Osteoporosis.  2014 Dec;12(3):111-116. 10.0000/ost.2014.12.3.111.

Regional Bone Loss as a Risk Factor for Distal Radius Fracture in Women under 60 Years Old

• Jeong HJ
• Lee J
• Shin HK
• Park JH
• Park SJ
• Ko TS
• Park JH
• Kim E

• KMID: 2314148
• DOI: http://doi.org/10.0000/ost.2014.12.3.111

Abstract

OBJECTIVES
Some studies have suggested that lumbar spine and hip bone mineral density (BMD) are not associated with distal radius fractures (DRF), and a few studies have investigated regional BMDs at the fracture site, not just the lumbar or hip. We correlated distal radius BMD with DRF in postmenopausal women <60 years old.
METHODS
A total of 121 women > or =50 years old with DRF were enrolled in the fracture group, and 72 women without fractures were included as a control group. We measured distal radius BMD in the distal radius contralateral to the fractured bone in the fracture group and that of the lumbar body 5 days after the trauma. BMDs at the distal radius of each group were compared in three age groups (50~59, 60~69, and > or =70 years). Age- and site-specific BMDs were analyzed in each group.
RESULTS
No significant differences in the rate of osteoporosis at the distal radius or lumbar spine were observed in patients > or =60 years old. However, BMD and T-score values of the distal radius in female patients were lower than those in controls <60 years old. BMD and T-score values of the distal radius were lower than those of the lumbar spine in the fracture group <60 years old. BMD of the distal radius also carried a higher relative risk.
CONCLUSIONS
Low BMD of the distal radius was an indicator of regional BMD and could be a sensitive risk factor for DRF in women <60 years.

Keyword

Bone mineral density; Regional bone loss; Distal radius; Fracture; Osteoporosis

MeSH Terms

Bone Density
Female
Hip
Humans
Osteoporosis
Radius
Radius Fractures*
Risk Factors*
Spine