ArticleInternational orthopaedics2017
Contra-lateral hip fracture in the elderly: are decreased body mass index and skin thickness predictive factors?
Article in International orthopaedics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 13 citations in OpenAlex.
- Article
- Does Superior Bone Health Promote a Longer Lifespan?Geriatric orthopaedic surgery & rehabilitation · 2021Article
- Effect of fall characteristics on the severity of hip impact during a fall on the ground from standing height.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2020Article
- Epidemiology and risk factors for contralateral proximal femur fracture: a single center retrospective cohort study on 1022 patients.Acta bio-medica : Atenei Parmensis · 2020Article
- Associations of body mass index and diabetes with hip fracture risk: a nationwide cohort study.BMC public health · 2018Article
- Correlation between skin and bone parameters in women with postmenopausal osteoporosis: A systematic review.EFORT open reviews · 2018Article
- Risks of subsequent contralateral fractures of the trochanteric region in elderly.Acta bio-medica : Atenei Parmensis · 2016Article
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Authors and funding
7 authors at 6 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeA correlation between soft tissue thickness and osteoporosis has been suggested. We aimed to estimate if a low body mass index (BMI) and/or a decrease of skin thickness could estimate the risk of contra-lateral hip fracture.
methodsFirst, we performed a retrospective analysis of 1268 patients treated for a hip fracture. The 146 patients who had a contra-lateral hip fractures-study group-were compared with the 1078 patients who did not-control group. Four BMI categories were considered: obese, overweight, normal weight and low weight. Second, we enrolled prospectively 1000 consecutive patients in the emergency department. History of fractures, BMI, and skin aspect on the dorsum of both hands-classified as severe decrease thickness, moderate decrease thickness or normal-were recorded.
resultspt?>In the first part, we found that patients with contra-lateral fractures had a significantly lower BMI than those in the control group (22.2 Vs 26.5 kg/m
conclusionA low BMI and a decreased skin thickness increase independently the risk of fractures by three times. When associated, they increase the risk of fracture risk by five times. This combination had a sensitivity at 71 % and a specificity at 90 % for predicting hip fracture.
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