Cervical and trochanteric hip fractures

Bone mass and other parameters

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

Research output: Contribution to journalArticle

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.

Cervical and trochanteric hip fractures : Bone mass and other parameters. / Stewart, A ; Porter, R W ; Primrose, W R ; Walker, L G ; Reid, D M .

In: Clinical Rheumatology, Vol. 18, No. 3, 1999, p. 201-206.

Research output: Contribution to journalArticle

Stewart, A, Porter, RW, Primrose, WR, Walker, LG & Reid, DM 1999, 'Cervical and trochanteric hip fractures: Bone mass and other parameters', Clinical Rheumatology, vol. 18, no. 3, pp. 201-206.
Stewart A, Porter RW, Primrose WR, Walker LG, Reid DM. Cervical and trochanteric hip fractures: Bone mass and other parameters. Clinical Rheumatology. 1999;18(3):201-206.
Stewart, A ; Porter, R W ; Primrose, W R ; Walker, L G ; Reid, D M . / Cervical and trochanteric hip fractures : Bone mass and other parameters. In: Clinical Rheumatology. 1999 ; Vol. 18, No. 3. pp. 201-206.
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T2 - Bone mass and other parameters

AU - Stewart, A

AU - Porter, R W

AU - Primrose, W R

AU - Walker, L G

AU - Reid, D M

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N2 - 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.

AB - 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.

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KW - dual energy X-ray absorptiometry

KW - elderly

KW - quantitative ultrasound

KW - trochanteric hip fractures

KW - X-RAY ABSORPTIOMETRY

KW - band ultrasound attenuation

KW - proximal femur

KW - mineral density

KW - women

KW - risk

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