Comparison of screening tools for optimizing fracture prevention in Canada
AbstractSummaryThe best screening strategy to identify treatment qualification based upon indicators of high fracture risk (low-trauma fractures of the hip, spine, or multiple fracture episodes at other sites; high fracture probability with the Canadian fracture risk assessment [FRAX ®] tool major osteoporotic fracture [MOF] computed with bone mineral density [BMD]> 20%; or vertebral fracture on vertebral fracture assessment [VFA]) was FRAX-MOF without BMD using a cutoff of ≥ 10%.PurposeTo inform clinical practice guidelines in Canada, we compared multiple screening tools using the population-based Manitoba BMD P...
Source: Archives of Orthopaedic and Trauma Surgery - October 27, 2020 Category: Orthopaedics Source Type: research

Application of machine learning approaches for osteoporosis risk prediction in postmenopausal women
ConclusionIn this study, we developed and compared seven machine learning models to accurately predict osteoporosis risk. The ANN model performed best when compared to the other models, having the highest AUROC value. Applying the ANN model in the clinical environment could help primary care providers stratify osteoporosis patients and improve the prevention, detection, and early treatment of osteoporosis. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - October 23, 2020 Category: Orthopaedics Source Type: research

Assessment of calcium intake and perception of calcium-rich food among healthcare students at King Saud bin Abdulaziz University for Health Science (KSAU-HS)
ConclusionThe results of this study have shown that there are significantly insufficient calcium intake and poor knowledge about calcium among healthcare students. The results indicate the urge to improve calcium intake and calcium knowledge among the healthcare students. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - October 21, 2020 Category: Orthopaedics Source Type: research

Dietary tryptophan and bone health: a cross-sectional, population-based study
ConclusionNo association was found between tryptophan intake and bone health in this population, which suggests a non-critical role of superfluous tryptophan consumption on the skeleton. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - October 20, 2020 Category: Orthopaedics Source Type: research

Prevalence of osteosarcopenic obesity in community-dwelling older adults: a cross-sectional retrospective study
AbstractSummaryIn our study investigating the prevalence of osteosarcopenic obesity (OSO) in community-dwelling older adults and possible factors responsible for falls, we have found that prevalence of OSO is 10.7%. OSO does not significantly increase the odds of falling, whereas lower handgrip strength, ALMi and gait speed were independent factors associated with falls.PurposesThe purposes of the study were (a) to determine the prevalence of osteosarcopenic obesity (OSO) in community-dwelling older adults and (b) to investigate the association between falls and possible factors in individuals with and without OSO.MethodsM...
Source: Archives of Orthopaedic and Trauma Surgery - October 20, 2020 Category: Orthopaedics Source Type: research

Risk factors for subsequent hip fractures and fatality after an initial hip fracture in Korea: using nationwide claims data
ConclusionDuring the study period, the risk of fatality after hip fracture but not the risk of subsequent hip fractures was higher among men. The gender difference in fatality might be explained by the larger burden of comorbid diseases among men. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - October 20, 2020 Category: Orthopaedics Source Type: research

The associations between different sleep patterns and osteoporosis based on the Osteoporosis Self-Assessment Tool for Asians
ConclusionsPostmenopausal women with both short total and nocturnal sleep duration (6  h or less) and taking a daytime nap had increased osteoporosis risk as assessed by OSTA. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - October 17, 2020 Category: Orthopaedics Source Type: research

Did changes to recommended testing criteria affect the rate of vitamin D testing among Australian women
ConclusionThe introduction of new criteria has not led to sustained declines in testing. High testing rates and repeated testing suggest that over-testing for vitamin D deficiency in Australian women is still occurring. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - October 16, 2020 Category: Orthopaedics Source Type: research

Fracture risk among treatment-na ïve postmenopausal women with osteopenia in Greece: results from the “ACROSS” study
ConclusionsAccording to the Greek-specific FRAX-based thresholds, the administration of osteoporosis treatment would be cost-effective for approximately one-third of the study population and nearly half of the subjects over 75  years. Patients are not fully aware of their fracture risk. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - October 16, 2020 Category: Orthopaedics Source Type: research

Adequacy of calcium intake in Spanish population according age groups
ConclusionsThe results show that infants and children exceed Spanish and EFSA dietary recommendations, adults meet more that 80% of the RDI and EFSA recommendations, and the estimated average calcium intake in the adolescent and elderly groups does not reach 75% of the recommended intake. Representative national studies with a common methodology to estimate calcium intake are needed. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - October 12, 2020 Category: Orthopaedics Source Type: research

Detection of vertebral fracture in an acute hospital setting: an intervention to reduce future fracture risk through fracture liaison service intervention?
ConclusionsStandardisation of radiology reporting systems facilitates reporting of prevalent vertebral fractures and supports secondary fracture prevention strategies. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - October 10, 2020 Category: Orthopaedics Source Type: research

Clinician ’s guide for the management and research of osteoporosis in North African men: a guidelines comparison, a cost-effectiveness analysis, and a local algorithm
ConclusionRecommendations for men with osteoporosis are based on that of women, and the topic lacks exploration in the Middle East. International recommendations and other guidelines were evaluated and adopted to create guidance for the management of osteoporosis in men for application in Egypt. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - October 9, 2020 Category: Orthopaedics Source Type: research

Teriparatide and bisphosphonate use in osteoporotic spinal fusion patients: a systematic review and meta-analysis
ConclusionOur results indicate that while both agents may be associated with positive outcomes, bisphosphonates may be associated with a higher fusion rate, while Teriparatide may be associated with lower screw loosening. The decision to treat with either agent should be tailored individually for each patient keeping in consideration the adverse effect and pharmacokinetic profiles. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - October 8, 2020 Category: Orthopaedics Source Type: research

Age-related dynamic deformation of the femoral shaft and associated osteoporotic factors: a retrospective study in Chinese adults
AbstractSummaryDynamic skeletal deformation with ageing showed important signs of degenerative and osteoporotic diseases. We found that both femoral bowing and cortical thickness were correlated with ageing in a Chinese population. Further, femoral cortical index, an osteoporotic indicator, was negatively correlated with femoral bowing angle. Hence, more attention should be paid to these femoral morphological changes to avoid fragility fractures and failed internal fixation.PurposeThe purpose of this study was to determine whether morphological parameters of the femoral shaft are in age-related deformation and identify cor...
Source: Archives of Orthopaedic and Trauma Surgery - October 6, 2020 Category: Orthopaedics Source Type: research

The impact of lockdown during the COVID-19 pandemic on osteoporotic fragility fractures: an observational study
AbstractSummaryWe investigated whether osteoporotic fractures declined during lockdown, among adults aged 50 years and older. We showed that fewer outpatients attended the Fracture Clinic, for non-hip fractures, during lockdown; in contrast, no change in admissions for hip fractures was observed. This could be due to fewer outdoors falls, during lockdown.PurposeMany countries implemented a lockdown to control the spread of the COVID-19 pandemic. We explored whether outpatient attendances to the Fracture Clinic for non-hip fragility fracture and inpatient admissions for hip fracture declined during lockdown, among adults ag...
Source: Archives of Orthopaedic and Trauma Surgery - October 6, 2020 Category: Orthopaedics Source Type: research

Adjustment of DXA BMD measurements for anthropometric factors and its impact on the diagnosis of osteoporosis
AbstractSummaryWe compared the effect of anthropometric factors on osteoporosis diagnosis by quantitative computed tomography (QCT) and dual energy X-ray absorptiometry (DXA) and found QCT spine volumetric bone mineral density (vBMD) was not associated with body weight, body mass index (BMI) or DXA anteroposterior spine thickness. In contrast, DXA spine and hip areal bone mineral density (aBMD) were strongly associated with all three factors. Adjustment of DXA aBMD measurements improved consistency with QCT vBMD.PurposeAlthough the diagnosis of osteoporosis using DXAT scores preferentially targets patients with BMI, there ...
Source: Archives of Orthopaedic and Trauma Surgery - October 5, 2020 Category: Orthopaedics Source Type: research

Effect of increased serum 25(OH)D and calcium on structure and function of post-menopausal women: a pilot study
AbstractSummaryThe purpose was to determine if increasing serum 25(OH)D and calcium in postmenopausal women increased skeletal muscle size, strength, balance, and functional task performance while decreasing muscle fatigue. PCSA of the vastus lateralis increased and ascent of stairs time decreased after 6 months of increased serum 25(OH)D.PurposeThe Institute of Medicine recommends ≥ 20 ng/ml of serum 25-hydroxyvitamin D [25(OH)D] for bone and overall health. Serum 25(OH)D levels have been associated with physical performance, postural sway, and falls. The purpose of this study was to determine if increasing postmenopau...
Source: Archives of Orthopaedic and Trauma Surgery - October 2, 2020 Category: Orthopaedics Source Type: research

Respiratory impairment impacts QOL in osteogenesis imperfecta independent of skeletal abnormalities
ConclusionRespiratory symptoms negatively impact both psychosocial wellbeing in the OI population and limit daily physical activity. These limitations occur irrespective of their OI type, age, stature, or scoliosis and reflect the dramatic impact of respiratory status on quality of life for people with OI. Future studies should examine the etiology of respiratory insufficiency in this population so guidelines for management can be established. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - October 1, 2020 Category: Orthopaedics Source Type: research

Recent trends in the incidence of hip fracture in Tottori Prefecture, Japan: changes over 32 years
AbstractSummaryThe incidence rate of hip fracture in Tottori Prefecture tended to increase until 2018 in men, but it did not increase after 2010 in women. By type of fracture, the incidence rate of femoral neck fractures also increased over time in men, but no other changes were observed from 2010.PurposeThe aims of this study were to determine the sex-, age-, and fracture-type-specific incidence rates of hip fractures in Tottori Prefecture between 2007 and 2018 and to compare the results with our past results to identify changes over time.MethodsAll hip fractures in people aged 35 years or older living in Tottori Prefectu...
Source: Archives of Orthopaedic and Trauma Surgery - October 1, 2020 Category: Orthopaedics Source Type: research

Healthy eating index-2015 and bone mineral density among adult Iranian women
We examined the potential association of the HEI-2015 and bone mineral density (BMD) among adult Iranian women, hypothesizing that a higher HEI-2015 scor e is associated with greater BMD.MethodsFour-hundred sixteen participants (mean age 48.0  years; 64.7% premenopausal) participated in this cross-sectional study. Lumbar spine and femoral neck BMDs were measured via dual-energy X-ray absorptiometry. Dietary intakes were assessed using a valid and reliable food frequency questionnaire. The HEI-2015 score was calculated based on dietary i ntakes of 13 components emphasized or minimized in the HEI-2015. The higher the HE...
Source: Archives of Orthopaedic and Trauma Surgery - September 30, 2020 Category: Orthopaedics Source Type: research

FRAX: re-adjust or re-think
This article will discuss both point of views of re-adjustment and re-thinking. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - September 27, 2020 Category: Orthopaedics Source Type: research

Does (mis)use of industrial liquid silicone implants interfere with bone mineral density in transgender women?
ConclusionsIn transgender women with ILS implants, poor to moderate agreement was found on BMD when comparing lumbar spine/femur DXA with an alternative site to the femur, depending on using male or female database. These results may be artifactual and suggest using spine/forearm sites for more accurate DXA assessments in trans women with ILS gluteal implants. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - September 21, 2020 Category: Orthopaedics Source Type: research

Bone mineral density in transfusion-dependent thalassemia patients and its associated factors in Southern Iran
ConclusionLow bone mass is highly prevalent among TDT patients in Southern Iran. Insufficient physical activity and hypogonadism are the main possible associated factors, followed by DM and insufficient sun exposure. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - September 20, 2020 Category: Orthopaedics Source Type: research

Differences in fracture prevalence and in bone mineral density between Chinese and White Canadians: the Canadian Multicentre Osteoporosis Study (CaM os )
ConclusionOur results support the importance of characterizing bone strength predictors in Chinese Canadians and the development of ethnicity-specific fracture prediction and prevention strategies. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - September 20, 2020 Category: Orthopaedics Source Type: research

Fractures in patients with rheumatoid arthritis and end-stage renal disease
ConclusionAmong ESRD patients, those with RA have a 28% increased risk for hip or other femur fracture. Use of corticosteroids is a potentially modifiable risk factor for fractures among persons with RA and ESRD. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - September 17, 2020 Category: Orthopaedics Source Type: research

Osteocalcin and measures of adiposity: a systematic review and meta-analysis of observational studies
ConclusionHigher OC and ucOC were correlated with lower BMI and %BF. The inverse correlations between TOC/ucOC and BMI appear to be affected by ethnicity and obesity status. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - September 17, 2020 Category: Orthopaedics Source Type: research

The top 100 highly cited articles on osteoporosis from 1990 to 2019: a bibliometric and visualized analysis
ConclusionsResearch on osteoporosis is a well-developed and promising research field. The top 100 articles have been cited widely and actively.New England Journal of Medicine was the most popular journal. The most productive country was the USA. The University of California San Francisco, University of Sheffield, and Mayo Clinic and Mayo Foundation were the most productive institutions. Cooper C, Kanis JA, and Genant HK were the most prolific and influential authors. Researchers and institutions from North America and Europe contributed the most. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - September 14, 2020 Category: Orthopaedics Source Type: research

Impact of iron overload on bone remodeling in thalassemia
ConclusionIn this review, reports on the cellular mechanisms of iron overload-associated bone remodeling are comprehensively summarized and presented to provide current understanding this pathological condition. Moreover, current treatments and potential interventions for attenuating bone remodeling in iron overload are also summarized to pave ways for the future discoveries of novel agents that alleviate this condition. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - September 13, 2020 Category: Orthopaedics Source Type: research

Prevalence and factors of T -score discordance between hip and spine among middle-aged and elderly Malaysians
ConclusionsT-score discordance between hip and spine is common among Malaysian middle-aged and elderly population. Diagnosis of osteopenia/osteoporosis should be based on theT-score of more than one skeletal site as per the current recommendations. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - September 11, 2020 Category: Orthopaedics Source Type: research

Undertreatment of osteoporosis following hip fracture: a retrospective, observational study in Singapore
AbstractSummaryUndertreatment of osteoporosis after hip fracture increases the risk of death, disability, recurrent osteoporotic fractures, and financial burden. Only half were compliant with osteoporosis medications. Elderly patients were less persistent and compliant to treatment. Denosumab was associated with a higher proportion of days covered by osteoporosis medications than oral bisphosphonates.PurposeThe aim of this study was to identify factors that contributed to the initiation of osteoporosis medications following hip fracture as well as the compliance and persistence to osteoporosis medications.MethodsClinical d...
Source: Archives of Orthopaedic and Trauma Surgery - September 10, 2020 Category: Orthopaedics Source Type: research

Osteoporosis and cognitive impairment interwoven warning signs: community-based study on older adults —Bushehr Elderly Health (BEH) Program
AbstractSummaryCognitive impairment and osteoporosis are frequently seen to coincide in clinical practice. Osteoporosis was higher in elderly populations with cognitive impairment, especially in postmenopausal women. Thus, prophylaxis for osteoporosis, falls, and fractures should be considered as part of the treatment of patients with cognitive impairment.IntroductionCognitive impairment and osteoporosis are two important health concerns among older adults that their possible relationship, concurrent occurrence, and linking mechanism have recently been highlighted. The purpose of this study was to assess the sex-independen...
Source: Archives of Orthopaedic and Trauma Surgery - September 9, 2020 Category: Orthopaedics Source Type: research

Correction to: Comparison of hip subregion bone mineral density to the type of proximal femur fracture
The original version of this article, published on 05 August 2020, unfortunately contained a mistake. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - September 7, 2020 Category: Orthopaedics Source Type: research

Autonomy begets adherence: decisions to start and persist with osteoporosis treatment after group medical consultation
ConclusionWhen postmenopausal women are provided with individualized fracture risk estimates and enabled to make autonomous decisions regarding pharmacotherapy, ultimate decisions to receive treatment are made with confidence and result in high persistence at 12 months. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - September 4, 2020 Category: Orthopaedics Source Type: research

Updated approach for the management of osteoporosis in Turkey: a consensus report
ConclusionsThis manuscript provides a review of the current state of OP and related fractures in Turkey. Moreover, this manuscript reviews current international guidelines and national studies and proposes a number of helpful country-specific classifications that can be used by healthcare providers caring for the at-risk population. Additionally, the panel proposes practical recommendations that should be implemented nationally in order to decrease the burden of OP and related fractures and effectively preventing the burden in future generations. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - August 28, 2020 Category: Orthopaedics Source Type: research

Correction to: A 3i hip fracture liaison service with nurse and physician co-management is cost-effective when implemented as a standard clinical program
The original version of this article, published on 22 July 2020, unfortunately contained a mistake. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - August 26, 2020 Category: Orthopaedics Source Type: research

Dual-energy X-ray absorptiometry bone densitometry and pitfalls in the assessment of osteoporosis: a primer for the practicing clinician
ConclusionGood technical understanding of BMD measurements using DXA and recognition of potential pitfalls allow for greater technical and interpretive accuracy, which together hopefully increases the precision of osteoporosis management when practiced in accordance with established clinical guidelines. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - August 23, 2020 Category: Orthopaedics Source Type: research

Anti-osteoporosis medication treatment pattern after osteoporotic fracture during 2010 –2016 in Fujian, China
ConclusionIn a real-world setting, AOM treatment was suboptimal and the treatment rate even decreased over time among osteoporosis fracture patients in Fujian, China. The suboptimal treatment was particularly critical among men, low-level hospitals, wrist/vertebral fracture, and the younger elderly patients. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - August 19, 2020 Category: Orthopaedics Source Type: research

Bisphosphonate and denosumab initiation in older adults in Ontario, Canada: a population-based cohort study
ConclusionThe clinical characteristics and monitoring of new users of bisphosphonates and denosumab generally align with practice guidelines, product monographs, and drug reimbursement criteria. Given differences between real-world users and RCT participants, there may be a role for safety and effectiveness studies of bisphosphonates and denosumab in routine care. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - August 19, 2020 Category: Orthopaedics Source Type: research

Comparing self-assessment, functional, and anthropometric techniques in predicting osteoporosis
ConclusionThe application of simple, cost-effective techniques for the identification of osteoporosis risk will be beneficial for both screening and patient care when dual-energy X-ray absorptiometry is not available. We suggest that the Osteoporosis Self-Assessment Tool can be used to identify the risk of osteoporosis in women and hand grip strength measurement can be used for men. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - August 17, 2020 Category: Orthopaedics Source Type: research

Identification of patients at high risk of fragility fractures in an Indian clinical setting using FRAX
ConclusionFRAX has utility in India. It cuts the cost of screening and limits the use of expensive investigation. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - August 16, 2020 Category: Orthopaedics Source Type: research

Research trends in osteoporosis in Asian countries and regions in the last 20 years
ConclusionsAsian countries have made progress in the osteoporosis research over the past 20  years. The MC has a significant increase in the number of articles. The scientific influence of Japan ranked by citations was leading in Asia. Indian researchers published fewer articles on osteoporosis, but the overall quality was quite well. The core Asian countries/regions should strengthen in- depth cooperation in the future. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - August 16, 2020 Category: Orthopaedics Source Type: research

Higher healthy lifestyle scores are associated with greater bone mineral density in middle-aged and elderly Chinese adults
This study examined the association between healthy lifestyle score (HLS), which contained 7 items (smoking, BMI, physical activity, diet, alcohol, sleep and anxiety) and BMD. Results showed HLS was positively associated with BMD at all studied sites, suggesting that healthier lifestyle patterns might be beneficial to bone health.PurposePrevious studies have reported favourable associations of individual healthy lifestyle factors with bone mineral density (BMD), but limited evidence showed the relationship of a combined healthy lifestyle score (HLS) with BMD. This study examined the association between the HLS and BMD.Meth...
Source: Archives of Orthopaedic and Trauma Surgery - August 16, 2020 Category: Orthopaedics Source Type: research

The burden of osteoporosis in Turkey: a scorecard and economic model
ConclusionsApproximately 1.35 million fragility fractures are predicted to occur in Turkey during the next 5  years with costs of 2.42 billion USD. Closing the treatment gap will be imperative for preventing these fractures and minimizing the burden of osteoporosis in Turkey. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - August 12, 2020 Category: Orthopaedics Source Type: research

Estimated epidemiology of osteoporosis diagnoses and osteoporosis-related high fracture risk in Germany: a German claims data analysis
ConclusionOur study identified a high number of prevalent and incident patients with osteoporosis claims in Germany. The increasing age of the German population will likely lead to a significant increase in the number of patients with osteoporosis over the next decades. Treatment of osteoporosis patients with high fracture risk, especially those with a recent vertebral/femoral fracture, should be of particular focus, as a substantial proportion does not receive a guideline-based treatment. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - August 11, 2020 Category: Orthopaedics Source Type: research

Association between diabetic neuropathy and osteoporosis in patients: a systematic review and meta-analysis
ConclusionsThis meta-analysis suggests that patients with diabetic neuropathy have a significantly increased chance of developing osteoporosis, even fragility fracture. The clinicians should pay more attention to the patients with diabetic neuropathy. Further studies were still needed to explore the confounding factors among studies and to elucidate the underlying biological mechanisms. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - August 9, 2020 Category: Orthopaedics Source Type: research

Vitamin D, an inflammatory activity marker for spondyloarthritis?
This study is an observational, descriptive and transversal study. A retrospective review of patients with spondyloarthritis under treatment at the Rheumatology Department ofHospital General Universitario de Ciudad Real between September 2016 and September 2018 is under consideration. The association between 25-hydroxyvitamin D deficiency and levels of disease activity was calculated using odds ratio (OR) with a 95% confidence level.ResultsInitial study developments are reported. A group of 147 patients was analyzed. The average disease activity was 4.3 (according to BASDAI) and 11.4 (according to DAPSA). Twenty-eight perc...
Source: Archives of Orthopaedic and Trauma Surgery - August 9, 2020 Category: Orthopaedics Source Type: research

Incidence of clinical vertebral fractures and hip fractures of the elderly (65 years or over) population —large-scale data analysis using claim database in Kure City, Hiroshima, Japan
ConclusionThis is the first report that investigated the incidence rate of the clinical vertebral fractures using the claim database, which covered almost the whole number of 230,000 population area. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - August 8, 2020 Category: Orthopaedics Source Type: research

Basketball players possess a higher bone mineral density than matched non-athletes, swimming, soccer, and volleyball athletes: a systematic review and meta-analysis
AbstractSummaryBasketball athletes possess a higher bone mineral density (BMD) than matched non-athletes and swimming, soccer, and volleyball athletes. Differences appear to be exacerbated with continued training and competition beyond adolescence. The greater BMD in basketball athletes compared to non-athletes, swimming, and soccer athletes is more pronounced in males than females.PurposeThe aim of this study was to examine differences in total and regional bone mineral density (BMD) between basketball athletes, non-athletes, and athletes competing in swimming, soccer, and volleyball, considering age and sex.MethodsPubMed...
Source: Archives of Orthopaedic and Trauma Surgery - August 4, 2020 Category: Orthopaedics Source Type: research

Comparison of hip subregion bone mineral density to the type of proximal femur fracture
AbstractSummaryBeta values of the intertrochanteric fracture group were about twice as high as those of the femoral neck fracture group. These results can be used to increase the awareness of proximal hip fracture among physicians and improve treatments and outcomes.PurposeTo compare the BMD of the femoral neck region and the intertrochanteric region between the femoral neck fracture group and the intertrochanteric fracture group.MethodsWe did a retrospective review of radiographs of the proximal femoral fractures in patients registered from 2010 to 2017. A total of 329 patients were classified into the femoral neck fractu...
Source: Archives of Orthopaedic and Trauma Surgery - August 4, 2020 Category: Orthopaedics Source Type: research

Initiation of anti-osteoporotic drugs in high-risk female patients starting glucocorticoid treatment: a population study in Norway
ConclusionsHaving had a previous fracture or an inflammatory rheumatic disease increased the probability of treatment with AOD. However, the proportions starting AOD were much lower than clinically indicated. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - August 4, 2020 Category: Orthopaedics Source Type: research