Cervical and trochanteric hip fractures: Bone mass and other parameters

A Stewart, R W Porter, W R Primrose, L G Walker, D M Reid

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19 Citations (Scopus)

Abstract

We examined 310 hip fracture patients (55 men, 255 women) to identify differences in those patients who had suffered a cervical fracture compared with those with a trochanteric fracture of the hip. Patients underwent a dual-energy X-ray absorptiometry (DXA) scan of their hip and total body and quantitative ultrasound (QUS) scans of their heel. Other measurements included medical/drug history. Significant differences were found for broadband ultrasound attenuation (BUA) and DXA total-body measurements, with those with a cervical fracture having a higher bone mass. Those with a trochanteric fracture showed a significantly higher incidence of stroke (12.8% vs. 6.3%, p = 0.05), while high blood pressure/antihypertensive therapy was significantly more common in the cervical fracture group (11.6% vs. 4.3%, p < 0.03). Therefore, it is not only bone parameters that differ in these patients. In the presence of certain medical conditions, preventative therapy may be directed to managing co-existing conditions as well as improving bone density.

Original languageEnglish
Pages (from-to)201-206
Number of pages6
JournalClinical Rheumatology
Volume18
Issue number3
Publication statusPublished - 1999

Keywords

  • cervical hip fractures
  • dual energy X-ray absorptiometry
  • elderly
  • quantitative ultrasound
  • trochanteric hip fractures
  • X-RAY ABSORPTIOMETRY
  • band ultrasound attenuation
  • proximal femur
  • mineral density
  • women
  • risk

Cite this

Stewart, A., Porter, R. W., Primrose, W. R., Walker, L. G., & Reid, D. M. (1999). Cervical and trochanteric hip fractures: Bone mass and other parameters. Clinical Rheumatology, 18(3), 201-206.