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Femoral neck geometry and radiographic signs of osteoporosis as predictors of hip fracture

Karlsson, K M; Sernbo, Ingemar LU ; Obrant, Karl LU ; Redlund-Johnell, Inga LU and Johnell, Olof LU (1996) In Bone 18(4). p.327-330
Abstract
A total of 125 consecutive hip fracture patients were investigated regarding hip geometry. There were 33 men of mean age 76 +/- 10 years, and 92 women of mean age 78 +/- 9 years. Patients with previous hip surgery were excluded. Hip geometry (hip-axis length, width of collum femoris, and femoral shaft and neck-shaft angle) were registered on both plain radiographs and DEXA scans performed within 2 weeks after fracture. On the radiographs, the calcar femorale, the Singh index, and the femoral neck index (FNI) were also calculated and compared with earlier published values of bone mineral density hip in the hip fracture patients. The fracture cases were compared with controls, 192 DEXA scans and 163 radiographs, in patients without hip... (More)
A total of 125 consecutive hip fracture patients were investigated regarding hip geometry. There were 33 men of mean age 76 +/- 10 years, and 92 women of mean age 78 +/- 9 years. Patients with previous hip surgery were excluded. Hip geometry (hip-axis length, width of collum femoris, and femoral shaft and neck-shaft angle) were registered on both plain radiographs and DEXA scans performed within 2 weeks after fracture. On the radiographs, the calcar femorale, the Singh index, and the femoral neck index (FNI) were also calculated and compared with earlier published values of bone mineral density hip in the hip fracture patients. The fracture cases were compared with controls, 192 DEXA scans and 163 radiographs, in patients without hip surgery or known hip disease. As measured on the DEXA scans we found a wider collum femoris and a wider femoral shaft in both the male and female fracture cases, compared to controls. Also, the fracture cases showed signs of osteoporosis as measured by the calcar femorale, the Singh index, and the femoral neck index. These measurements showed good correlation with bone mineral density of the hip as measured by the DEXA scans. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Femoral neck, Hip fracture, Radiographs, Dual energy X-ray absorptiometry (DEXA), Geometry, Osteoporosis
in
Bone
volume
18
issue
4
pages
327 - 330
publisher
Elsevier
external identifiers
  • pmid:8726389
  • scopus:0029983569
ISSN
1873-2763
DOI
10.1016/8756-3282(96)00004-X
language
English
LU publication?
yes
id
42d047f2-c724-4827-970d-ff2afbcd0b2c (old id 1110353)
date added to LUP
2008-07-24 11:12:43
date last changed
2017-09-24 04:30:28
@article{42d047f2-c724-4827-970d-ff2afbcd0b2c,
  abstract     = {A total of 125 consecutive hip fracture patients were investigated regarding hip geometry. There were 33 men of mean age 76 +/- 10 years, and 92 women of mean age 78 +/- 9 years. Patients with previous hip surgery were excluded. Hip geometry (hip-axis length, width of collum femoris, and femoral shaft and neck-shaft angle) were registered on both plain radiographs and DEXA scans performed within 2 weeks after fracture. On the radiographs, the calcar femorale, the Singh index, and the femoral neck index (FNI) were also calculated and compared with earlier published values of bone mineral density hip in the hip fracture patients. The fracture cases were compared with controls, 192 DEXA scans and 163 radiographs, in patients without hip surgery or known hip disease. As measured on the DEXA scans we found a wider collum femoris and a wider femoral shaft in both the male and female fracture cases, compared to controls. Also, the fracture cases showed signs of osteoporosis as measured by the calcar femorale, the Singh index, and the femoral neck index. These measurements showed good correlation with bone mineral density of the hip as measured by the DEXA scans.},
  author       = {Karlsson, K M and Sernbo, Ingemar and Obrant, Karl and Redlund-Johnell, Inga and Johnell, Olof},
  issn         = {1873-2763},
  keyword      = {Femoral neck,Hip fracture,Radiographs,Dual energy X-ray absorptiometry (DEXA),Geometry,Osteoporosis},
  language     = {eng},
  number       = {4},
  pages        = {327--330},
  publisher    = {Elsevier},
  series       = {Bone},
  title        = {Femoral neck geometry and radiographic signs of osteoporosis as predictors of hip fracture},
  url          = {http://dx.doi.org/10.1016/8756-3282(96)00004-X},
  volume       = {18},
  year         = {1996},
}