Regional Bone Loss as a Risk Factor for Distal Radius Fracture in Women under 60 Years Old
- Author:
Hwa Jae JEONG
1
;
Jinmyung LEE
;
Hun Kyu SHIN
;
Jai Hyung PARK
;
Se Jin PARK
;
Taeg Su KO
;
Jong Hyon PARK
;
Eugene KIM
Author Information
1. Department of Orthopedic Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea. dreugene0809@gmail.com
- Publication Type:Original Article
- Keywords:
Bone mineral density;
Regional bone loss;
Distal radius;
Fracture;
Osteoporosis
- MeSH:
Bone Density;
Female;
Hip;
Humans;
Osteoporosis;
Radius;
Radius Fractures;
Risk Factors;
Spine
- From:Journal of Korean Society of Osteoporosis
2014;12(3):111-116
- CountryRepublic of Korea
- Language:English
-
Abstract:
OBJECTIVES: Some studies have suggested that lumbar spine and hip bone mineral density (BMD) are not associated with distal radius fractures (DRF), and a few studies have investigated regional BMDs at the fracture site, not just the lumbar or hip. We correlated distal radius BMD with DRF in postmenopausal women <60 years old. METHODS: A total of 121 women > or =50 years old with DRF were enrolled in the fracture group, and 72 women without fractures were included as a control group. We measured distal radius BMD in the distal radius contralateral to the fractured bone in the fracture group and that of the lumbar body 5 days after the trauma. BMDs at the distal radius of each group were compared in three age groups (50~59, 60~69, and > or =70 years). Age- and site-specific BMDs were analyzed in each group. RESULTS: No significant differences in the rate of osteoporosis at the distal radius or lumbar spine were observed in patients > or =60 years old. However, BMD and T-score values of the distal radius in female patients were lower than those in controls <60 years old. BMD and T-score values of the distal radius were lower than those of the lumbar spine in the fracture group <60 years old. BMD of the distal radius also carried a higher relative risk. CONCLUSIONS: Low BMD of the distal radius was an indicator of regional BMD and could be a sensitive risk factor for DRF in women <60 years.
