Evaluation of Hip Geometry Parameters in Patients With a Distal Radius Fracture
| Autor: | Ohsang Kwon, Jeong Hyun Lee, Goo Hyun Baek, Young Ho Shin, Hyun Sik Gong, Kyoung Min Kim |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
musculoskeletal diseases
0301 basic medicine Endocrinology Diabetes and Metabolism 030209 endocrinology & metabolism Geometry 03 medical and health sciences 0302 clinical medicine Bone Density Risk Factors Humans Medicine Radiology Nuclear Medicine and imaging Orthopedics and Sports Medicine Femur In patient Pelvic Bones Propensity Score Retrospective Studies Bone mineral Hip Fractures business.industry Section modulus Neck shaft angle Middle Aged Cross-Sectional Studies Logistic Models Increased risk Case-Control Studies Fracture (geology) Distal radius fracture 030101 anatomy & morphology Radius Fractures business |
| Zdroj: | Journal of Clinical Densitometry. 23:576-581 |
| ISSN: | 1094-6950 |
| Popis: | Patients with a distal radius fracture (DRF) have an increased risk of subsequent fractures including hip fractures. The purpose of this study was to evaluate whether women with a DRF have certain hip geometry parameters known to indicate susceptibility to hip fractures.We compared bone mineral density (BMD) and hip geometry parameters (hip axis length, neck shaft angle, mean cortical thickness, femur neck width, cross-sectional area [CSA], cross-sectional moment of inertia, section modulus, and buckling ratio) in 181 women with a DRF (DRF group) and 362 propensity score-matched women without a fracture (control group). We evaluated the associations between DRF and hip geometry parameters using logistic regression analysis.The DRF group had lower hip BMD; lower cortical thickness, CSA, and section modulus; and higher buckling ratio than the control group (all p0.05). The occurrence of a DRF was significantly associated with decreases in neck shaft angle (odds ratio [OR], 1.047; 95% confidence interval [CI], 1.008-1.088) and CSA (OR, 3.114; 95% CI, 1.820-5.326) after adjusting for age, BMI, and total hip BMD.In this study, women with a DRF were more likely than women without a DRF to have hip geometry parameters known to indicate susceptibility to hip fractures. Our results suggest that not only low hip BMD but also a decreased CSA could account for the increased risk of subsequent hip fracture in patients with a DRF. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|