Evaluation of Hip Geometry Parameters in Patients With a Distal Radius Fracture

被引：2

作者：

Shin, Young Ho ^{[1
]}

Gong, Hyun Sik ^{[2
,3
]}

Kim, Kyoung Min ^{[3
,4
]}

Lee, Jeong Hyun ^{[2
,3
]}

Kwon, Ohsang ^{[2
,3
]}

Baek, Goo Hyun ^{[5
]}

机构：

[1] Univ Ulsan, Coll Med, Asan Med Ctr, Dept Orthoped Surg, Seoul, South Korea

[2] Seoul Natl Univ, Bundang Hosp, Dept Orthoped Surg, Seoungnam Si, Gyeonggi Do, South Korea

[3] Seoul Natl Univ, Coll Med, Seoungnam Si, Gyeonggi Do, South Korea

[4] Seoul Natl Univ, Bundang Hosp, Dept Internal Med, Seoungnam Si, Gyeonggi Do, South Korea

[5] Seoul Natl Univ, Seoul Natl Univ Hosp, Coll Med, Dept Orthoped Surg, Seoul, South Korea

来源：

JOURNAL OF CLINICAL DENSITOMETRY | 2020年 / 23卷 / 04期

基金：

新加坡国家研究基金会;

关键词：

Distal radius fracture; hip geometry; cross-sectional area; neck shaft angle; PROXIMAL FEMUR; RISK-ASSESSMENT; FEMORAL-NECK; WOMEN; MEN; PREDICTION; STRENGTH; OSTEOPOROSIS; SCORE; AGE;

D O I：

10.1016/j.jocd.2019.06.001

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Background: 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. Methods: We compared bone min-eral 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. Results: The DRF group had lower hip BMD; lower cortical thickness, CSA, and section modulus; and higher buckling ratio than the control group (all p < 0.05). 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. Conclusions: 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.

引用

页码：576 / 581

页数：6