ArticleThe British journal of radiology2014
Femoral neck shaft angle width is associated with hip-fracture risk in males but not independently of femoral neck bone density.
Article in The British journal of radiology, 2014. 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, 34 citations in OpenAlex.
- The femoral neck-shaft angle on plain radiographs: a systematic review.Skeletal radiology · 2016Pooled it
- Can femoral neck-shaft angle predict timing of contralateral second hip fracture? A 7-year retrospective cohort study at a tertiary referral centre for trauma.Musculoskeletal surgery · 2026Article
- Are there associations between bone turnover and hip geometry in the general population?Osteoporosis and sarcopenia · 2025Article
- Article
- Is there an alternative to the Delbet-Colonna classification? Introduction and reliability assessment of a new classification system for paediatric femoral neck fractures: preliminary results.International orthopaedics · 2024Article
- Are there associations between hip geometry and bone quality? An analysis on 3074 adults from a general population.Archives of orthopaedic and trauma surgery · 2024Article
- Femoral neck shaft angle measurement on plain radiography: is standing or supine radiograph a reliable template for the contralateral femur?BMC musculoskeletal disorders · 2022Article
- Comparing two different automatic methods to measure femoral neck-shaft angle based on PointNet++ network.Scientific reports · 2022Article
- New Insights on Bone Tissue and Structural Muscle-Bone Unit in Constitutional Thinness.Frontiers in physiology · 2022Article
- 3D Analysis of the Proximal Femur Compared to 2D Analysis for Hip Fracture Risk Prediction in a Clinical Population.Annals of biomedical engineering · 2021Article
- Article
- Advanced 2D image processing technique to predict hip fracture risk in an older population based on single DXA scans.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2020Article
- Initial displacement as a risk factor for avascular necrosis of the femoral head in pediatric femoral neck fractures: a review of one hundred eight cases.International orthopaedics · 2020Article
- How does the femoral cortex depend on bone shape? A methodology for the joint analysis of surface texture and shape.Medical image analysis · 2018Article
- Osteoporosis Imaging in the Geriatric Patient.Current radiology reports · 2016Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo investigate the specificity of the neck shaft angle (NSA) to predict hip fracture in males.
methodsWe consecutively studied 228 males without fracture and 38 with hip fracture. A further 49 males with spine fracture were studied to evaluate the specificity of NSA for hip-fracture prediction. Femoral neck (FN) bone mineral density (FN-BMD), NSA, hip axis length and FN diameter (FND) were measured in each subject by dual X-ray absorptiometry. Between-mean differences in the studied variables were tested by the unpaired t-test. The ability of NSA to predict hip fracture was tested by logistic regression.
resultsCompared with controls, FN-BMD (p < 0.01) was significantly lower in both groups of males with fractures, whereas FND (p < 0.01) and NSA (p = 0.05) were higher only in the hip-fracture group. A significant inverse correlation (p < 0.01) was found between NSA and FN-BMD. By age-, height- and weight-corrected logistic regression, none of the tested geometric parameters, separately considered from FN-BMD, entered the best model to predict spine fracture, whereas NSA (p < 0.03) predicted hip fracture together with age (p < 0.001). When forced into the regression, FN-BMD (p < 0.001) became the only fracture predictor to enter the best model to predict both fracture types.
conclusionNSA is associated with hip-fracture risk in males but is not independent of FN-BMD. ADVANCES IN KNOWLEDGE: The lack of ability of NSA to predict hip fracture in males independent of FN-BMD should depend on its inverse correlation with FN-BMD by capturing, as the strongest fracture predictor, some of the effects of NSA on the hip fracture. Conversely, NSA in females does not correlate with FN-BMD but independently predicts hip fractures.
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