Seasonal variation of serum vitamin D levels in Romania
ConclusionThe prevalence of vitamin D deficiency is high, particularly in the elderly. The data show a strong seasonal variation of serum 25(OH)D in all subgroups of our Romanian population with highest levels in September and lowest levels in March. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - December 11, 2017 Category: Orthopaedics Source Type: research

Preventing future fractures: effectiveness of an orthogeriatric fracture liaison service compared to an outpatient fracture liaison service and the standard management in patients with hip fracture
AbstractSummaryAn observational study was carried out in two hospitals in patients>  65 years admitted for hip fracture. At 6 months, 15% of patients in the hospital with orthogeriatric standard care and 75% in the hospital with fracture liaison service were receiving bisphosphonates.PurposeMany patients with fractures are discharged without preventive therapy against further fractures. We sought to compare the effectiveness of an orthogeriatric fracture liaison service (FLS), outpatient FLS, and the standard care after hip fractures in prevention of future fractures.MethodsAn observational study was carr...
Source: Archives of Orthopaedic and Trauma Surgery - December 11, 2017 Category: Orthopaedics Source Type: research

Evaluation of clinical risk factors for osteoporosis and applicability of the FRAX tool in Joinville City, Southern Brazil
ConclusionCRFs used in FRAX ® were similar to those in the Southern Brazil. The NOGG model seems to be more accurate to discriminate patients with increased fracture risk in this population compared to the NOF model, but not significantly. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - December 9, 2017 Category: Orthopaedics Source Type: research

Lower preoperative Hounsfield unit values are associated with intra-operative fractures in cementless bipolar hemiarthroplasty
AbstractSummaryThe use of Hounsfield units (HU) from CT scanning to assess regional BMD has been described. Therefore, we evaluated whether HU could be used to identify osteoporosis of the proximal part of the femur. The results showed that HU assessment is associated with the presence of intra-operative fracture during arthroplasty.IntroductionThe aim with this study was to determine the association of preoperative Hounsfield unit (HU) in hip computed tomography (CT) with intra-operative osteoporotic fracture during cementless hemiarthroplasty.MethodsIn this retrospective study, we reviewed all patients who underwent ceme...
Source: Archives of Orthopaedic and Trauma Surgery - December 7, 2017 Category: Orthopaedics Source Type: research

Increasing hip fracture rates among older adults in Ecuador: analysis of the National Hospital Discharge System, 1999 –2016
ConclusionsHip fracture rates markedly increased among older adults in Ecuador. The present findings should alert public health authorities to implement policies of osteoporosis awareness and prevention in Ecuador. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - December 7, 2017 Category: Orthopaedics Source Type: research

Investigation and analysis of osteoporosis, falls, and fragility fractures in elderly people in the Beijing area: a study on the bone health status of elderly people ≥ 80 years old with life self-care
AbstractSummaryAmong ≥ 80 years old and under life self-care in the Beijing area, the prevalences of osteoporosis, falls, and fragility fracture were high; and these prevalences were even higher in women. The treatment rate of osteoporosis is very low. Therefore, comprehensive and standardized prevention and treatm ent should be promoted.PurposeThe purpose of this study is to investigate prevalence of osteoporosis, falls, and fragility fractures in this population, and analyze related factors, in order to provide a basis for standardized prevention and treatment.MethodsFrom August 2015 to August 2016 in Beij...
Source: Archives of Orthopaedic and Trauma Surgery - December 6, 2017 Category: Orthopaedics Source Type: research

Osteoporotic hip fractures in Black South Africans: a regional study
ConclusionThis study represents the largest number of hip fractures recorded in Black Africans. Although the incidence rate is approximately tenfold higher than previously recorded, it remains amongst the lowest globally. A national registry inclusive of private and public sector is required to establish the true incidence rate of hip fractures in Black Africans. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - December 5, 2017 Category: Orthopaedics Source Type: research

Osteoporosis is associated with increased risk for benign paroxysmal positional vertigo: a nationwide population-based study
AbstractSummaryRecent evidence has indicated that osteoporosis is a risk factor for benign paroxysmal positional vertigo (BPPV). This large population-based study demonstrated that patients with osteoporosis had a 1.82-fold higher risk of developing BPPV than those without osteoporosis through the use of the Taiwan National Health Insurance Research Database.PurposeBenign paroxysmal positional vertigo (BPPV) is one of the most frequent causes of vertigo. Osteoporosis reflects a homeostatic imbalance in the rate of bone turnover, with the rate of bone resorption exceeding that of bone formation. Recent evidence has indicate...
Source: Archives of Orthopaedic and Trauma Surgery - November 25, 2017 Category: Orthopaedics Source Type: research

The association of kyphosis assessed in supine and standing positions with future activities of daily living dependence: the Kurabuchi Study
ConclusionsOur results suggest that the prognoses of people with kyphosis differ according to the type of kyphotic posture. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - November 22, 2017 Category: Orthopaedics Source Type: research

Association of stroke subtypes with risk of hip fracture: a population-based study in Taiwan
ConclusionOverall, stroke significantly increases the incidence of HF, and the risk of HF is significantly higher in ICH patients and female gender. We should identify stroke patients at risk of HF and pay more attention to prevent them from fall in poststroke long-term care. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - November 22, 2017 Category: Orthopaedics Source Type: research

Psychometric performance of the Romanian version of the SarQoL ®, a health-related quality of life questionnaire for sarcopenia
ConclusionsOur results indicate that the Romanian version of the SarQoL® questionnaire, qualified in terms of psychometric properties, could be a useful tool to assess the sarcopenia-related QoL among frail Romanian individuals. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - November 14, 2017 Category: Orthopaedics Source Type: research

Comments on Sulimani et al.: A weekly 35,000  IU vitamin D supplementation improves bone turnover markers in vitamin D deficient Saudi adolescent females
(Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - November 13, 2017 Category: Orthopaedics Source Type: research

A weekly 35,000  IU vitamin D supplementation improves bone turnover markers in vitamin D-deficient Saudi adolescent females: response to comments by Ribaldone et al.
(Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - November 13, 2017 Category: Orthopaedics Source Type: research

Mortality following benign sacral insufficiency fracture and associated risk factors
ConclusionsLike other types of osteoporotic fractures, sacral insufficiency fractures are associated with increased mortality. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - November 9, 2017 Category: Orthopaedics Source Type: research

Correction to: Comparison of fracture risk assessment tools in older men without prior hip or spine fracture: the MrOS study
AbstractOwing to an oversight by the authors, the acknowledgments were incomplete. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - November 7, 2017 Category: Orthopaedics Source Type: research

Epidemiology of fractures in Armenia: development of a country-specific FRAX model and comparison to its surrogate
ConclusionA substantial proportion of major osteoporotic fractures in Armenia do not come to hospital attention. The disparities between surrogate and authentic FRAX models indicate the importance of developing country-specific FRAX models. Despite large differences between models, differences in the rank order of fracture probabilities were minimal. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - November 7, 2017 Category: Orthopaedics Source Type: research

Geographic region, socioeconomic position and the utilisation of primary total joint replacement for hip or knee osteoarthritis across western Victoria: a cross-sectional multilevel study of the Australian Orthopaedic Association National Joint Replacement Registry
ConclusionIndependent of small between-LGA differences in utilisation, and in contrast to the expected greater prevalence of osteoarthritis in disadvantaged populations, we report greater TKR and THR in more advantaged groups. Further research should investigate whether more advantaged populations may be over-serviced. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - November 6, 2017 Category: Orthopaedics Source Type: research

Implementation of a fall screening program in a high risk of fracture population
ConclusionsImplementation of a fall risk screening program in an outpatient osteoporosis clinic appears feasible. A substantial proportion of people with osteoporosis screened positive for being at risk of falling, justifying integration of fall prevention into routine osteoporosis care. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - October 31, 2017 Category: Orthopaedics Source Type: research

Metabolically healthy/unhealthy components may modify bone mineral density in obese people
AbstractSummaryLink between obesity and bone health is controversial. It seems that maybe the difference in metabolic status leads to this difference. We studied relation between metabolically healthy/unhealthy components withbone mineral density. Results showed metabolically unhealthy obesity (MUHO) phenotypes have better bone status at hip site than metabolically healthy obesity (MHO). Also, component metabolic can effect on BMD in different sites.Purpose/IntroductionThis cross-sectional study aimed to compare total BMD and L-L4 BMD in MHO and MUHO base on Karelis criteria.MethodsWe enrolled 272 Iranian obese women and m...
Source: Archives of Orthopaedic and Trauma Surgery - October 29, 2017 Category: Orthopaedics Source Type: research

Long-term use of angiotensin-converting enzyme inhibitors protects against bone loss in African-American elderly men
ConclusionOur findings show a gender- and race-specific effect of ACEi in the prevention of age-associated bone loss that warrants further evaluation. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - October 28, 2017 Category: Orthopaedics Source Type: research

Osteopenia and the physical function in Japanese patients with schizophrenia
ConclusionThese findings suggest that physicians should consider elderly female schizophrenic patients with a low BMI to be at risk of developing osteopenia. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - October 27, 2017 Category: Orthopaedics Source Type: research

Age- and gender-specific epidemiology, treatment patterns, and economic burden of osteoporosis and associated fracture in Taiwan between 2009 and 2013
ConclusionWe found the treatment of osteoporosis to be alarmingly suboptimal, considering the significantly increased economic burden of major osteoporotic fracture also identified in this study. Osteoporosis men received lesser anti-osteoporosis drugs but had higher incremental costs attributable to major osteoporotic fractures. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - October 25, 2017 Category: Orthopaedics Source Type: research

Comparison of fracture risk assessment tools in older men without prior hip or spine fracture: the MrOS study
AbstractSummaryFemoral neck bone mineral density (BMD), age plus femoral neck BMD T score, and three externally generated fracture risk tools had similar accuracy to identify older men who developed osteoporotic fractures. Risk tools with femoral neck BMD performed better than those without BMD. The externally developed risk tools were poorly calibrated.IntroductionWe compared the performance of fracture risk assessment tools in older men, accounting for competing risks including mortality.MethodsA comparative ROC curve analysis assessed the ability of the QFracture, FRAX ® and Garvan fracture risk tools, and femoral n...
Source: Archives of Orthopaedic and Trauma Surgery - October 20, 2017 Category: Orthopaedics Source Type: research

A focused evaluation of lumbar spine trabecular bone score in the first year post-menarche
AbstractSummaryTrabecular bone score, an index of lumbar spine trabecular texture, has not been explored fully in adolescent girls. Our cross-sectional analysis supported the hypothesis that “adult normal” trabecular bone score has been achieved by the end of the first year post-menarche, providing a potential screening tool, independent from bone density.IntroductionTrabecular bone score (TBS) evaluates lumbar spine (LS) trabecular texture from DXA images. Limited evidence suggests low TBS in pre-pubertal girls. TBS has not been assessed in the context of the key peri-menarcheal bone accrual phase. Thus, we ev...
Source: Archives of Orthopaedic and Trauma Surgery - October 18, 2017 Category: Orthopaedics Source Type: research

A 15-year analysis of the publications in the field of osteoporosis
(Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - October 17, 2017 Category: Orthopaedics Source Type: research

Vertebral heights and ratios are not only race-specific, but also gender- and region-specific: establishment of reference values for mainland Chinese
This study established gender-specific reference values in mainland Chinese (MC) and is important for quantitative morphometry for diagnosis and epidemiological study of osteoporotic vertebral compressive fracture. Comparisons of reference values among different racial populations are then performed to demonstrate the MC-specific characteristic.PurposeOsteoporotic vertebral compressive fracture (OVCF) is a common complication of osteoporosis in the elder population. Clinical diagnosis and epidemiological study of OVCF often employ quantitative morphometry, which relies heavily on the comparison of patients ’ vertebra...
Source: Archives of Orthopaedic and Trauma Surgery - October 11, 2017 Category: Orthopaedics Source Type: research

Discharge destination following hip fracture: comparative effectiveness and cost analyses
ConclusionsThis study demonstrates that similar hip fracture patients are discharged to different post-acute settings (i.e., home-based rehabilitation and inpatient rehabilitation) and have different outcomes, thereby calling into question the appropriateness of post-acute rehabilitation delivery in Ontario, Canada. Future research should focus on determining how trade-offs in resource allocation between settings would impact patient outcomes. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - September 30, 2017 Category: Orthopaedics Source Type: research

Minimal-trauma ankle fractures predominate during pregnancy: a 17-year retrospective study
ConclusionsFractures in pregnancy are uncommon. Lower limb fractures are frequently due to minimal trauma, and surgical intervention is often required. The low rate of medical follow-up in MTF is of concern and reinforces the need for greater recognition of potential osteoporosis in this population. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - September 30, 2017 Category: Orthopaedics Source Type: research

A weekly 35,000  IU vitamin D supplementation improves bone turnover markers in vitamin D deficient Saudi adolescent females
This study examined the effects of weekly 35,000  IU vitamin D supplementation for 4 weeks on bone turnover markers (BTMs). There was improvement in the levels of parathyroid hormone (PTH), osteocalcin, and carboxy-terminal telopeptides of crosslinks of type 1 collagen (βCTX) which paralleled the increase in vitamin D levels.PurposeThe effects of vitamin D supplementation on bone turnover markers (BTMs) have been inconsistent. This study examined the effects of weekly 35,000  IU vitamin D supplementation for 1 month on BTMs.MethodsSixty-eight vitamin D deficient adolescent females were given 35,000...
Source: Archives of Orthopaedic and Trauma Surgery - September 30, 2017 Category: Orthopaedics Source Type: research

Trends in osteoporotic hip fracture epidemiology over a 17-year period in a Spanish population: Alcorc ón 1999–2015
AbstractSummaryOur aim was to analyze trends in osteoporotic hip fracture rates in a suburban health area over a long time period. We detected a steady decrease, especially in women, that could be explained by historical, administrative, lifestyle changes as well as by medical behavior.PurposeThe purpose of this study was to analyze trends in osteoporotic hip fracture rates in a suburban health area over a long time period.MethodsThis is an ecological retrospective study of all discharges occurring in the Alcorc ón health area and registered in the minimum basic data set (MBDS). The incidence of osteoporotic hip fra...
Source: Archives of Orthopaedic and Trauma Surgery - September 27, 2017 Category: Orthopaedics Source Type: research

The effect of vitamin D status on pain, lower limb strength and knee function during balance recovery in people with knee osteoarthritis: an exploratory study
This study investigated the effect of circulating 25-hydroxyvitamin D (25 (OH) D) on pain, quadriceps strength, lower limb muscle mass and knee power function during balance recovery in people with knee OA.MethodsTwenty-four participants with clinical symptoms of knee OA (68.6  ± 6.2 years) participated in the study. Serum levels of 25 (OH) D were assessed and participants were classified as follows: vitamin D insufficiency ≤ 50 nmol/L and vitamin D sufficiency>  50 nmol/L. The groups were compared on knee function during balance recovery tasks, lower limb strength and muscle...
Source: Archives of Orthopaedic and Trauma Surgery - September 23, 2017 Category: Orthopaedics Source Type: research

Characterizing the course of back pain after osteoporotic vertebral fracture: a hierarchical cluster analysis of a prospective cohort study
ConclusionsWe identified four distinct groups of OVF patients with different patterns of back pain progression. Understanding the course of back pain after OVF may help in its management and contribute to future treatment trials. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - September 23, 2017 Category: Orthopaedics Source Type: research

Exploring methods for comparing the real-world effectiveness of treatments for osteoporosis: adjusted direct comparisons versus using patients as their own control
ConclusionsADC and OCA each possesses advantages and disadvantages. Combining both methods may provide an estimate of real-world treatment efficacy that could potentially complement clinical trial findings. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - September 21, 2017 Category: Orthopaedics Source Type: research

Denosumab significantly improves bone mineral density with or without bisphosphonate pre-treatment in osteoporosis with rheumatoid arthritis
ConclusionsCompared with BP group, denosumab group displayed significantly increased H-BMD at 6  months, while L-BMD and H-BMD were significantly increased for 24 months in both groups. Thus, regardless of BP pre-treatment, denosumab could be a good agent in OP with RA. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - September 21, 2017 Category: Orthopaedics Source Type: research

Fracture liaison service: report on the first successful experience from the Middle East
This study aims to assess for the first time in the Middle East, the clinical benefits of an FLS model established in a hospital in Beirut, Lebanon. It shows a significant 54% relative risk reduction in re-fracture incidence, confirming the patient-oriented benefit of diffusing this system in the Middle East region.Purpose/introductionFew hospitals in Lebanon applied Fracture Liaison Service (FLS) program. A type A FLS is established at Bellevue hospital in Beirut in July 2013. This study aims to assess its clinical benefits and efficacy.MethodsPatients aged 50  years and above presenting to our hospital with minimal ...
Source: Archives of Orthopaedic and Trauma Surgery - September 19, 2017 Category: Orthopaedics Source Type: research

Upper and lower limbs composition: a comparison between anthropometry and dual-energy X-ray absorptiometry in healthy people
ConclusionAccording to our results, anthropometry is not well representative of LM of arms in both genders, independently of age; therefore, a densitometric examination should be considered for a correct assessment of BC at limbs. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - September 18, 2017 Category: Orthopaedics Source Type: research

Pressure ulcers are associated with 6-month mortality in elderly patients with hip fracture managed in orthogeriatric care pathway
ConclusionIn elderly patients with hip fracture managed in an orthogeriatric care pathway, pressure ulcer remained associated with poorly modifiable risk factors and long-term mortality. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - August 29, 2017 Category: Orthopaedics Source Type: research

The impact of comorbidities on hip fracture mortality: a retrospective population-based cohort study
ConclusionsThe presence of pre-fracture comorbidities increases the risk of excess death in hip fracture patients, but the comorbidity impact on aggregated excess mortality is modest. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - August 28, 2017 Category: Orthopaedics Source Type: research

Lower limb fracture presentations at a regional hospital
ConclusionsFractures of the lower limb occurred frequently in older women. Hospitalisation and subsequent surgery were common in cases of hip and femur fractures. It is important for prevention strategies to target fractures at a range of skeletal sites to reduce costs, hospitalisations, loss of independence and reduced quality of life. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - August 28, 2017 Category: Orthopaedics Source Type: research

Pathological fractures in a patient with severe osteomalacia and hyperparathyroidism: a multidisciplinary challenge
(Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - August 24, 2017 Category: Orthopaedics Source Type: research

Spine bone mineral density increases after 6  months of exclusive lactation, even in women who keep breastfeeding
ConclusionsSpine BMD increased significantly during 6  months following exclusive lactation and despite continued lactation. The factors that stimulate skeletal recovery remain to be identified. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - August 16, 2017 Category: Orthopaedics Source Type: research

Differences in femoral neck structure between elderly Caucasian and Chinese populations: a cross-sectional study of Perth –Beijing cohorts
ConclusionsBone mass differences in two populations were related to frame size differences. However, femoral neck width remained smaller in Beijing-Chinese suggesting effects of local genetic and environmental factors. In Beijing-Chinese participants compared to Perth-Caucasians, internal bone distribution suggests increased resistance to deformation if exposed to same force that may, in-part, relate to reduced incidence of hip fracture in Beijing-Chinese. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - August 15, 2017 Category: Orthopaedics Source Type: research

Reporting of vertebral fragility fractures: can radiologists help reduce the number of hip fractures?
ConclusionsOur study highlights the under-reporting of osteoporotic vertebral fractures, particularly by non-musculoskeletal radiologists. Better systems for reporting and referring osteoporotic VFFs are necessary to increase the number of patients receiving appropriate osteoporosis treatment. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - August 7, 2017 Category: Orthopaedics Source Type: research

Evaluation of bone mineral density in children with sickle-cell anemia and its associated factors in the south of Iran: a case-control study
AbstractSummarySickle-cell anemia is a hereditary hemoglobin disorder among children. We showed that the low bone mass is prevalent among these children, and it has a negative association with hemoglobin. In spite of using supplementary 200  IU/day vitamin D, 59.6% of children with sickle-cell anemia are vitamin D deficient. We suggest that early diagnosis and treatment of this problem could improve the bone health in them. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - August 4, 2017 Category: Orthopaedics Source Type: research

Do 6  months of whole-body vibration training improve lean mass and bone mass acquisition of adolescent swimmers?
ConclusionsThe proposed WBV protocol had no effect on BMD, BMC and LM in adolescent swimmers. Other types of training should be used in this population to improve both bone and lean mass. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - July 21, 2017 Category: Orthopaedics Source Type: research

Glucocorticoid sparing effect of zoledronic acid in sarcoid hypercalcemia
ConclusionZoledronic acid should be studied as a potential first-line agent for sarcoid hypercalcemia. Furthermore, disease-modifying effects of zoledronic acid in sarcoidosis should be investigated. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - July 19, 2017 Category: Orthopaedics Source Type: research

Mortality risk among older Australians hospitalised with hip fracture: a population-based matched cohort study
AbstractSummaryWith an ageing population, the burden of hip fractures is expected to increase in the coming decades. Older individuals with hip fracture are more than 3.5 times more likely to die within 12  months compared to non-injured individuals. The main priority for reducing mortality should be prevention of hip fracture.PurposeThe aim of this study is to quantify and describe the 12-month mortality of older persons presenting to hospitals in Australia with a hip fracture.MethodsPopulation-based matched cohort study using linked hospital and mortality data from four Australian states (New South Wales, Queensland...
Source: Archives of Orthopaedic and Trauma Surgery - July 19, 2017 Category: Orthopaedics Source Type: research

Sunscreens block cutaneous vitamin D production with only a minimal effect on circulating 25-hydroxyvitamin D
ConclusionsAlthough a 50+ sunscreen decreases significantly cutaneous vitamin D production following a single nbUVB exposure, and independently from the BSA, the circulating 25(OH)D3 levels were only minimally affected. This could be explained by a switch to another endogenous source of precursors. Short-term sunscreen use probably does not affect circulating vitamin D levels and hence does not increase the risk for osteoporosis. The effect of long-term sunscreen use remains however to be determined. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - July 17, 2017 Category: Orthopaedics Source Type: research

Impact of gastrointestinal events on patient-reported outcomes in Asia-Pacific women with osteoporosis: baseline results of the MUSIC OS-AP study
ConclusionsGI events decreased adherence, treatment satisfaction, and quality of life in Asia-Pacific women with postmenopausal osteoporosis. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - July 17, 2017 Category: Orthopaedics Source Type: research

Fragility fractures at Auckland City Hospital: we can do better
ConclusionsApproximately 1 in 18 people aged ≥ 50 years presented in one year with a fragility fracture.Secondary prevention strategies were poorly implemented. Additional resources for identifying and initiating secondary fracture prevention care such as a Fracture Liaison Service are urgently needed. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - July 14, 2017 Category: Orthopaedics Source Type: research