Lower Bone Mineral Density is Associated with Intertrochanteric Hip Fracture

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Bernstein David N.; Davis Jacob T.; Fairbanks Carson; McWilliam Ross Kindra; Ring David; Sanchez Hugo B.

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Journal Paper

Paper Information

Journal: Archives of Bone and Joint Surgery Year:2018 | Volume:6 | Issue:6 Page(s): 517-522

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Title

Lower Bone Mineral Density is Associated with Intertrochanteric Hip Fracture

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Keywords

Bone mineral density

Geriatric

Hip fracture

Vitamin D level

Abstract

Background: A better understanding of how Bone mineral density and Vitamin D levels are associated with femoral neck and intertrochanteric Hip fractures may help inform healthcare providers. We asked: 1) In patients age ≥ 55 years, is there a difference in quantitative ultrasound of the heel (QUS) t-score between patients with fractures of the femoral neck and those with fractures of the intertrochanteric region, accounting for other factors 2) In patients age ≥ 55 years, is there a difference in Vitamin D level between those with fractures of the femoral neck and those with fractures of the intertrochanteric region, accounting for other factors? 3) Is there an association between Vitamin D level and QUS t-score? Methods: In this retrospective cohort study, 1, 030 patients were identified using CPT codes for fixation of Hip fractures between December 2010 and September 2013. Patients ≥ 55 years of age who underwent operative management for a Hip fracture following a fall from standing height were included. Three orthopaedic surgeons categorized fracture type using patient radiographs. Upon hospital admission, QUS t-scores and Vitamin D levels were determined. Descriptive statistics, bivariate analyses and multivariable regression were performed. Results: Accounting for potential confounders, patients with lower QUS t-scores were more likely to have intertrochanteric femur fractures than femoral neck fractures. In a bivariate analysis, there was no association between Vitamin D level and either fracture type. There was no association between Vitamin D level and Bone mineral density. Conclusion: Patients with lower bone density that fracture their hips are more likely to fracture in the intertrochanteric region than the femoral neck, but Vitamin D levels are unrelated. Awareness of this association emphasizes the importance of Bone mineral density screening to assist with intertrochanteric Hip fracture prevention.

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APA: Copy

Bernstein, David N., Davis, Jacob T., Fairbanks, Carson, McWilliam Ross, Kindra, Ring, David, & Sanchez, Hugo B.. (2018). Lower Bone Mineral Density is Associated with Intertrochanteric Hip Fracture. THE ARCHIVES OF BONE AND JOINT SURGERY, 6(6), 517-522. SID. https://sid.ir/paper/350165/en

Vancouver: Copy

Bernstein David N., Davis Jacob T., Fairbanks Carson, McWilliam Ross Kindra, Ring David, Sanchez Hugo B.. Lower Bone Mineral Density is Associated with Intertrochanteric Hip Fracture. THE ARCHIVES OF BONE AND JOINT SURGERY[Internet]. 2018;6(6):517-522. Available from: https://sid.ir/paper/350165/en

IEEE: Copy

David N. Bernstein, Jacob T. Davis, Carson Fairbanks, Kindra McWilliam Ross, David Ring, and Hugo B. Sanchez, “Lower Bone Mineral Density is Associated with Intertrochanteric Hip Fracture,” THE ARCHIVES OF BONE AND JOINT SURGERY, vol. 6, no. 6, pp. 517–522, 2018, [Online]. Available: https://sid.ir/paper/350165/en

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