ArticleOsteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA2011
Differences in femoral neck geometry associated with age and ethnicity.
Article in Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Outcomes of cemented and hybrid primary total hip arthroplasty for osteoarthritis: A systematic review with narrative synthesis.Archives of orthopaedic and trauma surgery · 2025Pooled it
- Critical evaluation of 3D-DXA and 3D-Shaper: methodological limitations and their implications.JBMR plus · 2025Review
- Estimation of population affinity using proximal femoral measurements based on computed tomographic images in the Japanese and western Australian populations.International journal of legal medicine · 2024Article
- Hip geometry in hip fracture patients in Greenland occurring over a 7.7-year period.Journal of orthopaedic surgery and research · 2021Article
- Deep Learning for Osteoporosis Classification Using Hip Radiographs and Patient Clinical Covariates.Biomolecules · 2020Article
- Differences in Bone Mineral Density and Hip Geometry in Trochanteric and Cervical Hip Fractures in Elderly Chinese Patients.Orthopaedic surgery · 2019Article
- Sex-related variations in cortical and trabecular bone of the femoral neck in an elderly Chinese population.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2017Article
- Proximal Femoral Geometry as Fracture Risk Factor in Female Patients with Osteoporotic Hip Fracture.Journal of bone metabolism · 2016Article
- Type 2 diabetes mellitus and bone fragility: Special focus on bone imaging.Osteoporosis and sarcopenia · 2016Review
- Article
- Morphometric Evaluation of Korean Femurs by Geometric Computation: Comparisons of the Sex and the Population.BioMed research international · 2015Article
- High prevalence of spine–femur bone mineral density discordance and comparison of vertebral fracture risk assessment using femoral neck and lumbar spine bone density in Korean patients.Journal of bone and mineral metabolism · 2014Article
- Dissimilarity of femur aging in men and women from a Nationwide Survey in Korea (KNHANES IV).Journal of bone and mineral metabolism · 2013Article
- New advances in imaging osteoporosis and its complications.Endocrine · 2012Review
- Outcome of intertrochanteric fractures treated by intramedullary nail with two integrated lag screws: A study in Asian population.Indian journal of orthopaedicsArticle
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Abstract
summaryWe studied femoral geometry in relation to age and ethnicity in a cross-sectional study. Age-associated cortical thinning showed the most pronounced effect, and Koreans studied here had thicker cortices and lower buckling ratios than those reported for other races. Cortical thickness may thus be a major determinant of hip fracture risk.
introductionThe rate of hip fracture varies by age and ethnicity. The geometric properties of the femur influence femoral strength and fragility, but differences in femoral geometry according to age and ethnicity are poorly understood. To explain the high prevalence of hip fractures in the elderly and the relatively low hip fracture rate in Asian populations, we studied age-related changes and ethnic differences in femoral geometry.
methodsWe recruited 214 peri- or postmenopausal women aged 46 to 85 years (mean age, 60.6 years). Their proximal femoral bone mineral densities (BMD) were measured by quantitative computed tomography and further analyzed geometric properties.
resultsWe observed large declines in trabecular volumetric bone mineral density associated with aging (33.03% less than the reference value in the oldest group, respectively). Cortical thickness decreased remarkably with age as well, and only 53.94% of the baseline value remained in the oldest group. As a result, the cortical buckling ratio increased geometrically and reached 239.14% of the reference value in the oldest group. In comparisons with other ethnic groups, Korean subjects had thicker cortices than their American, European, and African counterparts.
conclusionsIn this cross-sectional study, cortical thickness showed a pronounced age-associated decrease, and the cortical buckling ratio showed a strong age-associated increase. This may in part explain the higher rates of hip fractures in the elderly. When compared with other races, Asians had thicker cortical bone and lower buckling ratios, which may partially explain the lower prevalence of hip fractures in Asians.
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