scholarly journals Young-elderly differences in bone density, geometry and strength indices depend on proximal femur sub-region: A cross sectional study in Caucasian-American women

Bone ◽  
2006 ◽  
Vol 39 (1) ◽  
pp. 152-158 ◽  
Author(s):  
M. Meta ◽  
Y. Lu ◽  
J.H. Keyak ◽  
T. Lang
2020 ◽  
Vol 3 (2) ◽  
pp. 8-12
Author(s):  
Bishnu Pokharel ◽  
Ashok Raj Pant ◽  
Pashupati Chaudhary ◽  
Guru Prasad Khanal

Background: Most of the proximal femur fractures are managed surgically by internal fiation with a variety of implants. Improperly designed or ill-fited implant may lead to a failure of fiation, breakage of implant and nonunion, thus increasing the morbidity and the cost of treatment. This study was conducted to evaluate the radiographic morphometry of the proximal femur which may be helpful in designing the implants for the Nepalese population. Methods: In this cross-sectional study, 84 patients aged 18 years and above with traumatic unilateral hip fracture were enrolled. Anthropometric measurements were recorded. The postoperative check X-ray in the antero-posterior view of the pelvis and bilateral hip were assessed. Various morphometric parameters of the proximal femur were measured and recorded in the radiograph of the unaffcted limb using a digital caliper. Results: Out of 84 patients, 47 were male. The mean ± SD femoral neck width, femoral neck length, femoral axis length, cervico-diaphyseal angle, acetabular tear-drop distance, and great trochanter-pubic symphysis distance were 36.10 ± 5.67 mm, 28.29 ± 4.18 mm, 104.51 ± 9.56 mm, 130.35 ± 8.67°, 32.56 ± 11.05 mm, and 163.07 ± 10.71 mm respectively. The femoral neck width was found to be signifiantly larger in males (39.08 ± 3.06 mm) than in females (32.32 ± 5.99 mm, p < 0.001). Conclusion: This study determined the radiographic measurement of the proximal femur and found that the femoral neck width of the males was larger than that of the females.


2005 ◽  
Vol 21 (5) ◽  
pp. 1316-1319 ◽  
Author(s):  
Luis Bahamondes ◽  
Ximena Espejo-Arce ◽  
Maria M. Hidalgo ◽  
Creusa Hidalgo-Regina ◽  
Cássia Teatin-Juliato ◽  
...  

2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Hossein Malekee ◽  
Mohsen Tabatabaei ◽  
Baharak Tasorian

Background: Osteoporosis and subsequent fractures increased mortality and disability. Along with this fact, the demand for diagnostic tests has also increased in recent years, which has created a heavy financial burden on the health system. Objectives: The aim of this research was to evaluate the compatibility of the indications of performing the bone density measurement in Arak city with the criteria of the international sociality of clinical densitometry (ISCD). Methods: This cross-sectional study was performed from 2016 to 2017. Patients’ information was extracted from checklists recorded by a bone density measurement expert. Patients who lived in Arak and did not have an underlying condition that reduced the value of the bone mineral densitometry (BMD) test were studied. We collected the information of the patients who had undergone a bone density test at the discretion of their physician. Results: Here, 816 out of 1,354 bone density tests, requested by non-rheumatologists, were abnormal, and 538 were normal. In the abnormal group, 800 (98%) cases had ISCD indications for BMD application, and only 16 (2%) cases had no indication. However, 636 bone density tests were requested by rheumatologists that 474 were abnormal and 162 were normal, and in the abnormal group, 471 (99.4%) had ISCD indications for BMD, and only 3 (0.6%) cases had no indications. Conclusions: In many cases, bone mineral density has been requested based on ISCD indications (85.13%), and bone disorders have been well identified (64.83%). The study also demonstrates that BMD requests are common among different specialized groups, and when rheumatologists request a bone density, the test is highly sensitive (99.37%).


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