Clin Orthop Surg.  2020 Mar;12(1):9-21. 10.4055/cios.2020.12.1.9.

Evaluation and Management of Osteoporosis and Sarcopenia in Patients with Distal Radius Fractures

• Shah GM
• Gong HS
• Chae YJ
• Kim YS
• Kim J
• Baek GH

• KMID: 2470045
• DOI: http://doi.org/10.4055/cios.2020.12.1.9

Abstract

Distal radius fractures (DRFs) are one of the most common fractures seen in elderly people. Patients with DRFs have a high incidence of osteoporosis and an increased risk of subsequent fractures, subtle early physical performance changes, and a high prevalence of sarcopenia. Since DRFs typically occur earlier than vertebral or hip fractures, they reflect early changes of the bone and muscle frailty and provide physicians with an opportunity to prevent progression of frailty and secondary fractures. In this review, we will discuss the concept of DRFs as a medical condition that is at the start of the fragility fracture cascade, recent advances in the diagnosis of bone fragility including emerging importance of cortical porosity, fracture healing with osteoporosis medications, and recent progress in research on sarcopenia in patients with DRFs.

Keyword

Radius fractures; Osteoporosis; Sarcopenia; Osteoporotic fractures; Porosity

MeSH Terms

Aged
Diagnosis
Fracture Healing
Hip Fractures
Humans
Incidence
Osteoporosis*
Osteoporotic Fractures
Porosity
Prevalence
Radius Fractures*
Radius*
Sarcopenia*

Figure

• 

  Fig. 1 The trabecular bone score (TBS) examination shows that the two patients with the same age (52 years) and similar bone mineral density (BMD) have different trabecular bone qualities.

• 

  Fig. 2 Hounsfield unit measurement of the capitate in the coronal section of computed tomography with a circular region of interest with a diameter of 1 cm. Min: minimum, Max: maximum, Avg: average, SD: standard deviation.

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