Osteoporotic Hip and Spine Fractures

Cannada, Lisa K.; Hill, Brian W.

doi:10.1177/2151458514548579

Cited by 19 publications

(13 citation statements)

References 50 publications

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“…This pattern of less accurate fracture reduction, particularly of non-hip fractures, is supported by the lack of provision for lumbar spine BMD which is commonly recommended in treatment guidelines, meaning that FRAX does not account for individuals who have low lumbar T-score but with normal femoral neck. This comes in concordance with published data revealing that in contrast to osteoporotic vertebral fractures, hip fractures represent only a small portion of osteoporotic fractures (14%) [64]. These findings clearly illustrate the vital need for re-thinking the FRAX algorithm.…”

Section: Frax To Re-thinksupporting

confidence: 91%

FRAX: re-adjust or re-think

Miedany

2020

Arch Osteoporos

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Since its development in 2008, FRAX has booked its place in the standard day to day management of osteoporosis. The FRAX tool has been appreciated for its simplicity and applicability for use in primary care, but criticised for the same reason, as it does not take into account exposure response. To address some of these limitations, relatively simple arithmetic procedures have been proposed to be applied to the conventional FRAX estimates of hip and major fracture probabilities aiming at adjustment of the probability assessment. However, as the list of these adjustments got longer, this has reflected on its implementation in the standard practice and gave FRAX a patchy look. Consequently, raises the need to re-think of the current FRAX and whether a second generation of the tool is required to address the perceived limitations of the original FRAX. This article will discuss both point of views of re-adjustment and re-thinking.

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Section: Frax To Re-thinksupporting

confidence: 91%

FRAX: re-adjust or re-think

Miedany

2020

Arch Osteoporos

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“…Furthermore, based on the local situation of clinical center, referred patients are quite different (Scholes et al, 2014). Almost all studies reported the incidence of fractures in men more than women and the rate of this incidence in males are about 10-41 in 100000 while in females are 8.1-31 in 100000 (Cannada & Hill, 2014;Donaldson et al, 1990;Donaldson et al, 2008;Fife & Barancik, 1985;Matthiessen & Robinson, 2015;Sakaki et al, 2014;Stockton et al, 2015). In this study the rate of fracture frequency was 76.7% in males and 23.3% in females that is consistent with other studies.…”

Section: Discussionmentioning

confidence: 99%

Epidemiological Review of Relation between Gender and Traumatic Injuries in Hospitals in Iran

Ameri¹,

Ali²,

Mehrpisheh³

et al. 2016

GJHS

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BACKGROUND: Orthopedic injury including fractures of limbs, hip or spine or the injuries of soft tissue, muscles, ligaments and tendons lesions are the most common traumatic injuries these days, and impose a significant material and spiritual cost to the communities every year. The aim of this study is to evaluate the relation between injuries and the mechanism of injuries and gender.METHODS: In these studies 2480 patients with mean age of 29.9±17.8 referred to Shafa Yahyaeian Hospital in Tehran, Iran were participated. Some information of patients has been recorded during April-October in 2013. Information includes demographic characteristics, the exact mechanism of injury, radiographic imaging, CT scan, MRI were recorded. The statistical analysis performed on data with t-test, Mann-Whitney and Chi-Square tests.RESULTS: From 685 patients with lower extremity fractures, 500 (73%) were male and 185 (27%) female. Also from 332 patients with soft tissue injuries, the males were 281 (84.5%) and 51 (15.5%) female. In this study no significant relation between gender and upper and lower extremity injuries were not seen (P=0.69). The most common mechanism of trauma in male patients were fall from standing position 34.8%, direct trauma 24.6%, motorcycle crash 10% and fall from height 7.9%. Also the most common mechanism of trauma in female patients was fall from standing position 54.2%, direct trauma 15.8% and falling from stairs 7.5%. There were no significant relation between sex and trauma mechanism in this study (P=0.00).CONCLUSIONS: According to the results the frequency of fractures and soft tissue injuries were higher in male than female. The main mechanisms of injury in both groups were fall from the standing position.

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“…Post-operative complications may occur as well. The most common are: post-operative dementia, anemia, stress ulcers, deep vein thrombosis, delayed wound healing/infection, bed sores, pneumonia, stroke, heart ischemia or death [23][24][25].…”

Section: Resultsmentioning

confidence: 99%

Impending atypical femoral fractures due to prolong bisphosphonate use – case report and literature review

ADAMSKI¹,

Adamski²

2018

Chir. Narzadow Ruchu Ortop. Pol.

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We present a case of 78 year old female, who was treated orally with ibandronic acid. It is widely accepted drug, used in osteoporosis treatment. After several months, she started to suffer because of thigh pain. She was diagnosed with impending atypical femoral fracture after following diagnostic protocol. Immediate discontinuation of further drug use and limited weight bearing on affected extremity, led to clinical improvement and pain relief. The patient avoided complete femoral fracture. The regression of changes was proved in SPECT (single-photon emission computed tomography).

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Osteoporotic Hip and Spine Fractures

Cited by 19 publications

References 50 publications

FRAX: re-adjust or re-think

FRAX: re-adjust or re-think

Epidemiological Review of Relation between Gender and Traumatic Injuries in Hospitals in Iran

Impending atypical femoral fractures due to prolong bisphosphonate use – case report and literature review

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