Predicting the Anatomical Location of Neck of Femur Fractures in Osteoporotic Geriatric Indian Population
neck of femur, fracture, osteoporosis, Singh index
- Author:
Thirunthaiyan MR
1
;
Mukherjee K
1
;
Prashanth TKR
1
;
Kumar DR
1
Author Information
1. Department of Orthopaedics, Sri Ramachandra Institute of Higher Education and Research, Chennai, India
- Publication Type:Journal Article
- Keywords:
neck of femur, fracture, osteoporosis, Singh index
- From:Malaysian Orthopaedic Journal
2022;16(No.1):103-111
- CountryMalaysia
- Language:English
-
Abstract:
Introduction: Neck of femur fractures are quite common
fractures in the elderly. Though a lot is spoken about the
various modes of management of these fractures across
different age groups, hardly any literary support mentioning
their distribution, location and pattern can be found. In this
study, we aim to find whether the Singh index, as a marker
of osteoporosis on digital radiographs, can predict the
location of neck of femur fractures in the elderly population.
Materials and methods: We accessed 556 fractured hip
radiographs in our institution over the past 5 years (2015-
2020) and correlated with the Singh index, as a marker of
degree of osteoporosis, on pre-operative pelvis digital
radiographs. Mid coronal CT cuts were also corroborated
with the radiographic findings. A control group was set up
and 361 radiographs were evaluated in the study group.
Results: A total of 124 transcervical fractures (73%) were in
Singh index 4, while 76 subcapital fractures (70%) were in
Singh index 3. A total of 166 fractures (66%) were found in
transcervical region in the age group of 60 to 80 years, while
80 fractures (74%) were in the subcapital region in patients
above 80 years.
Conclusion: We concluded that transcervical fractures were
more common in patients with Singh index 4 (p<0.001) and
subcapital more common in patients with Singh index
3(p<0.001). There was also a shift in location of the fractures
from the transcervical region to the subcapital region with
age above 80 years (p<0.001).
- Full text:16.2022my1232.pdf
