Abstract
Objectives
The goal of this study is to investigate the relation between indicators of osteoporosis (i.e., bone mineral density (BMD), and Cortical Index (CI)) and the complexity of a fracture of the proximal humerus as a result of a low-energy trauma.
Methods
A retrospective chart review of 168 patients (mean age 67.2 years, range 51 to 88.7) with a fracture of the proximal humerus between 2007 and 2011, whose BMD was assessed at the Fracture Liaison Service with Dual Energy X-ray Absorptiometry (DXA) measurements of the hip, femoral neck (FN) and/or lumbar spine (LS),and whose CI and complexity of fracture were assessed on plain anteroposterior radiographs of the proximal humerus.
Results
No significant differences were found between simple and complex fractures of the proximal humerus in the BMD of the hip, FN or LS (all p > 0.3) or in the CI (p = 0.14). Only the body mass index was significantly higher in patients with a complex fracture compared with those with a simple fracture (26.9 vs 25.2; p = 0.05).
Conclusion
There was no difference in BMD of the hip, FN, LS or CI of the proximal humerus in simple compared with complex fractures of the proximal humerus after a low-energy trauma. Factors other than the BMD and CI, for example body mass index, may play a more important role in the complexity of this fracture.
Original language | English |
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Pages (from-to) | 584-589 |
Number of pages | 6 |
Journal | Bone and Joint Research |
Volume | 6 |
Issue number | 10 |
DOIs | |
Publication status | Published - Oct 2017 |
Keywords
- Osteoporosis
- Bone mineral density
- Cortical Index
- Proximal humerus
- Fracture
- POSTMENOPAUSAL WOMEN
- FIXATION STRENGTH
- OSTEOPOROSIS
- EPIDEMIOLOGY
- SITE
- ASSOCIATION
- OBESITY