SOSTOYaNIE MINERAL'NOY PLOTNOSTI KOSTNOY TKANI U ZhENShchIN, PERENESShIKh MALOTRAVMATIChNYE PERELOMY V VOZRASTE 50 LET I STARShE

Abstract


This study was aimed to evaluate the bone mineral density (BMD) in women at the age of 50 years and older with the his tory of fracture(s) after a low-energy trauma. For this purpose the osteodensitometry of three areas was performed in 173 women with different low-traumatic fractures. Osteoporosis and osteopenia were found in 77% and 21% of patients respectively. Osteoporosis at least in one of three areas was revealed in 80% of women with hip fracture, in 77% of women with wrist fractures, in 73% of patients with humeral fractures, in 86% women after vertebral fractures and in 62% of patients with ankle fractures. Moreover, in these subgroups the osteoporosis in two areas of three was found in 38%, 23%, 30%, 33% and 24% of cases respectively. Osteoporosis in all three areas was detected more frequently in women with wrist fractures (in 39% of cases). The high frequency of osteoporosis in women with the history of low-traumatic fractures argues the need of an adequate antiosteoporotic treatment without mandatory verification of the reduced BMD by the mean of the osteodensitometry.

About the authors

O V Dobrovol'skaya

Email: epid@irramn.ru
m.n.s. laboratorii osteoporoza

N V Demin

n.s.

N V Toroptsova

d.m.n., zaveduyushchaya laboratoriey osteoporoza

References

  1. NIH Consensus Development Conference on Osteoporosis: Prevention, Diagnosis and Therapy. JAMA., 2000. №287: 785—795.
  2. Остеопороз. Диагностика, профилактика и лечение. Клинические рекомендации. Под ред. О.М. Лесняк, Л.И. Беневоленской. М.: ГЭОТАР-Медиа, 2009, 272 с.
  3. Cooper C. The epidemiology of fragility fractures: is there a role for bone quality? Calcif Tissue Int. 1993; 53 Suppl 1: S23—6.
  4. Kazakia G.J., Burghardt A.J., Link T.M., Majumdar S. Variations in morphological and biomechanical indices at the distal radius in subjects with identical BMD. J Biomech. 2011 January 11; 44(2): 257—266.
  5. Stein E.M., Liu X.S., Nickolas T.L., et al. Abnormal microarchitecture and reduced stiffness at the radius and tibia in postmenopausal women with fractures. Journal of Bone and Mineral Research, Vol. 25, No. 12, December 2010, pp 2572—2581.
  6. Stein E.M., Liu X.S., Nickolas T.L., et al. Abnormal microarchitecture and stiffness in postmenopausal women with ankle fractures. J Clin Endocrinol Metab. 2011 Jul; 96(7): 2041—8.
  7. Simonelli C., Chen Y., Morancey J. et al. Evaluation and management of osteoporosis following hospitalization for low-impact fracture. J Gen Intern Med 2003; 18(1): 17—22.
  8. Schurink M., Hegeman J.H., Kreeftenberg H.G. et al. Follow-up for osteoporosis in older patients three years after a fracture. The Netherlands Journal of Medicine 2007; 65(2): 71—74.
  9. Estrand J., Thorngren K.-G. One fracture is enough! Experience with a prospective and consecutive osteoporosis screening program with 239 fracture patients. Acta Orthopaedica 2006; 77(1): 3—8.
  10. Follin S.L., Black J.N., McDermott M.T. Lack of diagnosis and treatment of osteoporosis in men and women after hip fracture. Pharmacotherapy 2003; 23(2): 190—8.
  11. Hegeman J.H., Oskam J., van der Palen J., Ten Duis H.J., Vierhout P.A.J. The distal radial fracture in elderly women and the bone mineral density of the lumbar spine and hip. Hand Surg Br. 2004; Oct, 29(5): 473—6.
  12. Elliot-Gibson V., Bogoch E.R., Jamal S.A., Beaton D.E. Practice patterns in the diagnosis and treatment of osteoporosis after a fragility fracture: a systematic review. Osteoporos Int. 2004 Oct; 15(10): 767—78.
  13. Dhainaut A., Rohde G.E., Syversen U., et al. The ability of hand digital X-ray radiogrammetry to identify middle-aged and elderly women with reduced bone density, as assessed by femoral neck dual-energy X-ray absorptiometry. J Clin Densitom. 2010 Oct-Dec; 13(4): 418—25.

Statistics

Views

Abstract - 708

PDF (Russian) - 527

Cited-By


PlumX

Dimensions


Copyright (c) 2012 Dobrovol'skaya O.V., Demin N.V., Toroptsova N.V.

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies