The Characteristics of Women with Subsequent Distal Radius Fracture after Initial Distal Radius Fracture
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Background: The purpose of this study was to investigate the characteristics of women with subsequent distal radius fracture (DRF) and to compare bone fragility variables in women with initial and subsequent DRF. Methods: We enrolled 227 women who experienced DRF (203 women with initial DRF and 24 women with subsequent DRF) between September 2016 and April 2019. We compared demographic characteristics and bone fragility variables, including bone mineral density, trabecular bone score, hip geometry, bicortical thickness of the distal radius, and fracture risk assessment tool (FRAX) scores between the 2 groups. To reduce bias, patients with subsequent DRF were propensity score-matched in a 1:2 manner with patients affected by initial DRF, and additional comparisons were performed. Results: Patients in the subsequent DRF group were older than those in the initial DRF group, but this difference was not significant (P=0.091). The proportion of patients receiving treatment with osteoporosis medication was significantly higher in the subsequent DRF group (41.7% vs. 19.2%, P=0.011). Bone fragility variables did not differ significantly between the 2 groups. However, the ten-year probability of major osteoporotic fractures based on FRAX scores was significantly higher in patients with subsequent DRF (7.5% vs. 10.8%, P<0.001). Similar results were observed when comparing the propensity score-matched initial and subsequent DRF groups. Conclusions: These findings suggest that the occurrence of subsequent DRF after initial DRF can be attributed to multiple factors rather than bone fragility alone. Systematic and multidisciplinary management would be helpful in preventing the occurrence of subsequent DRF after the initial DRF.
Abstract
Background: The purpose of this study was to investigate the characteristics of women with subsequent distal radius fracture (DRF) and to compare bone fragility variables in women with initial and subsequent DRF. Methods: We enrolled 227 women who experienced DRF (203 women with initial DRF and 24 women with subsequent DRF) between September 2016 and April 2019. We compared demographic characteristics and bone fragility variables, including bone mineral density, trabecular bone score, hip geometry, bicortical thickness of the distal radius, and fracture risk assessment tool (FRAX) scores between the 2 groups. To reduce bias, patients with subsequent DRF were propensity score-matched in a 1:2 manner with patients affected by initial DRF, and additional comparisons were performed. Results: Patients in the subsequent DRF group were older than those in the initial DRF group, but this difference was not significant (P=0.091). The proportion of patients receiving treatment with osteoporosis medication was significantly higher in the subsequent DRF group (41.7% vs. 19.2%, P=0.011). Bone fragility variables did not differ significantly between the 2 groups. However, the ten-year probability of major osteoporotic fractures based on FRAX scores was significantly higher in patients with subsequent DRF (7.5% vs. 10.8%, P<0.001). Similar results were observed when comparing the propensity score-matched initial and subsequent DRF groups. Conclusions: These findings suggest that the occurrence of subsequent DRF after initial DRF can be attributed to multiple factors rather than bone fragility alone. Systematic and multidisciplinary management would be helpful in preventing the occurrence of subsequent DRF after the initial DRF.
참고문헌 (25)
- A. Balasubramanian, "Risk of subsequent fracture after prior fracture among older women", Osteoporosis International, 30(1), pp.79~92 (2019), Springer Science and Business Media LLC[DOI]
- PATRICK HAENTJENS, "COLLES FRACTURE, SPINE FRACTURE, AND SUBSEQUENT RISK OF HIP FRACTURE IN MEN AND WOMEN", The Journal of Bone and Joint Surgery-American Volume, 85(10), pp.1936~1943 (2003), Ovid Technologies (Wolters Kluwer Health)[DOI]
- Kevin C Chung, "Trends in the United States in the Treatment of Distal Radial Fractures in the Elderly", The Journal of Bone and Joint Surgery-American Volume, 91(8), pp.1868~1873 (2009), Ovid Technologies (Wolters Kluwer Health)[DOI]
- Michael C Nevitt, "Risk Factors for a First-Incident Radiographic Vertebral Fracture in Women ≥65 Years of Age: The Study of Osteoporotic Fractures", Journal of Bone and Mineral Research, 20(1), pp.131~140 (2005), Wiley[DOI]
- Carolyn J Crandall, "Wrist Fracture and Risk of Subsequent Fracture: Findings from the Women's Health Initiative Study", Journal of Bone and Mineral Research, 30(11), pp.2086~2095 (2015), Wiley[DOI]
- E. Barrett-Connor, "Wrist fracture as a predictor of future fractures in younger versus older postmenopausal women: results from the National Osteoporosis Risk Assessment (NORA)", Osteoporosis International, 19(5), pp.607~613 (2008), Springer Science and Business Media LLC[DOI]
- Y.H. Shin, "Osteoporosis care after distal radius fracture reduces subsequent hip or spine fractures: a 4-year longitudinal study", Osteoporosis International, 31(8), pp.1471~1476 (2020), Springer Science and Business Media LLC[DOI]
- S.C.E Schuit, "Fracture incidence and association with bone mineral density in elderly men and women: the Rotterdam Study", Bone, 34(1), pp.195~202 (2004), Elsevier BV[DOI]
- Bao NT Nguyen, "Cortical Thickness Index of the Proximal Femur: A Radiographic Parameter for Preliminary Assessment of Bone Mineral Density and Osteoporosis Status in the Age 50 Years and Over Population", Clinics in Orthopedic Surgery, 10(2), pp.149~156 (2018), 대한정형외과학회
- Gajendra Mani Shah, "Evaluation and Management of Osteoporosis and Sarcopenia in Patients with Distal Radius Fractures", Clinics in Orthopedic Surgery, 12(1), pp.9~21 (2020), 대한정형외과학회[DOI]
- Assessment of osteoporosis at the primary health care level: WHO collaborating centre for metabolic bone diseases, "Kanis JA", University of Sheffield, ~ (2008)
- World Health Organization, "Assessment of fracture risk and its application to screening for postmenopausal osteoporosis. Report of a WHO Study Group", World Health Organ Tech Rep Ser, 843, pp.1~129 (1994)
- treatment on structural geometry of the proximal femur in elderly osteoporotic women, "Bone", 2005, 948~958, pp.Elsevier BV, 10.1016[DOI]
- Thomas J. Beck, "Structural Trends in the Aging Femoral Neck and Proximal Shaft: Analysis of the Third National Health and Nutrition Examination Survey Dual-Energy X-Ray Absorptiometry Data", Journal of Bone and Mineral Research, 15(12), pp.2297~2304 (2000), Wiley[DOI]
- Kyoung Min Kim, "Dissimilarity of femur aging in men and women from a Nationwide Survey in Korea (KNHANES IV)", Journal of Bone and Mineral Metabolism, 31(2), pp.144~152 (2013), Springer Science and Business Media LLC[DOI]
- Tracy Webber, "Correlation Between Distal Radial Cortical Thickness and Bone Mineral Density", The Journal of Hand Surgery, 40(3), pp.493~499 (2015), Elsevier BV[DOI]
- Schuind FA, "A normal data base of posteroanterior roentgenographic measurements of the wrist", J Bone Joint Surg Am, 74, pp.1418~1429 (1992)
- Jennifer L. Kelsey, "Reducing the risk for distal forearm fracture: preserve bone mass, slow down, and don’t fall!", Osteoporosis International, 16(6), pp.681~690 (2005), Springer Science and Business Media LLC[DOI]
- Ian Janssen, "Low Relative Skeletal Muscle Mass (Sarcopenia) in Older Persons Is Associated with Functional Impairment and Physical Disability", Journal of the American Geriatrics Society, 50(5), pp.889~896 (2002), Wiley[DOI]
- Young Jae Cho, "Evaluation of Physical Performance Level as a Fall Risk Factor in Women with a Distal Radial Fracture", Journal of Bone and Joint Surgery, 96(5), pp.361~365 (2014), Ovid Technologies (Wolters Kluwer Health)[DOI]
- Mary Egan, "Factors associated with a second hip fracture: a systematic review", Clinical Rehabilitation, 22(3), pp.272~282 (2008), SAGE Publications[DOI]
- Mark Lunt, "Characteristics of a prevalent vertebral deformity predict subsequent vertebral fracture: results from the European Prospective Osteoporosis Study (EPOS)", Bone, 33(4), pp.505~513 (2003), Elsevier BV[DOI]
- Kyung-Ah Lee, "Analysis of adjacent fracture after percutaneous vertebroplasty: does intradiscal cement leakage really increase the risk of adjacent vertebral fracture?", Skeletal Radiology, 40(12), pp.1537~1542 (2011), Springer Science and Business Media LLC[DOI]
- Han SL, "Is vertebroplasty a risk factor for subsequent vertebral fracture, meta-analysis of published evidence?", Osteoporos Int, 26, pp.113~122 (2015)[DOI]
- Susan B. Broy, "Fracture Risk Prediction by Non-BMD DXA Measures: the 2015 ISCD Official Positions Part 1: Hip Geometry", Journal of Clinical Densitometry, 18(3), pp.287~308 (2015), Elsevier BV[DOI]