Endocrine parameters in association with bone mineral accrual in young female vocational ballet dancers
AbstractSummaryLess is known on bone mass gains in dancers involved in vocational dance training. The present study found that, as young vocational dancers progress on their professional training, their bone health remains consistently lower compared to non-exercising controls. Endocrine mechanisms do not seem to explain these findings.PurposeLittle is known on bone mass development in dancers involved in vocational training. The aim of the present study was to model bone mineral content (BMC) accruals and to determine whether circulating levels of oestrogens, growth hormone (GH), and insulin-like growth factor I (IGF-1) e...
Source: Archives of Orthopaedic and Trauma Surgery - April 9, 2019 Category: Orthopaedics Source Type: research

Differing impact of clinical factors on the risk of fracture in younger and older women in the general population and an osteoporosis clinic population
ConclusionsThis study confirms our understanding of the key risk factors for fracture: age, prior fracture, and a low T-score. Regarding remaining risk factors, risk assessment which fits younger women may not be suited for the 80+ strata as many common risk factors are less predictive in the older compared to the younger cohort. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - April 8, 2019 Category: Orthopaedics Source Type: research

Secondary prevention of minor trauma fractures: the effects of a tailored intervention —an observational study
ConclusionThe implementation of a MTF secondary prevention program with dedicated health professionals improved the rate of patients who underwent DXA screening by fivefold. Despite this improvement, DXA screening was missed in over a third of patients, with only 23% of eligible patients receiving specific medical treatment for osteoporosis at 1-year follow-up. Consequently, this tailored intervention is a promising first step in improving geriatric fracture care. However, further work to improve the rate of osteoporosis screening and medical treatment initiation for the long-term prevention of subsequent MTF is recommende...
Source: Archives of Orthopaedic and Trauma Surgery - March 29, 2019 Category: Orthopaedics Source Type: research

The effect of a multidisciplinary co-management program for the older hip fracture patients in Beijing: a “pre- and post-” retrospective study
ConclusionsThe introduction of the co-management model significantly reduced the time from admission to surgery and improved other practice outcomes. A multicenter randomized controlled trial is needed to evaluate the impact of this model on patient health outcomes. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - March 22, 2019 Category: Orthopaedics Source Type: research

Adherence to bisphosphonates in the general population: a study in patients referred to a primary care service
ConclusionsOur study demonstrates that more than half of women with postmenopausal osteoporosis referred to a primary care service discontinued bisphosphonates before the clinical effect can be seen and mostly because of advice by physicians not initially prescribing the drug. There is an inappropriate management of bisphosphonate therapy in terms of therapeutic efficacy and strategies aimed at ameliorating clinical management of osteoporosis patients are warranted. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - March 21, 2019 Category: Orthopaedics Source Type: research

Oral bisphosphonate use and the risk of female breast, ovarian, and cervical cancer: a nationwide population-based cohort study
ConclusionsOur study showed no significant associations between bisphosphonate exposure and female breast, cervical, and ovarian cancer. In the future, large prospective studies or a meta-analysis would be needed to verify the associations. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - March 19, 2019 Category: Orthopaedics Source Type: research

Predictors of long-term survival after hip fractures? —5-year results of a prospective study in Germany
AbstractSummaryThe incidence of hip fractures is increasing due to demographic transition. Data on long-term survival and influencing factors are sparse. Our prospective observational study with 395 patients shows a survival of 38% after 5  years. Significant risk factors were male gender, higher age, lower Barthel Index, lower Charlson Comorbidity Score, lower Mini-Mental State Examination, and delirium during hospitalization.PurposeThe incidence of hip fractures is increasing due to demographic transition. Until now, they are associated with poor results and high mortality rates. Data on long-term survival and influ...
Source: Archives of Orthopaedic and Trauma Surgery - March 16, 2019 Category: Orthopaedics Source Type: research

The 2018 Guidelines for the diagnosis and treatment of osteoporosis in Greece
ConclusionsThese updated guidelines were designed to offer valid guidance on fracture risk assessment, diagnosis-pharmacological treatment-follow-up of osteoporosis based on updated information and national evidence from clinical practice and the healthcare setting. Clinical judgment is essential in the management of every individual patient for the purpose of achieving the optimal outcome in the safest possible way. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - March 15, 2019 Category: Orthopaedics Source Type: research

Stages of sarcopenia, bone mineral density, and the prevalence of osteoporosis in older women
AbstractSummaryA better understanding of the relationship between osteoporosis and sarcopenia may help to develop effective preventive and therapeutic strategies. In the present study, the association between different stages of sarcopenia, BMD, and osteoporosis was examined. The salient findings indicate that a dose –response relationship exists between sarcopenia stages and bone-related phenotypes.PurposeTo assess the association between sarcopenia stages, bone mineral density (BMD), and the prevalence of osteoporosis in older women.MethodsTwo hundred thirty-four women (68.3  ± 6.3 years) ...
Source: Archives of Orthopaedic and Trauma Surgery - March 13, 2019 Category: Orthopaedics Source Type: research

Epidemiological and clinical study of hip fracture in hospitalized elderly patients in Shanghai, China
In this study, we attempted to determine the epidemiology and clinical characteristics of hip fracture in the elderly. We find that elderly people with hip fracture have multiple comorbidities and suffer numerous complications.IntroductionWe attempted to explore the epidemiology and clinical characteristics of hip fracture in the elderly.MethodsOne thousand five hundred thirty-nine patients aged over 65  years were included in the retrospective study. From the medical records, information was gathered about pre-fracture conditions, as well as fracture type, surgical details, laboratory indicators, postoperative compli...
Source: Archives of Orthopaedic and Trauma Surgery - March 12, 2019 Category: Orthopaedics Source Type: research

Effects of denosumab on bone metabolism and bone mineral density in kidney transplant patients: a systematic review and meta-analysis
ConclusionAmong kidney transplant patients with good allograft function, denosumab effectively increases BMD andT scores in the lumbar spine and femur neck. From baseline to post-treatment, there are no differences in serum Ca and PTH. However, mild hypocalcemia can occur following denosumab treatment, requiring monitoring and titration of Ca and vitamin D supplements. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - March 9, 2019 Category: Orthopaedics Source Type: research

The association between hepatitis and osteoporosis: a nested case-control study using a national sample cohort
ConclusionHepatitis B virus infection might be a risk factor for osteoporosis. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - March 9, 2019 Category: Orthopaedics Source Type: research

Association between serum high-density lipoprotein cholesterol and bone health in the general population: a large and multicenter study
ConclusionsA high HDL-C level is an independent risk factor for bone loss both in males and females. Compared with high HDL-C levels, an increase in age and menopause have a much more negative effect on bone mass in females. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - March 9, 2019 Category: Orthopaedics Source Type: research

Revised FRAX ®-based intervention thresholds for the management of osteoporosis among postmenopausal women in Sri Lanka
This study revised the Sri Lankan FRAX ®-based intervention thresholds (ITs) previously published in 2013.MethodAge-dependent ITs were estimated, from 50 –80 years with 5-year intervals, using a Sri Lankan FRAX® algorithm for a woman with a BMI of 24.8 kg/m2 and history of prior fragility fracture without other clinical risk factors. Data of 653 postmenopausal women were used in estimating fixed, hybrid, and two-tier ITs. ITs were determined using the ROC curve and partial Youden index. New ITs were validated using data of 356 postmenopausal women who underwent DXA and 62 women who had a recent frag...
Source: Archives of Orthopaedic and Trauma Surgery - March 9, 2019 Category: Orthopaedics Source Type: research

The epidemiology of osteoporosis, associated fragility fractures, and management gap in China
ConclusionDue to its silent nature, osteoporosis and its related fractures remain largely under-diagnosed and under-managed in China. It also highlights the scarcity of high-quality studies specifically focus on longtime documentation of disease burden change and male population, especially in mainland area. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - March 8, 2019 Category: Orthopaedics Source Type: research

Body compositions differently contribute to BMD in different age and gender: a pilot study by QCT
AbstractSummaryThe study was to investigate the correlation between body compositions and bone mineral density (BMD) and to evaluate the body composition contribution to BMD. In male, LM showed positive effect on BMD. In female, SAT showed positive, and FM and F/L showed negative effect on BMD.PurposeThe purpose of the study was to investigate the correlation between body compositions and bone mineral density (BMD) performed by quantitative computed tomography (QCT), and to evaluate the body composition contribution to BMD.MethodsThree hundred ninety-four participants, including 122 male (31%) and 272 female (69%), were di...
Source: Archives of Orthopaedic and Trauma Surgery - March 7, 2019 Category: Orthopaedics Source Type: research

Celiac disease and severe vitamin D deficiency: the case for anti-tissue transglutaminase antibody screening
AbstractSummaryVitamin D-deficient Saudi adolescent girls were screened for anti-tissue transglutaminase (IgA-tTG) antibodies to determine whether the presence of severe vitamin D deficiency was associated with celiac disease. All 9 participants who were positive for IgA-tTG antibodies had severe vitamin D deficiency (25(OH)D
Source: Archives of Orthopaedic and Trauma Surgery - March 4, 2019 Category: Orthopaedics Source Type: research

Physical activity as measured by accelerometer in NHANES 2005 –2006 is associated with better bone density and trabecular bone score in older adults
AbstractSummaryIn an analysis of NHANES 2005 –2006, older, but not younger, women and men with higher levels of physical activity had higher TBS, total hipT-score, and femoral neckT-score. Even modest levels of physical activity may be a crucial component of bone health maintenance.PurposePhysical activity is associated with improved bone parameters in adolescence, but it is not clear if this persists into adulthood. Further, it is unclear how low levels of physical activity as measured by accelerometer may impact bone parameters.MethodsWe analyzed data from subjects from NHANES 2005 –2006 over the age of 20 wh...
Source: Archives of Orthopaedic and Trauma Surgery - March 2, 2019 Category: Orthopaedics Source Type: research

The Dutch Hip Fracture Audit: evaluation of the quality of multidisciplinary hip fracture care in the Netherlands
ConclusionNot all hospitals participate in the DHFA, and the data gathering process needs to be further optimized. However, the baseline results demonstrate an apparent variance in hip fracture practice between hospitals in the Netherlands, providing potential starting points to improve the quality of hip fracture care. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - March 1, 2019 Category: Orthopaedics Source Type: research

Exploring the association between number, severity, location of fracture, and occiput-to-wall distance
ConclusionsThe number of fractures was significantly associated with OWD in the unadjusted model, explaining more of the variability in OWD than other fracture characteristics. Severity of fracture was associated with OWD in the adjusted model. However, pain may confound the relationship between OWD and fracture characteristics. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - February 28, 2019 Category: Orthopaedics Source Type: research

Bone age as a correction factor for the analysis of trabecular bone score (TBS) in children
ConclusionsThe use of BA in the analysis and interpretation of TBS may help widen its use in pediatric populations by enabling the appearance of normative data, but more information is needed to confirm this finding. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - February 27, 2019 Category: Orthopaedics Source Type: research

Correction to: Estimated expenditures for hip fractures using merged healthcare insurance data for individuals aged ≥ 75 years and long-term care insurance claims data in Japan
The article Estimated expenditures for hip fractures using merged healthcare insurance data for individuals aged ≥ 75 years and long-term care insurance claims data in Japan. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - February 27, 2019 Category: Orthopaedics Source Type: research

Risk factors for conservative treatment failure in acute osteoporotic vertebral compression fractures (OVCFs)
This study aimed to identify risk factors for failure of conservative treatment of acute OVCFs. The results showed age, BMD, BMI, mFI, and IVC were high-risk factors for failure of conservative treatment of acute OVCFs.PurposeThis study aimed to identify risk factors for failure of conservative treatment of acute osteoporotic vertebral compression fractures (OVCFs).MethodsThis is a retrospective study of patients presenting with acute OVCFs who were initiated on conservative treatment for 3  weeks. Conservative treatment was considered to have failed if patients were not satisfied with pain relief or there were bed re...
Source: Archives of Orthopaedic and Trauma Surgery - February 26, 2019 Category: Orthopaedics Source Type: research

Changes in femoral bone mineral density after total knee arthroplasty: a systematic review and meta-analysis
ConclusionIn summary, there is a rapid and significant 15% decrease in BMD in the first 6  months after TKA that is sustained to 24 months. Better understanding regarding how perioperative optimization of bone health may affect BMD loss and the incidence of periprosthetic fracture is essential.Level of evidenceTherapeutic Level II. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - February 23, 2019 Category: Orthopaedics Source Type: research

Vitamin D cutoff point in relation to parathyroid hormone: a population based study in Riyadh city, Saudi Arabia
AbstractSummaryThe current recommended cutoff value for low vitamin D may result in overestimation of hypovitaminosis D. Vitamin D levels at 30.0  nmol/L can diagnose the hyperparathyroid cases leading to bone loss, with moderate accuracy, in the Saudi population. The new cutoff may help in identifying true cases that need clinical treatment and can reduce the burden on healthcare system.PurposeDifferent regions of the world have reported varying cutoff points as optimal values for vitamin D status to maintain bone health.MethodsA cross-sectional study comprising of interviews, anthropometrics, and blood samples was c...
Source: Archives of Orthopaedic and Trauma Surgery - February 20, 2019 Category: Orthopaedics Source Type: research

Ex vivo cortical porosity and thickness predictions at the tibia using full-spectrum ultrasonic guided-wave analysis
ConclusionsCt.Th and Ct.Po were accurately predicted at the human tibia ex vivo using a transverse isotropic free plate model with invariant matrix stiffness. The model-based predictions were not further enhanced when we accounted for variations in axial tissue stiffness as reflected by the acoustic impedance from SAM. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - February 20, 2019 Category: Orthopaedics Source Type: research

Osteoporosis strategic plan for the Middle East and North Africa region
ConclusionThis article therefore aims to outline the first strategic plan devised by the IOF ’s MENA RAC for the Middle East and North Africa region. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - February 14, 2019 Category: Orthopaedics Source Type: research

Rationale, study design, and descriptive data of the Lucky Bone ™ Fracture Liaison Service
AbstractSummaryThe study design of a multidisciplinary Fracture Liaison Service (2-year follow-up) aiming to optimize fragility fracture management in an outpatient setting is presented. Patient characteristics, investigation, and treatment initiation data at baseline were recorded. Results corroborate the care gap in osteoporosis management, reinforcing the need for secondary fracture prevention programs.PurposeThis paper describes the study design, implementation, and baseline characteristics of a multidisciplinary Fracture Liaison Service (FLS) in Quebec (Canada).MethodsA FLS was implemented as a prospective cohort stud...
Source: Archives of Orthopaedic and Trauma Surgery - February 12, 2019 Category: Orthopaedics Source Type: research

Automated quantitative morphometry of vertebral heights on spinal radiographs: comparison of a clinical workflow tool with standard 6-point morphometry
AbstractSummaryA workflow tool for measurements of vertebral heights on lateral spine radiographs based on automated placements of 6 points per vertebra was evaluated. The tool helps to standardize point placement among operators. Its success rate is very good in normal vertebrae but lower in vertebrae with more severe fractures. Manual corrections were required in 192 of 1257 analyzed vertebrae.IntroductionTo evaluate a new workflow tool (SA) for the automated measurements of vertebral heights on lateral spine radiographs.MethodologyLateral radiographs from 200 postmenopausal women were evaluated at two visits. Genant &rs...
Source: Archives of Orthopaedic and Trauma Surgery - February 11, 2019 Category: Orthopaedics Source Type: research

Physical activity modifies the effect of calcium supplements on bone loss in perimenopausal and postmenopausal women: subgroup analysis of a randomized controlled trial
AbstractSummaryWe aimed to determine whether the effect of calcium supplements on bone metabolism is modified by physical activity (PA) through a subgroup analysis of an RCT. PA may be a favorable effect modifier of the association between calcium intake and bone loss in perimenopausal and postmenopausal women.PurposePhysical exercise can potentially modify bone metabolism. Here we aimed to determine whether the effect of calcium supplements on bone metabolism is modified by physical activity (PA) through a subgroup analysis of a randomized, double-blind, placebo-controlled trial.MethodsThe trial was conducted over the cou...
Source: Archives of Orthopaedic and Trauma Surgery - February 8, 2019 Category: Orthopaedics Source Type: research

Glucocorticoid-induced osteoporosis preventive care in rheumatology patients
ConclusionsOverall, our study shows that patients under the care of rheumatologists receive better GIOP preventative care than previously reported care in the general population. However, there is still room for improvement. In particular, men, younger patients, and rural patients seem to be at the most at risk of not receiving optimal GIOP prevention. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - February 5, 2019 Category: Orthopaedics Source Type: research

Effect of abaloparatide on vertebral, nonvertebral, major osteoporotic, and clinical fractures in a subset of postmenopausal women at increased risk of fracture by FRAX probability
AbstractSummaryWe evaluated the efficacy of abaloparatide in women who were at increased risk for fracture, based on CHMP recommended risk thresholds, at the  Abaloparatide Comparator Trial In Vertebral Endpoints (ACTIVE) study baseline. Among patients at high risk based on FRAX probabilities, 18 months of abaloparatide significantly decreased risk for all fracture endpoints compared with placebo.PurposeAbaloparatide, a novel anabolic agent for the treatment of postmenopausal osteoporosis, significantly reduced the risk of vertebral and nonvertebral fractures in the ACTIVE study compared with placebo. I...
Source: Archives of Orthopaedic and Trauma Surgery - February 5, 2019 Category: Orthopaedics Source Type: research

Knowledge, attitudes, beliefs, and health behaviors of bone health among Caribbean Hispanic/Latino adults
This study can be used to inform culturally tailored interventions for osteoporosis prevention.PurposeThe overall goal of this study was to assess knowledge, attitudes, and beliefs of bone health and osteoporosis among Caribbean Latino adults aged> 50 years.MethodsThis triangulated mixed methods study included completion of a quantitative questionnaire and participation in one of four focus groups to obtain information on (1) general health, (2) knowledge about bone health and osteoporosis, (3) sources of information about bone health, and (4) prevention knowledge and personal responsibility. Quantitative da...
Source: Archives of Orthopaedic and Trauma Surgery - February 4, 2019 Category: Orthopaedics Source Type: research

Bone mineral density and its correlation with vitamin D status in healthy school-going children of Western India
AbstractSummaryStudies on vitamin D deficiency status and its impact on bone health in a developing country are limited. We assessed the bone mineral density and vitamin D levels in healthy school-going children of Western India. Around 65% children had vitamin D deficiency and vitamin D levels had good correlation with bone mineral density.PurposeVitamin D is an important substrate in the metabolism of calcium homeostasis and skeletal metabolism. Epidemiological studies on vitamin D deficiency status and its impact on bone mineral metabolism in healthy children in a developing country are limited. We assessed the bone min...
Source: Archives of Orthopaedic and Trauma Surgery - February 2, 2019 Category: Orthopaedics Source Type: research

Imminent fracture risk assessments in the UK FLS setting: implications and challenges
(Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - February 2, 2019 Category: Orthopaedics Source Type: research

An observational cohort study to produce and evaluate an improved tool to screen older women with back pain for osteoporotic vertebral fractures (Vfrac): study protocol
ConclusionsThis article describes the protocol of the Vfrac study; ISRCTN16550671. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - January 25, 2019 Category: Orthopaedics Source Type: research

Serum 25-hydroxy-vitamin D and the risk of fractures in the teriparatide versus risedronate VERO clinical trial
AbstractPurposeUsing data from the 2-year, randomized, double-dummy VERO trial, we examined the changes in 25-hydroxy-vitamin D (25[OH]D) concentrations over time, and whether the fracture risk reduction of teriparatide versus risedronate varies by baseline 25(OH)D sufficiency category.MethodsPostmenopausal women with established osteoporosis received subcutaneous daily teriparatide 20  μg or oral weekly risedronate 35 mg, with concomitant 500–1000 mg of elemental calcium and 400–800 IU/day of vitamin D supplements. Fracture endpoints were analyzed by predefined subgroups of 25(OH)D insuf...
Source: Archives of Orthopaedic and Trauma Surgery - January 18, 2019 Category: Orthopaedics Source Type: research

An epidemiological evaluation of fractures and its determinants among Lebanese schoolchildren: a cross-sectional study
AbstractSummaryThe purpose of this study is to establish the prevalence and determinants of fractures among 974 Lebanese schoolchildren aged 8 –18. Fractures might be less common in the Lebanese pediatric population compared to western populations. Male gender and high SES are independent risk factors for fractures, while 25(OH)D and BMI have no impact.PurposeTo establish the prevalence of fractures among Lebanese schoolchildren and its relationship with age, gender, BMI, 25 hydroxyvitamin D (25(OH)D) levels, and socioeconomic status (SES).MethodsIn this cross-sectional study, 974 Lebanese schoolchildren aged 8 &ndas...
Source: Archives of Orthopaedic and Trauma Surgery - January 15, 2019 Category: Orthopaedics Source Type: research

Osteoporosis knowledge and awareness among university students in Saudi Arabia
This study aimed to assess awareness and knowledge of osteoporosis among young adults (18 –30 years) attending Saudi universities, exploring the relationship between education and gender and the sources of information in this age group.MethodsA cross-sectional survey was conducted in 337 students (176 females; 161 males) randomly selected from four Saudi universities during January –December 2017. Education level ranged from preparatory year to undergraduate and postgraduate levels. A self-reported questionnaire was designed to assess awareness and knowledge of osteoporosis across several domains, includin...
Source: Archives of Orthopaedic and Trauma Surgery - January 14, 2019 Category: Orthopaedics Source Type: research

An unusual Chinese case of celiac disease presenting as hypocalcemia and low bone density
(Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - January 10, 2019 Category: Orthopaedics Source Type: research

Risk factors for loss of bone mineral density after curative esophagectomy
In this study, the prevalence of osteoporosis increased after curative surgery, associated with disease-specific, treatment-related, and population risk factors.PurposeImproved oncologic outcomes in esophageal cancer (EC) have resulted in increased survivorship and a focus on long-term quality of life. Malnutrition and micronutrient malabsorption are common among patients with EC, but the effect on bone metabolism is not known. The aim of this study was to characterize changes in bone mineral density (BMD) following curative esophagectomy.MethodsConsecutive disease-free patients who underwent esophagectomy with gastric con...
Source: Archives of Orthopaedic and Trauma Surgery - January 9, 2019 Category: Orthopaedics Source Type: research

Effect of treatment on back pain and back extensor strength with a spinal orthosis in older women with osteoporosis: a randomized controlled trial
ConclusionsSix months ’ treatment by an activating spinal orthosis showed no significant difference in back pain, back extensor strength, or kyphosis index between the three groups. In the spinal orthosis group, present back pain decreased slightly and back extensor strength increased by 26.9% which indicates that the spinal orthosis may become an alternative training method.Clinicaltrials.com ID: NCT03263585 (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - January 9, 2019 Category: Orthopaedics Source Type: research

Vitamin D supplementation and muscle strength in pre-sarcopenic elderly Lebanese people: a randomized controlled trial
AbstractSummaryPrevious studies have shown that improving vitamin D status among the elderly may lead to an improvement in muscle mass and muscle strength. In our study, vitamin D supplementation showed significant improvements in vitamin D concentrations as well as appendicular muscle mass in pre-sarcopenic older Lebanese people. However, we found no significant effect on muscle strength.IntroductionImproving vitamin D status might improve muscle function and muscle mass that lead to sarcopenia in older subjects. The aim of this randomized, controlled, double-blind study was to examine the effect of vitamin D supplementat...
Source: Archives of Orthopaedic and Trauma Surgery - December 19, 2018 Category: Orthopaedics Source Type: research

Association between visual classification of kyphosis and future ADL decline in community-dwelling elderly people: the Kurabuchi study
ConclusionsVisual assessment of kyphosis predicted future declines in ADL in this study. Since our method requires no special tools or training, it may be useful for identifying those at high risk of ADL decline. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - December 18, 2018 Category: Orthopaedics Source Type: research

Sarcopenia-related features and factors associated with low muscle mass, weak muscle strength, and reduced function in Chinese rural residents: a cross-sectional study
AbstractSummaryMuscle strength and function declined more than the concomitant loss of muscle mass. Measures of muscle strength and function are an effective way to assess functional ability and physical health in older people. A healthy lifestyle such as physical exercise, good nutrition, and higher BMI can benefit older people.IntroductionThe study investigated the characteristics of aging-related differences in appendicular lean mass (ALM/Ht2), handgrip strength (HGS), usual gait speed (UGS), repeated chair stands (RCS), Timed Up and Go (TUG) test, and their associated factors in 6703 rural residents.MethodsWe assessed ...
Source: Archives of Orthopaedic and Trauma Surgery - December 17, 2018 Category: Orthopaedics Source Type: research

Oral bisphosphonates and incidence of cancers in patients with osteoporosis: a systematic review and meta-analysis
ConclusionsTaken together, oral BPs do not increase the risk of incidence of all-cause cancer; instead, they can reduce the incidence of breast, endometrial, and upper gastrointestinal cancers among the postmenopausal OP females. Our analysis stratified by gender suggests that oral BPs may increase the incidence of liver cancer in mixed genders, while no significant association was observed in females. Careful analysis of post-marketing data should be conducted to address the clinical relevance of our results on the putative association of oral BP use and liver cancer suggested by our meta-analysis. (Source: Archives of Or...
Source: Archives of Orthopaedic and Trauma Surgery - December 17, 2018 Category: Orthopaedics Source Type: research

Bone mineral density, vitamin D status, and calcium intake in healthy female university students from different socioeconomic groups in Turkey
AbstractSummaryPeak bone mass is reached in late adolescence. Low peak bone mass is a well recognized risk factor for osteoporosis later in life. Our data do not support a link between vitamin D status, bone mineral density (BMD), and socioeconomic status (SES). However, there was a marked inadequacy of daily calcium intake and a high presence of osteopenia in females with low SES.PurposeOur aims were to (1) examine the effects of different SES on BMD, vitamin D status, and daily calcium intake and (2) investigate any association between vitamin D status and BMD in female university students.Subjects and methodsA questionn...
Source: Archives of Orthopaedic and Trauma Surgery - December 4, 2018 Category: Orthopaedics Source Type: research

Initial hospitalization with rigorous bed rest followed by bracing and rehabilitation as an option of conservative treatment for osteoporotic vertebral fractures in elderly patients: a pilot one arm safety and feasibility study
ConclusionsOur results showed that initial hospitalization with rigorous bed rest followed by a rehabilitation program using a Jewett brace was safe and feasible. Therefore, the present conservative treatment protocol can be one of the acceptable treatment options in managing OVF patients. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - November 23, 2018 Category: Orthopaedics Source Type: research

Referral pattern for DXA scanning in a tertiary care centre from southern India
ConclusionMost referrals for DXA scanning were from rheumatology. Among the referred patients, about two fifth had osteoporosis and over one third had BMD below expected range for age. Although referrals by rheumatology were relatively higher, overall referrals from all departments remained low. This underscores the need for adequate utilisation of DXA by specialties treating subjects at risk for osteoporosis. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - November 20, 2018 Category: Orthopaedics Source Type: research

Revised reference curves of bone mineral density according to age and sex for Iranian children and adolescents
AbstractSummaryBone health evaluation in children requires an appropriate reference database. We have shown higher curves for spine aBMD in Iranian subjects than Americans, but lower curves for femoral neck and total body. These results can be used as reference values to assist Iranian clinicians in interpreting and monitoring bone densitometry results.PurposeBone health evaluation requires an appropriate reference database that can identify the bone deficit according to age, sex, puberty, and race. The aim of this study was to determine bone mineral densityZ-scores in Iranian children and adolescents and their comparabili...
Source: Archives of Orthopaedic and Trauma Surgery - November 19, 2018 Category: Orthopaedics Source Type: research