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Excessive prevalence of simultaneous rib and vertebral fractures in sufferers with hip fracture.
Harm. 2017 Feb;48(2):447-453
Authors: Lee BG, Sung YK, Kim D, Choi YY, Kim H, Kim Y
Summary
PURPOSE: The aim was to judge the prevalence and placement of simultaneous fracture utilizing bone scans in sufferers with hip fracture and to find out the chance components related to simultaneous fracture.
PATIENTS AND METHODS: 100 eighty two sufferers with hip fracture have been reviewed for this examine. Medical parameters and bone mineral density (BMD) of the lumbar vertebra and femoral neck have been investigated. To determine acute simultaneous fracture, a bone scan was carried out at 15.four±four.1days after hip fracture. The prevalence and placement of simultaneous fracture have been evaluated, and multivariate logistic regression evaluation was carried out to find out the chance components.
RESULTS: Simultaneous fracture was noticed in 102 of 182 sufferers, a prevalence of 56.Zero%. Rib fracture was the commonest kind of simultaneous fracture adopted by rib with vertebral fracture. The BMD of the lumbar vertebra was considerably decrease in sufferers with simultaneous fracture (p=Zero.044) and was recognized as an impartial danger issue (odds ratio: OR Zero.05, 95% confidence interval: CI Zero.01-Zero.57).
CONCLUSIONS: The prevalence of simultaneous fracture was comparatively excessive amongst sufferers with hip fracture, and BMD was considerably decrease in sufferers with simultaneous fracture than in sufferers with out it. Surgeons ought to pay attention to the opportunity of simultaneous fracture in sufferers with hip fracture.
PMID: 28063675 [PubMed – indexed for MEDLINE]