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Comparison of Femoral Geometry among Cases with and without Hip Fractures

Havva Talay Calis|Merih Eryavuz|Mustafa Calis
연세대학교의과대학 (Yonsei University College of Medicine)|2004.10|Yonsei Medical Journal|제45권 제5호|pp. 901-907

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참고문헌

주제분류의학일반

초록

Abstract

Hip fractures have high morbidity and mortality rate for the people as a complication of osteoporosis and is generally seen in old age. It is known that femoral geometric measurements are important in the assessment of hip fracture risks. This study aimed to examine the association between hip geometry and hip fracture in post-menopausal elderly females. In the present study, 232 hip X-rays were taken from women with no hip fractures (Group 1) and 29 post-menopausal women with hip fractures (Group 2) after a minor trauma. After standard anterior-posterior plain pelvic X-ray radiographs were obtained, various radiographic measurements were performed in all cases, including the hip axis length (HAL), femoral neck axis length (FAL), acetabular width (AW), femoral head width (HW), femoral neck width (FW), femoral shaft width (FSW), intertrochanteric width (TW), lateral and medial cortical thickness of the femoral shaft (LCT, SMCT), femoral neck cortical thickness (NMCT) and femoral neck-shaft angle (Q-angle). In group 1, the mean age, weight and height were 62.5±7.4 years, 70.8±12.5kg, and 157.5±6.7cm, respectively. In group 2, these values were 70.17±6.8 years, 64.7±11.5 kg, and 158.3±2.7cm, respectively. There were no statistically significant differences in the measurements of HAL, FAL, AW and HW between the two groups. In group 2, the mean FW value was significantly higher than in group 1 (p= 0.01). The mean values for FSW, TW, NMCT, SMCT, LCT were statistically lower in group 2 than those in group 1 (p= 0.01, p=0.038, p=0.001, p<0.001, p<0.001, respectively). Q-angle was also significantly higher in cases with hip fracture than in cases with no hip fracture (p=0.01). The values of FW, FSW, TW, NMCT, SMCT, LCT and Q-angle seem to be important parameters in the evaluation of hip fracture risks. However, further studies are needed to clarify this conclusion.

참고문헌 (28)

  1. "Bone density at various sites for prediction of hip fractures. Study of Osteoporotic Fractures Research Group", 341, pp.72~75 (1993)
  2. "Risk factors for falls as a cause of hip fracture in women. The Northeast Hip Fracture Study Group", 324, pp.1326~1331 (1991)
  3. "Strategies for prevention of osteoporosis and hip fracture", 303, pp.453~459 (1991)
  4. "Simple measurement of femoral geometry predicts hip fracture: the study of osteoporotic fractures", 8, pp.1211~1217 (1993)
  5. "Hip axis length and osteoporotic fractures. Study of Osteoporotic Fractures Research Group", 10, pp.506~508 (1995)
  6. "Better discrimination of hip fracture using bone density, geometry and architecture", 5, pp.167~173 (1995)
  7. "Femoral structure and stiffness in patient with femoral neck fracture", 18, pp.443~448 (2000)
  8. "Geometric measurements of the proximal femur in UK women: secular increase between the late 1950s and early 1990s", 6, pp.136~140 (1996)
  9. "Prediction of hip fractures from pelvic radiographs: the study of osteoporotic fractures. The Study of Osteoporotic Fractures Research Group", 9, pp.671~677 (1994)
  10. "Femoral neck geometry and radiographic signs of osteoporosis as predictors of hip fracture", 18, pp.327~330 (1996)
  11. "Black-white differences in hip geometry. Study of Osteoporotic Fractures Research Group", 8, pp.61~67 (1998)
  12. "Femoral bone mineral density, neck-shaft angle and mean femoral neck width as predictors of hip fracture in men and women. Multicenter Project for Research in Osteoporosis", 11, pp.714~720 (2000)
  13. "Do variations in hip geometry explain differences in hip fracture risk between Japanese and white Americans?", 9, pp.1071~1076 (1994)
  14. "Racial differences in hip axis lengths might explain racial differences in rates of hip fracture. Study of Osteoporotic Fractures Research Group", 4, pp.226~229 (1994)
  15. "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", 15, pp.2297~2304 (2000)
  16. "Differing patterns of osteoporosis across the world. In: Chestnut CH III, editor. New dimensions in the 1990s. Proceedings of the second Asian symposium on osteoporosis", 125, pp.13~18 (1990), Hong Kong: Excerpta Medica
  17. "The incidence of femoral neck fractures in New Zealand", 91, pp.6~9 (1980)
  18. "Osteoporosis and fracture of the femoral neck in the South African Bantu", 50, pp.2~13 (1968)
  19. "Femoral neck fractures among the major racial groups in Singapore: incidence patterns compared with non-Asian communities. II", 37, pp.150~157 (1964)
  20. "Black- white differences in fracture ratest", 136, pp.1378~1385 (1992)
  21. "Incidence of hip fractures, United States, 1970-83", 5, pp.175~181 (1989)
  22. "Bone density in ageing Caucasian and African populations", 2, pp.1326~1330 (1979)
  23. "A comparison of hip fracture incidence among native Japanese, Americans, and American Caucasians", 133, pp.801~809 (1991)
  24. "Risk factors for recurrent nonsyncopal falls: A prospective study", 261, pp.2663~2668 (1989)
  25. "Risk factors for falls among elderly persons living in the community", 319, pp.1701~1707 (1988)
  26. "Impact near the hip dominates fracture risk in elderly nursing home residents who fall", 52, pp.192~198 (1993)
  27. "Ethnic differences in regional bone density, hip axis length, and lifestyle variables among healthy black and white men", 10, pp.782~787 (1995)
  28. "Age-related changes in female femoral neck geometry: implications for bone strength", 53, pp.41~46 (1993)

관련 논문AI추천

Proximal Femoral Geometry as Fracture Risk Factor in Female Patients with Osteoporotic Hip Fracture한준, 한명훈대한골대사학회 · 대한골대사학회지2016 · 제23권 제3호An Analysis of Femoral Bone Remodeling Using Topology Optimization MethodJ. B. Choi대한의용생체공학회 · 의공학회지2005 · 제26권 제6호노년층 고관절부 골절 환자의 골 밀 도와 골절 형태의 분석윤강섭, 조환성강승백대한고관절학회 · Hip and Pelvis2002 · 제14권 제2호Comparison of Buckling Ratio and Finite Element Analysis of Femoral Necks in Post-menopausal Women김광준, 이태용, 임성길, Anitha D대한폐경학회 · 대한폐경학회지2014 · 제20권 제2호Assessing Bone Quality in Terms of Bone Mineral Density, Buckling Ratio and Critical Fracture Load이태용, Anitha D대한골대사학회 · 대한골대사학회지2014 · 제21권 제4호Lateral Femoral Bowing and the Location of Atypical Femoral Fractures박영보, 유현승, 조영호, 하성수대한고관절학회 · Hip and Pelvis2017 · 제29권 제2호

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