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 language | English |
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Pages (from-to) | 201-206 |
Number of pages | 6 |
Journal | Clinical Rheumatology |
Volume | 18 |
Issue number | 3 |
Publication status | Published - 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