The correlation between proximal femur fracture and bone mineral density in the elderly.

Publisher: SAGE Publications Country of Publication: England NLM ID: 0411361 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2047-7163 (Electronic) Linking ISSN: 00368504 NLM ISO Abbreviation: Sci Prog Subsets: MEDLINE

Publication: <2019-> : [London] : SAGE Publications
Original Publication: Oxford, Blackwell Scientific Publications [etc.]

Bone Density* ; Femoral Neck Fractures* ; Hip Fractures*; Humans ; Aged ; Male ; Female ; Retrospective Studies ; Aged, 80 and over ; Osteoporosis ; Lumbar Vertebrae ; Femur Head ; Proximal Femoral Fractures

ObjectiveThe prevention and clinical management of fractures in the elderly have always been challenging issues in orthopedic practice. This study aims to explore the relationship between bone mineral density (BMD) and the types of proximal femoral fractures in elderly patients.MethodsThis study is a retrospective study. It included 876 patients with proximal femoral fractures (446 with femoral neck fractures and 430 with trochanteric fractures) who were admitted to the Affiliated Central Hospital of Shenyang Medical College between 1 January 2020 and 1 January 2023. The study compares the differences in BMD between the trochanteric fracture group and the femoral neck fracture group.ResultsThe trochanteric fracture group had significantly lower average lumbar spine BMD and total BMD of both femoral heads compared to the femoral neck fracture group. In both groups, the BMD of the affected femoral head was higher than that of the healthy femoral head. The average BMD of the affected femoral head was higher than that of the healthy femoral head in all patients (P < 0.001).ConclusionIn addition to fracture management, patients with trochanteric fractures should also receive treatment for osteoporosis. Furthermore, patients with proximal femoral fractures need to prevent secondary fractures in the healthy femur.

Declaration of conflicting interestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Bone. 2007 Jan;40(1):14-27. (PMID: 16956802)
Clin Interv Aging. 2021 Mar 17;16:475-486. (PMID: 33762819)
Arch Phys Med Rehabil. 1999 Oct;80(10):1219-26. (PMID: 10527077)
Osteoporos Int. 2021 Dec;32(12):2599. (PMID: 34608539)
J Orthop Sports Phys Ther. 2021 Feb;51(2):CPG1-CPG81. (PMID: 33522384)
Nat Rev Dis Primers. 2016 Sep 29;2:16069. (PMID: 27681935)
Eur J Trauma Emerg Surg. 2019 Dec;45(6):1053-1057. (PMID: 30014273)
J Orthop Surg Res. 2021 Feb 2;16(1):102. (PMID: 33531036)
Osteoporos Int. 2018 Jul;29(7):1549-1558. (PMID: 29572622)
Medicine (Baltimore). 2018 Jul;97(28):e11524. (PMID: 29995822)
Med Sci Monit. 2018 Oct 18;24:7438-7443. (PMID: 30334549)
Injury. 2021 Nov;52(11):3227-3238. (PMID: 34481668)
Injury. 2023 Feb 27;:. (PMID: 36931968)
Osteoporos Int. 2001 Dec;12(12):1050-5. (PMID: 11846332)
J Orthop Sci. 2019 Mar;24(2):243-249. (PMID: 30361168)
J Orthop Surg Res. 2021 May 25;16(1):335. (PMID: 34034783)
J Arthroplasty. 2020 Apr;35(4):1014-1022. (PMID: 31866255)
Ann Intern Med. 2007 Oct 16;147(8):573-7. (PMID: 17938396)
J Clin Endocrinol Metab. 2023 Mar 10;108(4):e48-e49. (PMID: 36520976)
Lancet. 2002 Jun 1;359(9321):1929-36. (PMID: 12057569)
Proc Inst Mech Eng H. 2019 Sep;233(9):892-900. (PMID: 31203740)
Eur J Med Res. 2019 Dec 27;24(1):39. (PMID: 31882018)
Clin Orthop Relat Res. 2011 Mar;469(3):884-9. (PMID: 20725817)
BMC Musculoskelet Disord. 2021 Jan 4;22(1):6. (PMID: 33397328)

Keywords: Proximal femur fracture; bone mineral density; elderly fracture patients; geriatric medicine; osteoporosis

Date Created: 20250618 Date Completed: 20250618 Latest Revision: 20250621

20260130

PMC12177232

10.1177/00368504251352728

40528628