Analysis of trabecular bone rating in sufferers with a distal radius fracture.
Osteoporos Int. 2016 Dec;27(12):3559-3565
Authors: Shin YH, Gong HS, Gang DH, Shin HS, Kim J, Baek GH
We in contrast bone mineral density (BMD) and trabecular bone rating (TBS) in postmenopausal ladies with a distal radius fracture older than 50 years with controls. Complete hip BMD was considerably totally different, however TBS was not totally different between two teams, suggesting TBS doesn’t mirror microarchitectural modifications of the distal radius.
INTRODUCTION: The aim of this examine was to find out whether or not trabecular bone rating (TBS) has additive worth for discriminating distal radius fracture (DRF) unbiased of BMD.
METHODS: We in contrast BMD and TBS in 258 postmenopausal ladies with a DRF older than 50 years of age with age- and physique mass index (BMI)-matched controls who had no historical past of osteoporotic fracture. BMD was measured on the lumbar backbone and hip utilizing twin power X-ray absorptiometry scans (GE Lunar Prodigy). TBS was calculated on the identical backbone picture. A multivariate logistic regression evaluation was used to investigate the chances ratio (OR) for the incidence of DRF utilizing age, BMI, lumbar backbone BMD, whole hip BMD, and TBS.
RESULTS: Sufferers with a DRF had considerably decrease BMDs at hip (neck, trochanter and whole) than these of controls: zero.752 ± zero.097, zero.622 ± zero.089, and zero.801 ± zero.099 in sufferers and zero.779 ± zero.092, zero.648 ± zero.089, zero.826 ± zero.101 in controls. Nonetheless, lumbar backbone BMD and TBS weren’t considerably totally different between the teams (p = zero.400 and zero.864, respectively). The multivariate evaluation indicated that solely whole hip BMD was considerably related to the incidence of DRF (OR, 10.231; 95 % confidence interval, 1.724-60.702; p = zero.010).
CONCLUSIONS: TBS was not totally different between ladies with a DRF and people with no historical past of osteoporotic fracture, suggesting that TBS measured on the lumbar backbone doesn’t mirror early microarchitectural modifications of the distal radius. Solely whole hip BMD is related to the chance of DRF in Korean ladies.
PMID: 27341808 [PubMed – indexed for MEDLINE]