27 February 2008
The impact of osteoporosis on the classification of hip and wrist fractures
Laszlo M. HoeselBCDEF, Michael PauschBCD, Reinhard SchnettlerAG, Christian HeissAFGMed Sci Monit 2008; 14(3): HY1-8 :: ID: 836564
Abstract
Background
Previous studies demonstrated a correlation between bone density, stability of fracture fixation, and outcome. Because current fracture classifications do not take osteoporosis into account, a prospective radiological analysis was conducted of patients with hip and wrist fracture to evaluate the impact of osteoporosis on fracture classification.
Material and Method
Altogether, 77 consecutive patients with either hip or wrist fracture were prospectively recruited within 24 hours of sustaining the fracture. The patients were assigned to subgroups according to gender, fracture site, fracture type, and bone mineral density (BMD). Using widely accepted classification systems for hip and wrist fractures, the impact of osteoporosis on fracture classification was assessed.
Results
Osteoporosis dominated in both fracture types and bone mineral density showed a significant negative correlation with age. Pertrochanteric fractures were more frequent, showing an equal distribution among severity grades, while less frequent femoral neck fractures were mainly unstable fractures. Postmenopausal patients sustained more severe intraarticular comminuted wrist fractures, which were not found using the Fernandez classification.
Conclusions
The contradiction between the higher incidence but lower severity of pertrochanteric fractures compared with femoral neck fractures in osteoporotic bone and inconsistencies between the classifications of wrist fractures may indicate incomplete fracture classification in osteoporosis. Given the high incidence of osteoporotic fractures, incorporating bone mineral status into fracture classification systems may improve preoperative assessment, implant stability, and outcome.
Keywords: Prospective Studies, Osteoporosis, Postmenopausal, Osteoporosis, Hip Fractures - classification, Wrist Injuries - classification, Bone Density, Aged, 80 and over
Editorial
01 April 2024 : Editorial
Editorial: Forty Years of Waiting for Prevention and Cure of HIV Infection – Ongoing Challenges and Hopes for Vaccine Development and Overcoming Antiretroviral Drug ResistanceDOI: 10.12659/MSM.944600
Med Sci Monit 2024; 30:e944600
In Press
05 Mar 2024 : Clinical Research
Role of Critical Shoulder Angle in Degenerative Type Rotator Cuff Tears: A Turkish Cohort StudyMed Sci Monit In Press; DOI: 10.12659/MSM.943703
06 Mar 2024 : Clinical Research
Comparison of Outcomes between Single-Level and Double-Level Corpectomy in Thoracolumbar Reconstruction: A ...Med Sci Monit In Press; DOI: 10.12659/MSM.943797
21 Mar 2024 : Meta-Analysis
Economic Evaluation of COVID-19 Screening Tests and Surveillance Strategies in Low-Income, Middle-Income, a...Med Sci Monit In Press; DOI: 10.12659/MSM.943863
10 Apr 2024 : Clinical Research
Predicting Acute Cardiovascular Complications in COVID-19: Insights from a Specialized Cardiac Referral Dep...Med Sci Monit In Press; DOI: 10.12659/MSM.942612
Most Viewed Current Articles
17 Jan 2024 : Review article
Vaccination Guidelines for Pregnant Women: Addressing COVID-19 and the Omicron VariantDOI :10.12659/MSM.942799
Med Sci Monit 2024; 30:e942799
14 Dec 2022 : Clinical Research
Prevalence and Variability of Allergen-Specific Immunoglobulin E in Patients with Elevated Tryptase LevelsDOI :10.12659/MSM.937990
Med Sci Monit 2022; 28:e937990
16 May 2023 : Clinical Research
Electrophysiological Testing for an Auditory Processing Disorder and Reading Performance in 54 School Stude...DOI :10.12659/MSM.940387
Med Sci Monit 2023; 29:e940387
01 Jan 2022 : Editorial
Editorial: Current Status of Oral Antiviral Drug Treatments for SARS-CoV-2 Infection in Non-Hospitalized Pa...DOI :10.12659/MSM.935952
Med Sci Monit 2022; 28:e935952