wrist function; for men with this fracture, the role played by fracture severity, age and osteoporosis on fracture outcome has not been sufficiently studied. Objective To describe patient-reported outcome and the association with bone integrity, fracture severity and future fracture risk among young and older men with distal radius fracture. Methods This prospective study includes 133 men with acute distal radius fracture, mean age 54 (range 21–88), who were followed for 12 months. They were categorized as younger (< 65) and older (65+). Main outcome was DASH (Disability of the Arm, Shoulder and Hand) at 12 months; DASH > 15 was defined as poor outcome. Fractures were classified and radiographic displacement identified at initial presentation and follow-up. BMD was measured and FRAX 10-year probability of fracture calculated. Results Disability was higher in older men (DASHmedian 10 vs 2; p = 0.002); a clinically meaningful difference (ΔDASH = 10, p = 0.017) remained after adjustment for displacement, fracture classification and treatment method. Almost 50% of older men vs 14% in younger had poor outcome, p < 0.001. Bone mineral density did not independently predict outcome. Older men with a displaced fracture at initial presentation had greater disability (DASHmedian, IQR 45, 14;73) and risk of fracture (FRAXmajor osteoporotic 14, 8;21). Conclusion Men over the age of 65 with a distal radius fracture are more likely to have post-fracture disability regardless of radiographic appearance. Fracture displacement, indicating impaired bone strength, is also more common and associated with an increased risk of fracture within 10-years. Secondary fracture prevention should therefore be considered in men presenting with distal radius fracture.

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Section: Discussioncontrasting

confidence: 59%

Patient-related outcome, fracture displacement and bone mineral density following distal radius fracture in young and older men

Egund

McGuigan

Egund

et al. 2020

BMC Musculoskelet Disord

View full text Add to dashboard Cite

show abstract

“… 26 However, other groups exploring clinical outcomes in patients with osteoporosis have not reported a difference in function or radiologic deformity after DRF. 27 , 28 It is difficult to draw conclusions because these studies were small and the characterization of their study populations was limited; therefore, we sought to analyze these outcomes on a larger scale.…”

Section: Discussionmentioning

confidence: 99%

Analysis of Postoperative Distal Radius Fracture Outcomes in the Setting of Osteopenia and Osteoporosis for Patients with Comorbid Conditions

Tuaño

Fisher

Lee

et al. 2023

Journal of Hand Surgery Global Online

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Wrist Fractures and Osteoporosis

Strickland

Chambers

2019

Orthopedic Clinics of North America

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Bone Mineral Density is Not Correlated with One-Year Functional Outcome in Distal Radial Fractures: A Preliminary Study

Abstract: The functional outcome of conservatively treated distal radial fractures in this study does not correlate with bone mineral density. Therefore, BMD measurement cannot be used to predict functional outcome in these patients.

Cited by 4 publications

References 25 publications

Patient-related outcome, fracture displacement and bone mineral density following distal radius fracture in young and older men

Patient-related outcome, fracture displacement and bone mineral density following distal radius fracture in young and older men

Analysis of Postoperative Distal Radius Fracture Outcomes in the Setting of Osteopenia and Osteoporosis for Patients with Comorbid Conditions

Wrist Fractures and Osteoporosis

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