Can distal radius or vertebra fractures due to low-energy trauma be a harbinger of a hip fracture?

Bozkurt, Hasan Hüseyin

doi:10.5606/ehc.2018.004

Cited by 17 publications

(20 citation statements)

References 13 publications

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“…Together with the aging population, incidence rates of both diseases have been rapidly increasing. [1] It has been revealed that the prevalence of arthritis was 4.9% in the population above 25 years of age, whereas this rate became 16.9% in the population above 45 years of age. [2] Osteoporosis affects one in four females during the postmenopausal period and 80% of females above 80 years of age.…”

mentioning

confidence: 99%

Is it possible that the pathogenesis of osteoarthritis could start with subchondral trabecular bone loss like osteoporosis?

Tokgöz¹

2018

Eklem Hastalik Cerrahisi

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mentioning

confidence: 99%

Is it possible that the pathogenesis of osteoarthritis could start with subchondral trabecular bone loss like osteoporosis?

Tokgöz¹

2018

Eklem Hastalik Cerrahisi

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“…Distal radius fractures provide an important opportunity during which to identify osteoporosis, which should not be missed. Cuddihy et al (1999) reported that forearm fractures are predictive of osteoporotic fractures, and Bozkurt et al (2018) stated that vertebral and distal radius fractures are precursors to femoral neck fractures. A diagnosis of osteoporosis following a distal radius fracture is also essential towards preventing femoral neck fractures, which can occur as a secondary fracture.…”

Section: Discussionmentioning

confidence: 99%

“…It is indicative of the severity of osteoporosis; indeed, osteoporosis with low BMD is a risk factor for distal radius fractures (Hegeman et al 2004;Itoh et al 2004;Hung et al 2005;Bahari et al 2007;Harness et al 2012;Xu et al 2017). Distal radius fractures accompanying osteoporosis may precede future secondary fractures, such as femoral and vertebral fractures (Cuddihy et al 1999;Bozkurt et al 2018). Thus, the prevention and treatment of osteoporosis are important for the prevention of fractures.…”

Section: Introductionmentioning

confidence: 99%

Low Bone Mineral Density of the Forearm and Femur among Postmenopausal Women with Metaphyseal Comminuted Fracture of the Distal Radius

Kanda

Endo

Kondo

2019

Tohoku J. Exp. Med.

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Osteoporosis is characterized by bone loss and skeletal fragility and is likely to occur in postmenopausal women. Distal radius fracture is a type of fragility fractures associated with osteoporosis. Bone mineral density (BMD) refers to the amount of mineral in bone tissue and is an indicator of osteoporosis. This study aimed to investigate the relationship between the severity of distal radius comminution and the BMD of the healthy contralateral forearm and femur in postmenopausal women. Of 165 women who sustained low-energy trauma from falls on flat ground, forearm and femoral neck BMDs were measured in 155 and 163 participants, respectively. Evaluation of distal radius comminution was performed by computed tomography, and the severity is classified based on the degree of articular surface comminution and on the presence of metaphyseal comminution. We thus evaluated 165 cases of articular surface comminution (extra-articular, 43 cases; intra-articular simple, 91 cases; and intra-articular multifragment, 31 cases) and metaphysis comminution (metaphyseal simple, 58 cases; metaphyseal monocortical comminution on either the palmar or dorsal side, 82 cases; and metaphyseal bicortical comminution on the palmar and dorsal sides, 25 cases). There was no significant association between intra-articular comminution and BMD of the forearm and femur. By contrast, the participants with metaphyseal bicortical comminution showed lower BMD of the forearm and femur compared with other types of metaphysis comminution (p < 0.05). In conclusion, postmenopausal women who developed bicortical comminuted fractures of the distal radius tend to have lower femoral BMD, which may predispose them to future hip fractures.

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“…Factors like age, previous osteoporotic fracture, parental fracture or osteoporosis history also increase fracture risk. [10,11] For these reasons, more easily accessible and cost-effective methods are needed to diagnose osteoporosis and particularly to predict and prevent hip fractures. In this study, we aimed to investigate whether the ratio of the canal-to-diaphysis in femoral subtrochanteric region is helpful in determining risk before hip fracture.…”

mentioning

confidence: 99%

What is the importance of canal-to-diaphysis ratio on osteoporosis-related hip fractures?

Bozkurt

Tokgöz

Yapar

et al. 2019

Eklem Hastalik Cerrahisi

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ÖZAmaç: Bu çalışmada femoral subtrokanterik bölge kanaldiyafiz oranının kalça kırığı öncesi riskin belirlenmesinde yararlı olup olmadığı araştırıldı. Hastalar ve yöntemler: Çalışma grubu osteoporotik kalça kırıklı 116 hastadan (26 erkek, 90 kadın; ort. yaş 77.8 yıl; dağılım, 61-89 yıl), kontrol grubu ise 56 bireyden (11 erkek, 45 kadın; ort. yaş 75.3 yıl; dağılım, 60-83 yıl) oluştu. Çalışma grubundaki hastaların düz radyografilerinde kanaldiyafiz oranı ölçüldü. Etkilenen taraf ve sağlam tarafın sonuçları karşılaştırıldı. Ölçümlerin gözlemciler arasında güvenilirliğini sağlamak ve teknik hataları en aza indirmek için değerlendirmeler iki farklı ortopedik cerrah tarafından iki kere (iki hafta ara ile) yapıldı. Bulgular: Kalça kırıklı hastalarda kanal-diyafiz oranı aynı hastanın sağlam tarafına (p<0.001) ve kontrol deneklerine (p<0.001) göre anlamlı olarak artmıştı. Alıcı işletim karakteristik analizinin sonuçlarına göre, osteoporoz hastalarında kalça kırığını öngörmede kanal diyafiz oranı tanısal bir değere sahipti ve sınır değer yaklaşık 0.53 (duyarlılık: %81, özgüllük: %86) idi. 0.53'lük indeks, %89'luk intertrokanterik kalça kırığı riskini temsil eder. Sonuç: X-ışını cihazına düşük maliyetle rahatlıkla erişilebildiği için bu yöntem tüm hekimler tarafından kolayca uygulanabilir. Yüksek riskli hastalarda kalça kırığı riski belirlenmeli, osteoporoz değerlendirilmeli ve kırık gelişmeden gerekli önlemleri almak için tedaviye başlanmalıdır.Anahtar sözcükler: Kanal-diyafiz oranı, kırık riski, kalça kırığı, osteoporoz. ABSTRACTObjectives: This study aims to investigate whether the ratio of the canal-to-diaphysis in femoral subtrochanteric region is helpful in determining risk before hip fracture. Patients and methods: The study group consisted of 116 patients with osteoporotic hip fractures (26 males, 90 females; mean age 77.8 years; range, 61 to 89 years) and the control group consisted of 56 subjects (11 males, 45 females; mean age 75.3 years; range, 60 to 83 years). The canal-to-diaphysis ratio of patients in the study group was measured on plain radiographs. The results of the affected side and intact side were compared. To ensure the interobserver reliability of the measurements and to minimize technical errors, the assessments were performed twice (two weeks apart) by two different orthopedic surgeons.

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Can distal radius or vertebra fractures due to low-energy trauma be a harbinger of a hip fracture?

Cited by 17 publications

References 13 publications

Is it possible that the pathogenesis of osteoarthritis could start with subchondral trabecular bone loss like osteoporosis?

Is it possible that the pathogenesis of osteoarthritis could start with subchondral trabecular bone loss like osteoporosis?

Low Bone Mineral Density of the Forearm and Femur among Postmenopausal Women with Metaphyseal Comminuted Fracture of the Distal Radius

What is the importance of canal-to-diaphysis ratio on osteoporosis-related hip fractures?

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