Non-hip and non-vertebral fractures: the neglected fracture sites. Issue 3 (March 2016)
- Record Type:
- Journal Article
- Title:
- Non-hip and non-vertebral fractures: the neglected fracture sites. Issue 3 (March 2016)
- Main Title:
- Non-hip and non-vertebral fractures: the neglected fracture sites
- Authors:
- Holloway, K.
Henry, M.
Brennan-Olsen, S.
Bucki-Smith, G.
Nicholson, G.
Korn, S.
Sanders, K.
Pasco, J.
Kotowicz, M. - Abstract:
- Abstract Summary Non-hip, non-vertebral fractures (NHNVF) were compared with hip, vertebral and controls. NHNVF were younger and heavier than controls and hip/vertebral fractures in both men and women, respectively. Falls and prior fractures were less common in NHNVF than hip fractures. Glucocorticoid use was lower in NHNVF compared to vertebral fracture (VF) in men. Introduction Although hip fracture (HF) and vertebral fractures (VF) receive the most attention in the literature and are the targeted sites for fracture prevention, non-hip, non-vertebral fracture (NHNVF) sites account for a greater proportion of fractures than the hip or vertebrae. This study aimed to assess risk factors for NHNVF and compare them with those for HF, VF and controls. Methods Incident fractures during 2005–2007 for men and 1994–1996 for women were identified using computerised keyword searches of radiological reports, and controls were selected at random from electoral rolls for participation in the Geelong Osteoporosis Study. Participants aged 60+ years were included in this study. Results Compared to controls, men and women with NHNVF were younger (ORs, 0.90, 95 % CI 0.86–0.94; and 0.96, 0.93–0.98, respectively) and had a lower femoral neck bone mineral density (BMD) T-score (age-adjusted; difference [men] 0.383, P = 0.002; [women] 0.287, P = 0.001). Compared to HF, men and women with NHNVF were heavier (difference [men] 9.0 kg, P = 0.01; [women] 7.6 kg, P < 0.001). Heavier weight was alsoAbstract Summary Non-hip, non-vertebral fractures (NHNVF) were compared with hip, vertebral and controls. NHNVF were younger and heavier than controls and hip/vertebral fractures in both men and women, respectively. Falls and prior fractures were less common in NHNVF than hip fractures. Glucocorticoid use was lower in NHNVF compared to vertebral fracture (VF) in men. Introduction Although hip fracture (HF) and vertebral fractures (VF) receive the most attention in the literature and are the targeted sites for fracture prevention, non-hip, non-vertebral fracture (NHNVF) sites account for a greater proportion of fractures than the hip or vertebrae. This study aimed to assess risk factors for NHNVF and compare them with those for HF, VF and controls. Methods Incident fractures during 2005–2007 for men and 1994–1996 for women were identified using computerised keyword searches of radiological reports, and controls were selected at random from electoral rolls for participation in the Geelong Osteoporosis Study. Participants aged 60+ years were included in this study. Results Compared to controls, men and women with NHNVF were younger (ORs, 0.90, 95 % CI 0.86–0.94; and 0.96, 0.93–0.98, respectively) and had a lower femoral neck bone mineral density (BMD) T-score (age-adjusted; difference [men] 0.383, P = 0.002; [women] 0.287, P = 0.001). Compared to HF, men and women with NHNVF were heavier (difference [men] 9.0 kg, P = 0.01; [women] 7.6 kg, P < 0.001). Heavier weight was also a risk factor for women with NHNVF compared to VF (1.03, 1.01–1.06). In men with NHNVF, falls (0.37, 0.14–0.97) and prior fractures (0.38, 0.15–0.98) were less common compared to HF; and glucocorticoid use was less common for NHNVF (0.30, 0.11–0.85) compared to VF. Conclusions Given the high numbers of NHNVF sustained by men and women in this study, fracture prevention strategies should focus on individuals with high risk of sustaining these types of fractures, as well as on individuals who are more likely to sustain a HF or VF. … (more)
- Is Part Of:
- Osteoporosis international. Volume 27:Issue 3(2016)
- Journal:
- Osteoporosis international
- Issue:
- Volume 27:Issue 3(2016)
- Issue Display:
- Volume 27, Issue 3 (2016)
- Year:
- 2016
- Volume:
- 27
- Issue:
- 3
- Issue Sort Value:
- 2016-0027-0003-0000
- Page Start:
- 905
- Page End:
- 913
- Publication Date:
- 2016-03
- Subjects:
- Elderly -- Fractures -- Non-hip -- Non-vertebral fractures -- Risk factors
Osteoporosis -- Periodicals
Bones -- Metabolism -- Disorders -- Periodicals
616.716005 - Journal URLs:
- http://firstsearch.oclc.org ↗
http://www.springerlink.com/content/102828 ↗
http://www.springer.com/gb/ ↗
http://www.springer.com/gb/ ↗ - DOI:
- 10.1007/s00198-015-3322-8 ↗
- Languages:
- English
- ISSNs:
- 0937-941X
- Deposit Type:
- Legaldeposit
- View Content:
- Available online (eLD content is only available in our Reading Rooms) ↗
- Physical Locations:
- British Library DSC - 6303.873500
British Library DSC - BLDSS-3PM
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- 9949.xml