Proximal hip geometry and hip fracture risk assessment in a Korean population

• Published in: Osteoporosis international Vol. 22; no. 3; pp. 803 - 807
• Main Authors: Im, G. I, Lim, M. J
• Format: Journal Article
• Language: English
• Published: London London : Springer-Verlag 01.03.2011; Springer-Verlag; Springer; Springer Nature B.V
• Subjects: Absorptiometry, Photon; Aged; Aged, 80 and over; Biological and medical sciences; Bone Density; Case-Control Studies; Diseases of the osteoarticular system; Endocrinology; Female; Femoral Neck Fractures - diagnostic imaging; Femoral Neck Fractures - epidemiology; Femur - anatomy & histology; Femur - diagnostic imaging; Fracture risk assessment; Fractures; Hip fracture; Hip Fractures - diagnostic imaging; Hip Fractures - epidemiology; Hip joint; Hip Joint - anatomy & histology; Hip Joint - diagnostic imaging; Humans; Injuries of the limb. Injuries of the spine; Logistic Models; Male; Medical sciences; Medicine; Medicine & Public Health; Original Article; Orthopedics; Osteoporosis. Osteomalacia. Paget disease; Proximal femoral geometry; Republic of Korea - epidemiology; Rheumatology; Risk Assessment; Risk Factors; Traumas. Diseases due to physical agents; South Korea; Proximal femoral geometry; Hip fracture; Fracture risk assessment; Proximal; Femur; Diseases of the osteoarticular system; Korean; Fracture; Trauma; Hip; Geometry; Osteoporosis; Risk factor
• ISSN: 0937-941X; 1433-2965
• DOI: 10.1007/s00198-010-1301-7

Summary The association between proximal femoral geometry and hip fracture risk were investigated. The risk of intertrochanteric fractures increased 1.64-fold and 2.32-fold with 1 standard deviation (sd) increase of hip axis length and neck-shaft angle, respectively, while the risk of femur neck fracture 2.03-fold with 1 sd decrease in femoral head offset. Introduction The purpose of this study was to determine the association between proximal femoral geometry (PFG) and the risk of hip fracture in femur neck (FN) and intertrochanteric (IT) fractures in a Korean population. Methods The study included 151 patients (57 patients with IT fractures, 43 patients with FN fractures, and 51 control patients). Data on BMD, PFG parameters (hip axis length [HAL], neck-shaft angle [NSA], neck length, femoral head offset, neck diameter, shaft diameter (SD), and demographics [age, gender, height, and body weight]) were collected. Descriptive statistics and odds ratios of PFG parameters corrected with demographic variables were obtained using logistic regressions. Results HAL (p = 0.046) and NSA (p = 0.003) were significantly greater in the patients with IT fracture than in the control patients, while neither parameter was significantly greater in patients with FN fractures than the control patients. The femoral head offset was significantly shorter in the patients with FN fractures (p = 0.003) compared with the control patients. In patients with IT fractures, the fracture risk increased 1.64-fold (p = 0.048) with a 1 sd increase of the HAL, while it increased 2.32-fold (p = 0.003) with a 1 sd increase of the NSA. In FN fractures, the fracture risk increased 2.03-fold (p = 0.012) with a 1 sd decrease in femoral head offset. Conclusions Our study showed that some PFG parameters as well as BMD values predict hip fractures in a Korean population, and their evaluation may be useful in the understanding of the biomechanics of hip fractures.