Observational studyBMC musculoskeletal disorders2020
No association between osteoporosis and AO classification of distal radius fractures: an observational study of 289 patients.
Observational study in BMC musculoskeletal disorders, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
What it found
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Who cites it
6 citing papers in PubMed.
- The Incidence and Risk Factors for Volar Shear Distal Radius Fractures at a Level 1 Trauma Center.Journal of wrist surgery · 2026Article
- Distal Radius Fracture Pattern Correlates with Pronator Quadratus Injury Severity.Journal of wrist surgery · 2026Article
- Association between lumbar-spine trabecular bone score and radiographic severity of low-energy Colles-type distal radius fractures in women aged 50 years or older.Archives of osteoporosis · 2026Article
- Article
- Illicit drug abuse and complexity of tibial shaft fracture based on AO/OTA classification: Is there any connection?Journal of experimental orthopaedics · 2024Article
- Variations in Strain Distribution at Distal Radius under Different Loading Conditions.Life (Basel, Switzerland) · 2022Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIt is mechanically plausible that osteoporosis leads to more severe peripheral fractures, but studies investigating associations between BMD and radiographically verified complexity of distal radius fractures are scarce. This study aims to study the association between osteoporosis, as well as other risk factors for fracture, and the AO classification of distal radius fractures.
methodsIn this observational study, 289 consecutive patients aged ≥40 years with a distal radius fracture were included. Bone mineral density (BMD) of the hips and spine was measured by dual-energy x-ray absorptiometry (DXA), and comorbidities, medication, physical activity, smoking habits, body mass index (BMI), and history of previous fracture were registered. The distal radius fractures were classified according to the Müller AO system (AO) (type B and C regarded as most complex).
resultsPatients with osteoporosis (n = 130) did not have increased odds of a more complex distal radius fracture (type B + C, n = 192)) (n = vs type A (n = 92) (OR 1.1 [95% CI 0.5 to 2.3]) compared to those with osteopenia /normal BMD (n = 159). Patients with AO fracture types A or C had a higher prevalence of osteoporosis than patients with type B fracture.
conclusionsDistal radius fracture patients with osteoporosis did not sustain more complex fractures than those with osteopenia/normal BMD according to the AO classification system. The AO classification of distal radius fracture cannot be used to decide which patients should be referred to DXA scan and considered for secondary fracture prevention.
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