Cic edizioni internazionali
Clinical Cases in mineral and bone metabolism

New quantitative ultrasound techniques for bone analysis at the distal radius in hip fracture cases: differences between femoral neck and trochanteric fractures

Original Article, 23 - 27
doi: 10.11138/ccmbm/2017.14.1.023
Tag this article
Abstract
Enhanced HTML Full text PDF
Background. Ample evidence on etiological and pathological differences between femoral neck and trochanteric fracture cases suggests the possibility of individualized treatment. There are many issues related to areal bone mineral density and other quantitative computed tomography parameters of the proximal femur. Although osteoporosis is a systemic problem, little has been reported regarding differences in bone structural parameters, including bone mineral density, between them in regions other than the proximal femur.
Methods. Participants were consecutive female patients>50 years of age admitted to the Saiseikai Suita Hospital (Osaka prefecture, Japan) for their first hip fracture between January 2012 and September 2014. Cortical thickness (CoTh, mm), volumetric trabecular
bone mineral density (TBD, mg/cm3), and elastic modulus of trabecular bone (EMTb, GPa) were obtained as the new QUS parameters using the LD-100 system (Oyo
Electric, Kyoto, Japan).The mean values of these parameters were compared between femoral neck and trochanteric fracture cases. In addition, correlations between age and each QUS parameter were investigated for each fracture type. A receiver operating characteristic (ROC) curve analysis was performed to examine the degree of effect each parameter on the fracture types.
The area under the curve (AUC) for each parameter was compared to the AUC for age.
Results. There were 63 cases of femoral neck fracture (mean age, 78.2 years) and 37 cases of trochanteric fracture (mean age, 85.9 years). Mean TBD and EMTb were significantly higher for femoral neck fractures. There were significant negative correlations between QUS parameters and age for femoral neck fractures (P < 0.005).
The regression lines for femoral neck fractures were above those for trochanteric fractures for TBD and EMTb. AUCs were 0.72 for age, and 0.61, 0.65, and 0.65 for CoTh, TBD, and EMTb, respectively.
Conclusions. The new QUS parameters indicated that TR fracture cases were more osteoporotic than were FN fracture cases, even at the distal radius. There might be systemic differences between them, in addition to localized factors at the proximal femur.

Vol. XV (No. 2) 2018 May - August

  1. GCMB and PIN1: regulation of parathyroid function on a transcriptional and post-transcriptional level
    Mazzotta C., Cavalli L., Carossino A.M., Brandi M.L.
    doi: 10.11138/ccmbm/2018.15.2.151
  2. Nudging healthier behavior: psychological basis and potential solutions for enhancing adherence
    Gronchi G., Cianferotti L., Parri S., Pampaloni B., Brandi M.L.
    doi: 10.11138/ccmbm/2018.15.2.158
  3. REMS technique: future perspectives in an Academic Hospital
    Caffarelli C., Tomai Pitinca M.D., Francolini V., Alessandri M., Gonnelli S.
    doi: 10.11138/ccmbm/2018.15.2.163
  4. Complex regional pain syndrome: facts on causes, diagnosis and therapy
    de Sire A., Paoletta M., Moretti A., Brandi M.L., Iolascon G.
    doi: 10.11138/ccmbm/2018.15.2.166
  5. The role of alfacalcidol
    Nuti R., Caffarelli C.
    doi: 10.11138/ccmbm/2018.15.2.173
  6. New insights on the role, pathogenesis, and treatment of osteoporosis and bone erosions in rheumatoid arthritis
    Adami G., Viapiana O., Rossini M., Fassio A., Orsolini G., Idolazzi L., Gatti D.
    doi: 10.11138/ccmbm/2018.15.2.177
  7. Dental implants in osteoporotic patients taking oral bisphophonates: a literature review
    Nuti N., Baldini N., D'Elia C., Gabriele G., Gennaro P., Ferrari M.
    doi: 10.11138/ccmbm/2018.15.2.183
  8. Knowledge gap among general practitioners, endocrinologists and orthopedic surgeons regarding atypical lesions and fractures of the femur due to long-term use of bisphosphonates
    Keltz E., Doronov I., Segal E., Keren Y.
    doi: 10.11138/ccmbm/2018.15.2.190
  9. The effect of static compression on the progression of bone healing. An experimental study on rabbits
    Kateros K., Galanakos S.P., Sakellariou V.I., Khaldi L., Karachalios T.
    doi: 10.11138/ccmbm/2018.15.2.196
  10. Synthesis and characterization of etidronic acid (ETD) grafted nano sheets of hydroxyapatite
    Kumar L., Kaushik A.
    doi: 10.11138/ccmbm/2018.15.2.201
  11. Short focus on thyroid function in menopause: impact on bone health
    Capozzi A., Scambia G., Lello S.
    doi: 10.11138/ccmbm/2018.15.2.209
  12. Densitometric evaluation of periprosthetic bone resorption after surgical placement of Accolade I® TMZF® hip stem at 36 months
    Parchi P.D., Ciapini G., Piolanti N., Bonicoli E., Nucci A.M., Mannocci C., Marchetti S., Scaglione M., Maffei S., Lisanti M.
    doi: 10.11138/ccmbm/2018.15.2.211
  13. The use of Poller screws in intramedullary nailing is associated with decreased callus formation
    Cundall-Curry D.J., Lawrence J.E., Fountain D.M., Krkovic M.
    doi: 10.11138/ccmbm/2018.15.2.216
  14. Ilizarov technique, satisfactory outcome with limited resources
    Khan M.S., Di Giacomo L.M., Meccariello L., Bisaccia M., Azzam W., Jatoi A., Rollo G.
    doi: 10.11138/ccmbm/2018.15.2.221
  15. Atypical femoral fractures caused by glucocorticoid and bisphosphonate prolonged therapy in premenopausal women: a case report and literature review
    Franceschet G., Censi S., Cirrone S., Gomiero W., Scaroni C., Camozzi V.
    doi: 10.11138/ccmbm/2018.15.2.227
  16. Incidence of fractures in a cohort of military personnel followed for over two decades
    Kumar KVS H., Patnaik
    doi: 10.11138/ccmbm/2018.15.2.231
  17. Multiple hereditary exostoses: metabolic diagnostics and use of anti-fracture therapy
    Masi L., Brandi M.L.
    doi: 10.11138/ccmbm/2018.15.2.235
  18. Osteolysis around the Fassier-Duval nail and spontaneous femur fracture in a young semi-professional swimmer with Osteogenesis Imperfecta type I: case report and review of literature
    Persiani P., Martini L., Ranaldi F.M., Celli M., Zambrano A., D'Eufemia P., Celli L., Villani C.
    doi: 10.11138/ccmbm/2018.15.2.242
  19. A rare cause of leg pain
    Gaudio A., Rapisarda R., Xourafa A., Zanoli L., Castellino P., Erio Fiore C.
    doi: 10.11138/ccmbm/2018.15.2.246
  20. Non-traumatic myositis ossificans circumscripta in the context of vastus medialis obliquus: a case report
    Vanelli R., Rivellino M.C., Jannelli E., Cuzzocrea F., Pietrobono L., D'Ambrosio G., Mosconi M., Benazzo F.
    doi: 10.11138/ccmbm/2018.15.2.249
  21. Hypophosphatasia in adults: a new manifestation, a new mutation. A case report
    Adami G., Viapiana O., Rossini M., Risoli M., Ganini A., Bertoldo F., Fassio A., Idolazzi L., Antoniazzi F., Gatti D.
    doi: 10.11138/ccmbm/2018.15.2.255
  22. Ewing’s sarcoma of the clavicle: a case report
    Igoumenou V.G., Economopoulou P., Agrogiannis G., Dailiana Z., Mavrogenis A.F.
    doi: 10.11138/ccmbm/2018.15.2.258
  23. Severe osteoporosis with vertebral fracturative progress in liver transplant: a case report
    Bruno R., Casabella A., Palermo A., Nardi A., Molfetta L.
    doi: 10.11138/ccmbm/2018.15.2.262
  24. Monostotic Paget’s disease of the radius: a case report
    Kokkalis Z.T., Kokkineli S., Iliopoulos I.D., Megaloikonomos P.D., Mavrogenis A.F., Panagopoulos A.
    doi: 10.11138/ccmbm/2018.15.2.267
  25. Giant myxoid neurofibroma of the hip causing bone erosion: a case report
    Sacchetti F., De Gori M., D'Arienzo A., Grossi S., Cosseddu F., Capanna R.
    doi: 10.11138/ccmbm/2018.15.2.271
  26. Hypophosphatemic osteomalacia due to tenofovir-induced Fanconi syndrome in chronic hepatitis B patient
    Olmez Sarikaya N., Nas Kırdar N., Ates M.Y., Bilir I., Bayram K.B., Oruk G.
    doi: 10.11138/ccmbm/2018.15.2.276
  27. Efficacy and safety of locally injectable vitamin C on accelerating the orthodontic movement of maxillary canine impaction (oral mesotherapy technique): prospective study
    Yussif N.M., Dehis H.M., Rahman A.R.A.
    doi: 10.11138/ccmbm/2018.15.2.280
  28. Atypical lipomatous tumor: retrospective analysis, prognostic factors and MRI in differential diagnosis
    Muratori F., Roselli G., Bettini L., Frenos F., D'Arienzo A., Campanacci D.A., Mondanelli N., Matera D., Cuomo P., Scoccianti G., Beltrami G., Totti F., Capanna R.
    doi: 10.11138/ccmbm/2018.15.2.288
  29. Integral dental treatment in patient with osteoporosis secondary to hypothyroidism prior to therapy with bisphosphonate: case report and literature review
    Zuñiga Araya M.E., Herrera J.L.A., Martínez R.E.M., Delgado J.H.O., Garrigós Portales D.
    doi: 10.11138/ccmbm/2018.15.2.294
  30. A rare case of misdiagnosis: sacrococcygeal osteoid osteoma that was treated surgically as a pilonidal sinus in a pediatric patient
    Akif Çaçan M., Karaca S., Çakır A., Uçar B.Y.
    doi: 10.11138/ccmbm/2018.15.2.300
Last Viewed articles: la lista degli ultimi x visitati.
  1. New quantitative ultrasound techniques for bone analysis at the distal radius in hip fracture cases: differences between femoral neck and trochanteric fractures
    Horii M., Fujiwara H., Sakai R., Sawada K., Mikami Y, Toyama S., Ozaki E., Kuriyama N., Kurokawa M., Kubo T.
    doi: 10.11138/ccmbm/2017.14.1.023
credits