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Multicenter Study
, 21 (7), 1257-67

Low-energy Distal Radius Fractures in Middle-Aged and Elderly Men and Women--The Burden of Osteoporosis and Fracture Risk : A Study of 1794 Consecutive Patients

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Multicenter Study

Low-energy Distal Radius Fractures in Middle-Aged and Elderly Men and Women--The Burden of Osteoporosis and Fracture Risk : A Study of 1794 Consecutive Patients

J Øyen et al. Osteoporos Int.

Abstract

One third of 218 men and half of 1,576 women with low-energy distal radius fractures met the bone mineral density (BMD) criteria for osteoporosis treatment. A large proportion of patients with increased fracture risk did not have osteoporosis. Thus, all distal radius fracture patients >or=50 years should be referred to bone densitometry.

Introduction: Main objectives were to determine the prevalence of patients with a low-energy distal radius fracture in need of osteoporosis treatment according to existing guidelines using T-score <or= -2.0 or <or=-2.5 standard deviation (SD) and calculate their fracture risk.

Methods: A total of 218 men and 1,576 women >or=50 years were included. BMD was assessed by dual energy X-ray absorptiometry (DXA) at femoral neck, total hip, and lumbar spine (L2-L4). The WHO fracture risk assessment tool (FRAX(R)) was applied to calculate the 10-year fracture risk.

Results: T-scores <or=-2.0 and <or=-2.5 SD at femoral neck was found in 37.7% and 19.6% of men and 51.1% and 31.2% of women, respectively. The risk of hip fracture was 6.2% for men and 9.0% for women. The corresponding figures for patients with T-score <or=-2.0 SD were 11.6% and 14.5% and for T-score <or=-2.5 SD 16.3% and 18.2%, respectively. A large proportion of distal radius fracture patients with a high 10-year FRAX risk did not have osteoporosis.

Conclusions: Every second to every third fracture patient met the present BMD criteria for osteoporosis treatment. Because a large proportion of distal radius fracture patients did not have osteoporosis, treatment decisions should not be based on fracture risk assessment without bone densitometry. Thus, all distal radius fracture patients >or=50 years should be referred to bone densitometry, and if indicated, offered medical treatment.

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References

    1. Osteoporos Int. 2008 Jun;19(6):781-6 - PubMed
    1. Osteoporos Int. 2002 Oct;13(10):824-8 - PubMed
    1. Arthritis Rheum. 2000 Dec;43(12):2776-84 - PubMed
    1. Osteoporos Int. 2007 Aug;18(8):1047-61 - PubMed
    1. Arch Intern Med. 2001 May 28;161(10):1309-12 - PubMed

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