Bone cross-sectional geometry is not associated with atypical femoral fractures in Asian female chronic bisphosphonate users
Abstract Introduction Atypical femoral fractures (AFF) tend to occur in Asian women with prolonged bisphosphonate exposure. Hip geometry is thought to contribute to the risk of AFF formation. We examined the hip structural geometry parameters in Asian female chronic bisphosphonate users who sustaine...
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Published in | Bone (New York, N.Y.) Vol. 79; pp. 170 - 175 |
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Main Authors | , , , , , , |
Format | Journal Article |
Language | English |
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01.10.2015
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Abstract | Abstract Introduction Atypical femoral fractures (AFF) tend to occur in Asian women with prolonged bisphosphonate exposure. Hip geometry is thought to contribute to the risk of AFF formation. We examined the hip structural geometry parameters in Asian female chronic bisphosphonate users who sustained an AFF and compared them to chronic bisphosphonate users who did not sustain any femoral fracture (NFF) and bisphosphonate-naïve patients who sustained an osteoporotic femoral fracture (OFF). Materials & methods Thirty-one patients with AFFs were gender and age-matched to 31 patients with NFFs and 49 patients with OFFs. The Hip Structural Analysis parameters analyzed were bone mineral density (BMD), cross-sectional area (CSA; a metric of resistance to axial compression), section modulus (SM; a metric of resistance to tensile loads), average cortical thickness (ACT; mean thickness of the femoral cortices), buckling ratio (BR; an index of likelihood of local buckling), and neck shaft angle (NSA; the angle between the neck and shaft axes). The regions analyzed were three cross-sections measured at the narrowest femoral neck diameter, the intertrochanteric area, and the proximal femoral shaft. One-way ANOVA with Bonferroni adjustment for multiple comparisons was used to compare parameters between the three patient groups, with statistical significance defined as p < 0.05. Results There were no statistical differences in parameters between patients with AFFs and patients with NFFs at all measured regions. Patients with AFFs and NFFs had statistically higher BMD, CSA, ACT, SM values and lower BR values at the NN and IT regions than patients with OFFs. Additionally, patients with NFFs had statistically higher SM values at the IT region than patients with OFFs, while patients with AFFs had statistically higher BMD, CSA, and ACT values at the FS region. All other measured parameters were not statistically different between the groups. Conclusions Chronic bisphosphonate users with and without AFFs had similar femoral structural geometries. Unlike in other populations, varus neck shaft angles were not found to be associated with AFFs in Asian female chronic bisphosphonate users. Thus, bone cross-sectional geometry is not likely to be associated with AFFs in Asian female chronic bisphosphonate users. Hip Structural Analysis does not show an increased predilection for tensile failure in AFFs. |
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AbstractList | INTRODUCTIONAtypical femoral fractures (AFF) tend to occur in Asian women with prolonged bisphosphonate exposure. Hip geometry is thought to contribute to the risk of AFF formation. We examined the hip structural geometry parameters in Asian female chronic bisphosphonate users who sustained an AFF and compared them to chronic bisphosphonate users who did not sustain any femoral fracture (NFF) and bisphosphonate-naïve patients who sustained an osteoporotic femoral fracture (OFF).MATERIALS & METHODSThirty-one patients with AFFs were gender and age-matched to 31 patients with NFFs and 49 patients with OFFs. The Hip Structural Analysis parameters analyzed were bone mineral density (BMD), cross-sectional area (CSA; a metric of resistance to axial compression), section modulus (SM; a metric of resistance to tensile loads), average cortical thickness (ACT; mean thickness of the femoral cortices), buckling ratio (BR; an index of likelihood of local buckling), and neck shaft angle (NSA; the angle between the neck and shaft axes). The regions analyzed were three cross-sections measured at the narrowest femoral neck diameter, the intertrochanteric area, and the proximal femoral shaft. One-way ANOVA with Bonferroni adjustment for multiple comparisons was used to compare parameters between the three patient groups, with statistical significance defined as p<0.05.RESULTSThere were no statistical differences in parameters between patients with AFFs and patients with NFFs at all measured regions. Patients with AFFs and NFFs had statistically higher BMD, CSA, ACT, SM values and lower BR values at the NN and IT regions than patients with OFFs. Additionally, patients with NFFs had statistically higher SM values at the IT region than patients with OFFs, while patients with AFFs had statistically higher BMD, CSA, and ACT values at the FS region. All other measured parameters were not statistically different between the groups.CONCLUSIONSChronic bisphosphonate users with and without AFFs had similar femoral structural geometries. Unlike in other populations, varus neck shaft angles were not found to be associated with AFFs in Asian female chronic bisphosphonate users. Thus, bone cross-sectional geometry is not likely to be associated with AFFs in Asian female chronic bisphosphonate users. Hip Structural Analysis does not show an increased predilection for tensile failure in AFFs. Abstract Introduction Atypical femoral fractures (AFF) tend to occur in Asian women with prolonged bisphosphonate exposure. Hip geometry is thought to contribute to the risk of AFF formation. We examined the hip structural geometry parameters in Asian female chronic bisphosphonate users who sustained an AFF and compared them to chronic bisphosphonate users who did not sustain any femoral fracture (NFF) and bisphosphonate-naïve patients who sustained an osteoporotic femoral fracture (OFF). Materials & methods Thirty-one patients with AFFs were gender and age-matched to 31 patients with NFFs and 49 patients with OFFs. The Hip Structural Analysis parameters analyzed were bone mineral density (BMD), cross-sectional area (CSA; a metric of resistance to axial compression), section modulus (SM; a metric of resistance to tensile loads), average cortical thickness (ACT; mean thickness of the femoral cortices), buckling ratio (BR; an index of likelihood of local buckling), and neck shaft angle (NSA; the angle between the neck and shaft axes). The regions analyzed were three cross-sections measured at the narrowest femoral neck diameter, the intertrochanteric area, and the proximal femoral shaft. One-way ANOVA with Bonferroni adjustment for multiple comparisons was used to compare parameters between the three patient groups, with statistical significance defined as p < 0.05. Results There were no statistical differences in parameters between patients with AFFs and patients with NFFs at all measured regions. Patients with AFFs and NFFs had statistically higher BMD, CSA, ACT, SM values and lower BR values at the NN and IT regions than patients with OFFs. Additionally, patients with NFFs had statistically higher SM values at the IT region than patients with OFFs, while patients with AFFs had statistically higher BMD, CSA, and ACT values at the FS region. All other measured parameters were not statistically different between the groups. Conclusions Chronic bisphosphonate users with and without AFFs had similar femoral structural geometries. Unlike in other populations, varus neck shaft angles were not found to be associated with AFFs in Asian female chronic bisphosphonate users. Thus, bone cross-sectional geometry is not likely to be associated with AFFs in Asian female chronic bisphosphonate users. Hip Structural Analysis does not show an increased predilection for tensile failure in AFFs. Atypical femoral fractures (AFF) tend to occur in Asian women with prolonged bisphosphonate exposure. Hip geometry is thought to contribute to the risk of AFF formation. We examined the hip structural geometry parameters in Asian female chronic bisphosphonate users who sustained an AFF and compared them to chronic bisphosphonate users who did not sustain any femoral fracture (NFF) and bisphosphonate-naïve patients who sustained an osteoporotic femoral fracture (OFF). Thirty-one patients with AFFs were gender and age-matched to 31 patients with NFFs and 49 patients with OFFs. The Hip Structural Analysis parameters analyzed were bone mineral density (BMD), cross-sectional area (CSA; a metric of resistance to axial compression), section modulus (SM; a metric of resistance to tensile loads), average cortical thickness (ACT; mean thickness of the femoral cortices), buckling ratio (BR; an index of likelihood of local buckling), and neck shaft angle (NSA; the angle between the neck and shaft axes). The regions analyzed were three cross-sections measured at the narrowest femoral neck diameter, the intertrochanteric area, and the proximal femoral shaft. One-way ANOVA with Bonferroni adjustment for multiple comparisons was used to compare parameters between the three patient groups, with statistical significance defined as p<0.05. There were no statistical differences in parameters between patients with AFFs and patients with NFFs at all measured regions. Patients with AFFs and NFFs had statistically higher BMD, CSA, ACT, SM values and lower BR values at the NN and IT regions than patients with OFFs. Additionally, patients with NFFs had statistically higher SM values at the IT region than patients with OFFs, while patients with AFFs had statistically higher BMD, CSA, and ACT values at the FS region. All other measured parameters were not statistically different between the groups. Chronic bisphosphonate users with and without AFFs had similar femoral structural geometries. Unlike in other populations, varus neck shaft angles were not found to be associated with AFFs in Asian female chronic bisphosphonate users. Thus, bone cross-sectional geometry is not likely to be associated with AFFs in Asian female chronic bisphosphonate users. Hip Structural Analysis does not show an increased predilection for tensile failure in AFFs. Atypical femoral fractures (AFF) tend to occur in Asian women with prolonged bisphosphonate exposure. Hip geometry is thought to contribute to the risk of AFF formation. We examined the hip structural geometry parameters in Asian female chronic bisphosphonate users who sustained an AFF and compared them to chronic bisphosphonate users who did not sustain any femoral fracture (NFF) and bisphosphonate-naïve patients who sustained an osteoporotic femoral fracture (OFF). Thirty-one patients with AFFs were gender and age-matched to 31 patients with NFFs and 49 patients with OFFs. The Hip Structural Analysis parameters analyzed were bone mineral density (BMD), cross-sectional area (CSA; a metric of resistance to axial compression), section modulus (SM; a metric of resistance to tensile loads), average cortical thickness (ACT; mean thickness of the femoral cortices), buckling ratio (BR; an index of likelihood of local buckling), and neck shaft angle (NSA; the angle between the neck and shaft axes). The regions analyzed were three cross-sections measured at the narrowest femoral neck diameter, the intertrochanteric area, and the proximal femoral shaft. One-way ANOVA with Bonferroni adjustment for multiple comparisons was used to compare parameters between the three patient groups, with statistical significance defined as p<0.05. There were no statistical differences in parameters between patients with AFFs and patients with NFFs at all measured regions. Patients with AFFs and NFFs had statistically higher BMD, CSA, ACT, SM values and lower BR values at the NN and IT regions than patients with OFFs. Additionally, patients with NFFs had statistically higher SM values at the IT region than patients with OFFs, while patients with AFFs had statistically higher BMD, CSA, and ACT values at the FS region. All other measured parameters were not statistically different between the groups. Chronic bisphosphonate users with and without AFFs had similar femoral structural geometries. Unlike in other populations, varus neck shaft angles were not found to be associated with AFFs in Asian female chronic bisphosphonate users. Thus, bone cross-sectional geometry is not likely to be associated with AFFs in Asian female chronic bisphosphonate users. Hip Structural Analysis does not show an increased predilection for tensile failure in AFFs. •Chronic bisphosphonate users with and without AFFs had similar femoral structural geometries.•Varus neck shaft angles are not associated with AFFs in a population of Chinese female chronic bisphosphonate users.•Hip Structural Analysis does not show an increased predilection for tensile failure in AFFs. |
Author | Chua, David Thai Chong Chou, Andrew Chia Chen Ng, David Chee Eng Koh, Joyce Suang Bee Ng, Alvin Choong Meng Png, Meng Ai Howe, Tet Sen |
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BackLink | https://www.ncbi.nlm.nih.gov/pubmed/26067179$$D View this record in MEDLINE/PubMed |
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CitedBy_id | crossref_primary_10_1007_s11914_018_0464_6 crossref_primary_10_2106_JBJS_16_01440 crossref_primary_10_1007_s11914_019_00525_x crossref_primary_10_1016_j_injury_2017_10_026 crossref_primary_10_4055_cios21258 crossref_primary_10_1016_j_jmbbm_2021_104803 crossref_primary_10_1016_j_jocd_2018_03_005 crossref_primary_10_1016_j_injury_2018_07_006 crossref_primary_10_1016_j_molliq_2021_117699 crossref_primary_10_2214_AJR_17_17938 crossref_primary_10_1097_MED_0000000000000287 |
Cites_doi | 10.1002/jbmr.253 10.1002/jbmr.308 10.1007/s00774-009-0138-7 10.1007/s11999-011-1985-9 10.1016/0021-9290(84)90010-1 10.1002/jbmr.1893 10.1359/jbmr.070712 10.2147/CIA.S3177 10.1016/S0140-6736(02)08657-9 10.1002/jbmr.189 10.2106/JBJS.N.00075 10.1007/s00198-010-1453-5 10.1007/s00198-009-1056-1 10.1016/j.bone.2005.03.007 10.1007/s11914-007-0002-4 10.1016/j.bone.2007.03.007 10.1007/s00198-004-1702-6 10.1002/jbmr.5650090713 10.1016/j.bone.2005.03.003 10.1007/s00774-012-0358-0 10.1002/jbmr.1998 10.1056/NEJMoa1010650 10.1007/s11999-013-3352-5 10.1007/s00198-008-0805-x 10.1359/jbmr.080802 10.1002/jbmr.1565 10.1016/j.bone.2014.02.006 10.1007/s00198-008-0762-4 10.1359/JBMR.050508 10.1007/s00774-010-0242-8 |
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Keywords | Hip morphology Osteoporosis Hip structural geometry Atypical femoral fracture Neck shaft angle Bisphosphonates |
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References | Ito, Sone, Fukunaga (bb0125) 2010; 28 Saita, Ishijima, Mogami, Kubota, Baba, Kaketa (bb0185) 2014; 1–8 Lenart, Neviaser, Lyman, Chang, Edobor-Osula, Steele (bb0030) 2009; 20 Martin, Burr (bb0140) 1984; 17 Schilcher, Michaëlsson, Aspenberg (bb0060) 2011; 364 Beck (bb0160) 2007; 5 Sutton, Mumm, Coburn, Ericson, Whyte (bb0075) 2012; 27 Khoo, Beck, Qiao, Parakh, Semanick, Prince (bb0170) 2005; 37 Uusi-Rasi, Semanick, Zanchetta, Bogado, Eriksen, Sato (bb0165) 2005; 36 Takada, Katahira, Iba, Yoshizaki, Yamashita (bb0135) 2011; 29 Elbuken, Baykara, Ozturk (bb0175) 2012; 53 Bonnick (bb0095) 2007; 41 Marcano, Taormina, Egol, Peck, Tejwani (bb0180) 2014; 472 Bonnick, Beck, Cosman, Hochberg, Wang, de Papp (bb0115) 2009; 20 Cummings, Melton (bb0020) 2002; 359 Shane, Burr, Ebeling, Abrahamsen, Adler, Brown (bb0050) 2010; 25 Rizzoli, Akesson, Bouxsein, Kanis, Napoli, Papapoulos (bb0055) 2011; 22 Koh, Goh, Png, Ng, Howe (bb0085) 2011; 52 Greenspan, Beck, Resnick, Bhattacharya, Parker (bb0120) 2005; 20 Morin, Godbout, Wall, Belzile, Michou, Ste-Marie (bb0090) 2013 Hagen, Miller, Ott, Gardner, Morshed, Jeray (bb0015) 2014; 96 Iwamoto, Sato, Takeda, Matsumoto (bb0130) 2008; 3 Johnell, Kanis (bb0010) 2005; 16 Unnanuntana, Saleh, Mensah, Kleimeyer, Lane (bb0025) 2013; 95 Siris, Pasquale, Wang, Watts (bb0065) 2011; 26 Unnanuntana, Ashfaq, Ton, Kleimeyer, Lane (bb0040) 2012; 470 Yates, Bartlett, Ebeling (bb0080) 2011; 26 Kaptoge, Beck, Reeve, Stone, Hillier, Cauley (bb0105) 2008; 23 Beck (bb0150) 2002 Sasaki, Miyakoshi, Hongo, Kasukawa, Shimada (bb0070) 2012; 30 LaCroix, Beck, Cauley, Lewis, Bassford, Jackson (bb0110) 2010; 21 Shane, Burr, Abrahamsen, Adler, Brown, Cheung (bb0045) 2013; 29 Taormina, Marcano, Karia, Egol, Tejwani (bb0035) 2014; 63 Yoshikawa, Turner, Peacock, Slemenda, Weaver, Teegarden (bb0145) 1994; 9 Gedmintas, Solomon, Kim (bb0005) 2013; 28 Rivadeneira, Zillikens, De Laet, Hofman, Uitterlinden, Beck (bb0100) 2007; 22 Elbuken (10.1016/j.bone.2015.06.003_bb0175) 2012; 53 Saita (10.1016/j.bone.2015.06.003_bb0185) 2014; 1–8 Shane (10.1016/j.bone.2015.06.003_bb0050) 2010; 25 Johnell (10.1016/j.bone.2015.06.003_bb0010) 2005; 16 Shane (10.1016/j.bone.2015.06.003_bb0045) 2013; 29 Takada (10.1016/j.bone.2015.06.003_bb0135) 2011; 29 Ito (10.1016/j.bone.2015.06.003_bb0125) 2010; 28 Kaptoge (10.1016/j.bone.2015.06.003_bb0105) 2008; 23 Rivadeneira (10.1016/j.bone.2015.06.003_bb0100) 2007; 22 Hagen (10.1016/j.bone.2015.06.003_bb0015) 2014; 96 Cummings (10.1016/j.bone.2015.06.003_bb0020) 2002; 359 Bonnick (10.1016/j.bone.2015.06.003_bb0095) 2007; 41 Sasaki (10.1016/j.bone.2015.06.003_bb0070) 2012; 30 Yates (10.1016/j.bone.2015.06.003_bb0080) 2011; 26 Unnanuntana (10.1016/j.bone.2015.06.003_bb0040) 2012; 470 Uusi-Rasi (10.1016/j.bone.2015.06.003_bb0165) 2005; 36 Greenspan (10.1016/j.bone.2015.06.003_bb0120) 2005; 20 Iwamoto (10.1016/j.bone.2015.06.003_bb0130) 2008; 3 Beck (10.1016/j.bone.2015.06.003_bb0150) 2002 Koh (10.1016/j.bone.2015.06.003_bb0085) 2011; 52 Beck (10.1016/j.bone.2015.06.003_bb0160) 2007; 5 Schilcher (10.1016/j.bone.2015.06.003_bb0060) 2011; 364 Morin (10.1016/j.bone.2015.06.003_bb0090) 2013 Gedmintas (10.1016/j.bone.2015.06.003_bb0005) 2013; 28 Taormina (10.1016/j.bone.2015.06.003_bb0035) 2014; 63 Sutton (10.1016/j.bone.2015.06.003_bb0075) 2012; 27 Khoo (10.1016/j.bone.2015.06.003_bb0170) 2005; 37 Bonnick (10.1016/j.bone.2015.06.003_bb0115) 2009; 20 Yoshikawa (10.1016/j.bone.2015.06.003_bb0145) 1994; 9 Marcano (10.1016/j.bone.2015.06.003_bb0180) 2014; 472 Unnanuntana (10.1016/j.bone.2015.06.003_bb0025) 2013; 95 Rizzoli (10.1016/j.bone.2015.06.003_bb0055) 2011; 22 Siris (10.1016/j.bone.2015.06.003_bb0065) 2011; 26 Lenart (10.1016/j.bone.2015.06.003_bb0030) 2009; 20 Martin (10.1016/j.bone.2015.06.003_bb0140) 1984; 17 LaCroix (10.1016/j.bone.2015.06.003_bb0110) 2010; 21 |
References_xml | – volume: 21 start-page: 919 year: 2010 end-page: 929 ident: bb0110 article-title: Hip structural geometry and incidence of hip fracture in postmenopausal women: what does it add to conventional bone mineral density? publication-title: Osteoporos Int contributor: fullname: Jackson – year: 2013 ident: bb0090 article-title: Femur Geometrical Parameters in the Pathogenesis of Atypical Femur Fractures contributor: fullname: Ste-Marie – volume: 472 start-page: 1020 year: 2014 end-page: 1027 ident: bb0180 article-title: Are race and sex associated with the occurrence of atypical femoral fractures? publication-title: Clin Orthop Relat Res contributor: fullname: Tejwani – volume: 20 start-page: 1525 year: 2005 end-page: 1532 ident: bb0120 article-title: Effect of hormone replacement, alendronate, or combination therapy on hip structural geometry: a 3-year, double-blind, placebo-controlled clinical trial publication-title: J Bone Miner Res contributor: fullname: Parker – volume: 96 start-page: 1905 year: 2014 end-page: 1909 ident: bb0015 article-title: Association of atypical femoral fractures with bisphosphonate use by patients with varus hip geometry publication-title: J Bone Joint Surg contributor: fullname: Jeray – volume: 17 start-page: 195 year: 1984 end-page: 201 ident: bb0140 article-title: Non-invasive measurement of long bone cross-sectional moment of inertia by photon absorptiometry publication-title: J Biomech contributor: fullname: Burr – year: 2002 ident: bb0150 article-title: Hip Structural Analysis (HSA) Program (BMD and Structural Geometry Methodology) As Used to Create NHANES III Dataset contributor: fullname: Beck – volume: 364 start-page: 1728 year: 2011 end-page: 1737 ident: bb0060 article-title: Bisphosphonate use and atypical fractures of the femoral shaft publication-title: N Engl J Med contributor: fullname: Aspenberg – volume: 470 start-page: 291 year: 2012 end-page: 298 ident: bb0040 article-title: The effect of long-term alendronate treatment on cortical thickness of the proximal femur publication-title: Clin Orthop Relat Res contributor: fullname: Lane – volume: 53 start-page: 587 year: 2012 end-page: 590 ident: bb0175 article-title: Standardisation of the neck-shaft angle and measurement of age-, gender-and BMI-related changes in the femoral neck using DXA publication-title: Singapore Med J contributor: fullname: Ozturk – volume: 25 start-page: 2267 year: 2010 end-page: 2294 ident: bb0050 article-title: American Society for B, Mineral R. Atypical subtrochanteric and diaphyseal femoral fractures: report of a task force of the American Society for Bone and Mineral Research publication-title: J Bone Miner Res contributor: fullname: Brown – volume: 29 start-page: 458 year: 2011 end-page: 465 ident: bb0135 article-title: Hip structure analysis of bisphosphonate-treated Japanese postmenopausal women with osteoporosis publication-title: J Bone Miner Metab contributor: fullname: Yamashita – volume: 26 start-page: 3 year: 2011 end-page: 11 ident: bb0065 article-title: Estimating bisphosphonate use and fracture reduction among US women aged 45 publication-title: J Bone Miner Res contributor: fullname: Watts – volume: 41 start-page: S9 year: 2007 end-page: S12 ident: bb0095 article-title: Hsa: beyond bmd with dxa publication-title: Bone contributor: fullname: Bonnick – volume: 26 start-page: 1377 year: 2011 end-page: 1379 ident: bb0080 article-title: An atypical subtrochanteric femoral fracture from pycnodysostosis: a lesson from nature publication-title: J Bone Miner Res contributor: fullname: Ebeling – volume: 52 start-page: 77 year: 2011 end-page: 80 ident: bb0085 article-title: Distribution of atypical fractures and cortical stress lesions in the femur: implications on pathophysiology publication-title: Singapore Med J contributor: fullname: Howe – volume: 27 start-page: 987 year: 2012 end-page: 994 ident: bb0075 article-title: “Atypical femoral fractures” during bisphosphonate exposure in adult hypophosphatasia publication-title: J Bone Miner Res contributor: fullname: Whyte – volume: 20 start-page: 1353 year: 2009 end-page: 1362 ident: bb0030 article-title: Association of low-energy femoral fractures with prolonged bisphosphonate use: a case control study publication-title: Osteoporos Int contributor: fullname: Steele – volume: 23 start-page: 1892 year: 2008 end-page: 1904 ident: bb0105 article-title: Prediction of incident hip fracture risk by femur geometry variables measured by hip structural analysis in the study of osteoporotic fractures publication-title: J Bone Miner Res contributor: fullname: Cauley – volume: 28 start-page: 334 year: 2010 end-page: 341 ident: bb0125 article-title: Effect of minodronic acid hydrate on hip geometry in Japanese women with postmenopausal osteoporosis publication-title: J Bone Miner Metab contributor: fullname: Fukunaga – volume: 359 start-page: 1761 year: 2002 end-page: 1767 ident: bb0020 article-title: Epidemiology and outcomes of osteoporotic fractures publication-title: Lancet contributor: fullname: Melton – volume: 63 start-page: 1 year: 2014 end-page: 6 ident: bb0035 article-title: Symptomatic atypical femoral fractures are related to underlying hip geometry publication-title: Bone contributor: fullname: Tejwani – volume: 36 start-page: 948 year: 2005 end-page: 958 ident: bb0165 article-title: Effects of teriparatide [rhPTH (1–34)] treatment on structural geometry of the proximal femur in elderly osteoporotic women publication-title: Bone contributor: fullname: Sato – volume: 29 start-page: 1 year: 2013 end-page: 23 ident: bb0045 article-title: Atypical subtrochanteric and diaphyseal femoral fractures: second report of a task force of the American Society for Bone and Mineral Research publication-title: J Bone Miner Res contributor: fullname: Cheung – volume: 16 start-page: S3 year: 2005 end-page: S7 ident: bb0010 article-title: Epidemiology of osteoporotic fractures publication-title: Osteoporos Int contributor: fullname: Kanis – volume: 5 start-page: 49 year: 2007 end-page: 55 ident: bb0160 article-title: Extending DXA, beyond bone mineral density: understanding hip structure analysis publication-title: Curr Osteoporos Rep contributor: fullname: Beck – volume: 28 start-page: 1729 year: 2013 end-page: 1737 ident: bb0005 article-title: Bisphosphonates and risk of subtrochanteric, femoral shaft, and atypical femur fracture: a systematic review and meta-analysis publication-title: J Bone Miner Res contributor: fullname: Kim – volume: 20 start-page: 911 year: 2009 end-page: 921 ident: bb0115 article-title: DXA-based hip structural analysis of once-weekly bisphosphonate-treated postmenopausal women with low bone mass publication-title: Osteoporos Int contributor: fullname: de Papp – volume: 22 start-page: 373 year: 2011 end-page: 390 ident: bb0055 article-title: Subtrochanteric fractures after long-term treatment with bisphosphonates: a European Society on Clinical and Economic Aspects of Osteoporosis and Osteoarthritis, and International Osteoporosis Foundation Working Group Report publication-title: Osteoporos Int contributor: fullname: Papapoulos – volume: 30 start-page: 561 year: 2012 end-page: 567 ident: bb0070 article-title: Low-energy diaphyseal femoral fractures associated with bisphosphonate use and severe curved femur: a case series publication-title: J Bone Miner Metab contributor: fullname: Shimada – volume: 95 start-page: 1 year: 2013 end-page: 13 ident: bb0025 article-title: Atypical femoral fractures: what do we know about them? AAOS exhibit selection publication-title: J Bone Joint Surg Am contributor: fullname: Lane – volume: 22 start-page: 1781 year: 2007 end-page: 1790 ident: bb0100 article-title: Femoral neck BMD is a strong predictor of hip fracture susceptibility in elderly men and women because it detects cortical bone instability: the Rotterdam Study publication-title: J Bone Miner Res contributor: fullname: Beck – volume: 1–8 year: 2014 ident: bb0185 article-title: The incidence of and risk factors for developing atypical femoral fractures in Japan publication-title: J Bone Miner Metab contributor: fullname: Kaketa – volume: 9 start-page: 1053 year: 1994 end-page: 1064 ident: bb0145 article-title: Geometric structure of the femoral neck measured using dual‐energy X‐ray absorptiometry publication-title: J Bone Miner Res contributor: fullname: Teegarden – volume: 37 start-page: 112 year: 2005 end-page: 121 ident: bb0170 article-title: In vivo short-term precision of hip structure analysis variables in comparison with bone mineral density using paired dual-energy X-ray absorptiometry scans from multi-center clinical trials publication-title: Bone contributor: fullname: Prince – volume: 3 start-page: 483 year: 2008 end-page: 489 ident: bb0130 article-title: Hip fracture protection by alendronate treatment in postmenopausal women with osteoporosis: a review of the literature publication-title: Clin Interv Aging contributor: fullname: Matsumoto – volume: 25 start-page: 2267 year: 2010 ident: 10.1016/j.bone.2015.06.003_bb0050 article-title: American Society for B, Mineral R. Atypical subtrochanteric and diaphyseal femoral fractures: report of a task force of the American Society for Bone and Mineral Research publication-title: J Bone Miner Res doi: 10.1002/jbmr.253 contributor: fullname: Shane – volume: 26 start-page: 1377 year: 2011 ident: 10.1016/j.bone.2015.06.003_bb0080 article-title: An atypical subtrochanteric femoral fracture from pycnodysostosis: a lesson from nature publication-title: J Bone Miner Res doi: 10.1002/jbmr.308 contributor: fullname: Yates – volume: 28 start-page: 334 year: 2010 ident: 10.1016/j.bone.2015.06.003_bb0125 article-title: Effect of minodronic acid hydrate on hip geometry in Japanese women with postmenopausal osteoporosis publication-title: J Bone Miner Metab doi: 10.1007/s00774-009-0138-7 contributor: fullname: Ito – year: 2013 ident: 10.1016/j.bone.2015.06.003_bb0090 contributor: fullname: Morin – volume: 470 start-page: 291 year: 2012 ident: 10.1016/j.bone.2015.06.003_bb0040 article-title: The effect of long-term alendronate treatment on cortical thickness of the proximal femur publication-title: Clin Orthop Relat Res doi: 10.1007/s11999-011-1985-9 contributor: fullname: Unnanuntana – volume: 17 start-page: 195 year: 1984 ident: 10.1016/j.bone.2015.06.003_bb0140 article-title: Non-invasive measurement of long bone cross-sectional moment of inertia by photon absorptiometry publication-title: J Biomech doi: 10.1016/0021-9290(84)90010-1 contributor: fullname: Martin – volume: 28 start-page: 1729 year: 2013 ident: 10.1016/j.bone.2015.06.003_bb0005 article-title: Bisphosphonates and risk of subtrochanteric, femoral shaft, and atypical femur fracture: a systematic review and meta-analysis publication-title: J Bone Miner Res doi: 10.1002/jbmr.1893 contributor: fullname: Gedmintas – volume: 22 start-page: 1781 year: 2007 ident: 10.1016/j.bone.2015.06.003_bb0100 article-title: Femoral neck BMD is a strong predictor of hip fracture susceptibility in elderly men and women because it detects cortical bone instability: the Rotterdam Study publication-title: J Bone Miner Res doi: 10.1359/jbmr.070712 contributor: fullname: Rivadeneira – volume: 3 start-page: 483 year: 2008 ident: 10.1016/j.bone.2015.06.003_bb0130 article-title: Hip fracture protection by alendronate treatment in postmenopausal women with osteoporosis: a review of the literature publication-title: Clin Interv Aging doi: 10.2147/CIA.S3177 contributor: fullname: Iwamoto – year: 2002 ident: 10.1016/j.bone.2015.06.003_bb0150 article-title: Hip Structural Analysis (HSA) Program (BMD and Structural Geometry Methodology) As Used to Create NHANES III Dataset contributor: fullname: Beck – volume: 359 start-page: 1761 year: 2002 ident: 10.1016/j.bone.2015.06.003_bb0020 article-title: Epidemiology and outcomes of osteoporotic fractures publication-title: Lancet doi: 10.1016/S0140-6736(02)08657-9 contributor: fullname: Cummings – volume: 26 start-page: 3 year: 2011 ident: 10.1016/j.bone.2015.06.003_bb0065 article-title: Estimating bisphosphonate use and fracture reduction among US women aged 45years and older, 2001–2008 publication-title: J Bone Miner Res doi: 10.1002/jbmr.189 contributor: fullname: Siris – volume: 1–8 year: 2014 ident: 10.1016/j.bone.2015.06.003_bb0185 article-title: The incidence of and risk factors for developing atypical femoral fractures in Japan publication-title: J Bone Miner Metab contributor: fullname: Saita – volume: 96 start-page: 1905 year: 2014 ident: 10.1016/j.bone.2015.06.003_bb0015 article-title: Association of atypical femoral fractures with bisphosphonate use by patients with varus hip geometry publication-title: J Bone Joint Surg doi: 10.2106/JBJS.N.00075 contributor: fullname: Hagen – volume: 22 start-page: 373 year: 2011 ident: 10.1016/j.bone.2015.06.003_bb0055 article-title: Subtrochanteric fractures after long-term treatment with bisphosphonates: a European Society on Clinical and Economic Aspects of Osteoporosis and Osteoarthritis, and International Osteoporosis Foundation Working Group Report publication-title: Osteoporos Int doi: 10.1007/s00198-010-1453-5 contributor: fullname: Rizzoli – volume: 21 start-page: 919 year: 2010 ident: 10.1016/j.bone.2015.06.003_bb0110 article-title: Hip structural geometry and incidence of hip fracture in postmenopausal women: what does it add to conventional bone mineral density? publication-title: Osteoporos Int doi: 10.1007/s00198-009-1056-1 contributor: fullname: LaCroix – volume: 37 start-page: 112 year: 2005 ident: 10.1016/j.bone.2015.06.003_bb0170 article-title: In vivo short-term precision of hip structure analysis variables in comparison with bone mineral density using paired dual-energy X-ray absorptiometry scans from multi-center clinical trials publication-title: Bone doi: 10.1016/j.bone.2005.03.007 contributor: fullname: Khoo – volume: 5 start-page: 49 year: 2007 ident: 10.1016/j.bone.2015.06.003_bb0160 article-title: Extending DXA, beyond bone mineral density: understanding hip structure analysis publication-title: Curr Osteoporos Rep doi: 10.1007/s11914-007-0002-4 contributor: fullname: Beck – volume: 41 start-page: S9 year: 2007 ident: 10.1016/j.bone.2015.06.003_bb0095 article-title: Hsa: beyond bmd with dxa publication-title: Bone doi: 10.1016/j.bone.2007.03.007 contributor: fullname: Bonnick – volume: 16 start-page: S3 year: 2005 ident: 10.1016/j.bone.2015.06.003_bb0010 article-title: Epidemiology of osteoporotic fractures publication-title: Osteoporos Int doi: 10.1007/s00198-004-1702-6 contributor: fullname: Johnell – volume: 9 start-page: 1053 year: 1994 ident: 10.1016/j.bone.2015.06.003_bb0145 article-title: Geometric structure of the femoral neck measured using dual‐energy X‐ray absorptiometry publication-title: J Bone Miner Res doi: 10.1002/jbmr.5650090713 contributor: fullname: Yoshikawa – volume: 95 start-page: 1 issue: e8 year: 2013 ident: 10.1016/j.bone.2015.06.003_bb0025 article-title: Atypical femoral fractures: what do we know about them? AAOS exhibit selection publication-title: J Bone Joint Surg Am contributor: fullname: Unnanuntana – volume: 36 start-page: 948 year: 2005 ident: 10.1016/j.bone.2015.06.003_bb0165 article-title: Effects of teriparatide [rhPTH (1–34)] treatment on structural geometry of the proximal femur in elderly osteoporotic women publication-title: Bone doi: 10.1016/j.bone.2005.03.003 contributor: fullname: Uusi-Rasi – volume: 30 start-page: 561 year: 2012 ident: 10.1016/j.bone.2015.06.003_bb0070 article-title: Low-energy diaphyseal femoral fractures associated with bisphosphonate use and severe curved femur: a case series publication-title: J Bone Miner Metab doi: 10.1007/s00774-012-0358-0 contributor: fullname: Sasaki – volume: 52 start-page: 77 year: 2011 ident: 10.1016/j.bone.2015.06.003_bb0085 article-title: Distribution of atypical fractures and cortical stress lesions in the femur: implications on pathophysiology publication-title: Singapore Med J contributor: fullname: Koh – volume: 53 start-page: 587 year: 2012 ident: 10.1016/j.bone.2015.06.003_bb0175 article-title: Standardisation of the neck-shaft angle and measurement of age-, gender-and BMI-related changes in the femoral neck using DXA publication-title: Singapore Med J contributor: fullname: Elbuken – volume: 29 start-page: 1 year: 2013 ident: 10.1016/j.bone.2015.06.003_bb0045 article-title: Atypical subtrochanteric and diaphyseal femoral fractures: second report of a task force of the American Society for Bone and Mineral Research publication-title: J Bone Miner Res doi: 10.1002/jbmr.1998 contributor: fullname: Shane – volume: 364 start-page: 1728 year: 2011 ident: 10.1016/j.bone.2015.06.003_bb0060 article-title: Bisphosphonate use and atypical fractures of the femoral shaft publication-title: N Engl J Med doi: 10.1056/NEJMoa1010650 contributor: fullname: Schilcher – volume: 472 start-page: 1020 year: 2014 ident: 10.1016/j.bone.2015.06.003_bb0180 article-title: Are race and sex associated with the occurrence of atypical femoral fractures? publication-title: Clin Orthop Relat Res doi: 10.1007/s11999-013-3352-5 contributor: fullname: Marcano – volume: 20 start-page: 1353 year: 2009 ident: 10.1016/j.bone.2015.06.003_bb0030 article-title: Association of low-energy femoral fractures with prolonged bisphosphonate use: a case control study publication-title: Osteoporos Int doi: 10.1007/s00198-008-0805-x contributor: fullname: Lenart – volume: 23 start-page: 1892 year: 2008 ident: 10.1016/j.bone.2015.06.003_bb0105 article-title: Prediction of incident hip fracture risk by femur geometry variables measured by hip structural analysis in the study of osteoporotic fractures publication-title: J Bone Miner Res doi: 10.1359/jbmr.080802 contributor: fullname: Kaptoge – volume: 27 start-page: 987 year: 2012 ident: 10.1016/j.bone.2015.06.003_bb0075 article-title: “Atypical femoral fractures” during bisphosphonate exposure in adult hypophosphatasia publication-title: J Bone Miner Res doi: 10.1002/jbmr.1565 contributor: fullname: Sutton – volume: 63 start-page: 1 year: 2014 ident: 10.1016/j.bone.2015.06.003_bb0035 article-title: Symptomatic atypical femoral fractures are related to underlying hip geometry publication-title: Bone doi: 10.1016/j.bone.2014.02.006 contributor: fullname: Taormina – volume: 20 start-page: 911 year: 2009 ident: 10.1016/j.bone.2015.06.003_bb0115 article-title: DXA-based hip structural analysis of once-weekly bisphosphonate-treated postmenopausal women with low bone mass publication-title: Osteoporos Int doi: 10.1007/s00198-008-0762-4 contributor: fullname: Bonnick – volume: 20 start-page: 1525 year: 2005 ident: 10.1016/j.bone.2015.06.003_bb0120 article-title: Effect of hormone replacement, alendronate, or combination therapy on hip structural geometry: a 3-year, double-blind, placebo-controlled clinical trial publication-title: J Bone Miner Res doi: 10.1359/JBMR.050508 contributor: fullname: Greenspan – volume: 29 start-page: 458 year: 2011 ident: 10.1016/j.bone.2015.06.003_bb0135 article-title: Hip structure analysis of bisphosphonate-treated Japanese postmenopausal women with osteoporosis publication-title: J Bone Miner Metab doi: 10.1007/s00774-010-0242-8 contributor: fullname: Takada |
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Snippet | Abstract Introduction Atypical femoral fractures (AFF) tend to occur in Asian women with prolonged bisphosphonate exposure. Hip geometry is thought to... Atypical femoral fractures (AFF) tend to occur in Asian women with prolonged bisphosphonate exposure. Hip geometry is thought to contribute to the risk of AFF... INTRODUCTIONAtypical femoral fractures (AFF) tend to occur in Asian women with prolonged bisphosphonate exposure. Hip geometry is thought to contribute to the... |
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SubjectTerms | Absorptiometry, Photon Aged Asian Continental Ancestry Group Atypical femoral fracture Bisphosphonates Bone Density - physiology Bone Density Conservation Agents - adverse effects Compressive Strength Diphosphonates - adverse effects Female Femoral Fractures - pathology Femoral Fractures - physiopathology Hip morphology Hip structural geometry Humans Middle Aged Neck shaft angle Orthopedics Osteoporosis Tensile Strength |
Title | Bone cross-sectional geometry is not associated with atypical femoral fractures in Asian female chronic bisphosphonate users |
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