Evidence map›Paper›PMID 39821704›Full record

ArticleArchives of osteoporosis2025

Evaluation of using grip strength and hand muscle cross-sectional area to predict secondary fractures post distal radius fracture.

Matthew Tsz Kin Kong, Christian Fang, Colin Shing Yat Yung, Theresa Kwok, Keith Leung, Frankie Leung

Abstract read
In one paragraph

Article in Archives of osteoporosis, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Advantages of measuring hand grip strength in osteoporosis patients.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2025
    Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Matthew Tsz Kin KongLi Ka Shing Faculty of Medicine, The University of Hong Kong, 21 Sassoon Rd, Pok Fu Lam, Hong Kong, China.
Christian FangDepartment of Orthopaedics and Traumatology, Queen Mary Hospital The University of Hong Kong, 102 Pok Fu Lam Road, Hong Kong, China. cfang@hku.hk.ORCID 0000-0002-3827-0351
Colin Shing Yat YungDepartment of Orthopaedics and Traumatology, Queen Mary Hospital The University of Hong Kong, 102 Pok Fu Lam Road, Hong Kong, China.ORCID 0000-0003-2624-3441
Theresa KwokOccupational Therapy Department, David Trench Rehabilitation Centre, 1F High Street, Hong Kong, China.
Keith LeungOccupational Therapy Department, David Trench Rehabilitation Centre, 1F High Street, Hong Kong, China.
Frankie LeungDepartment of Orthopaedics and Traumatology, Queen Mary Hospital The University of Hong Kong, 102 Pok Fu Lam Road, Hong Kong, China.ORCID 0000-0002-5215-1615

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Grip strength measurement, as a surrogate of sarcopenia diagnosis, effectively predicts secondary fracture risk in distal radius fracture patients. This simple tool enhances clinical practice by identifying high-risk patients for targeted interventions, potentially preventing or reversing functional decline and recurrent fractures. PURPOSE: To evaluate grip strength and hand muscle cross-sectional area as predictors of secondary fracture risk in patients with a history of distal radius fracture (DRF), serving as surrogates of the diagnosis of sarcopenia.

methodsA retrospective cohort study of 745 DRF patients was analyzed with their grip strength data using Cox proportional hazards regression, receiver operating characteristic analysis, and Kaplan-Meier analysis to predict secondary fracture risk over an average of 12 years. Hand muscle cross-sectional area was similarly analyzed.

resultsPatients with a history of DRF were predicted to have a 4.1% higher likelihood of experiencing a secondary fracture per kilogram reduction in their grip strength (p < 0.008), independent of age and sex. Patients were categorized as high-risk (≤ 16 kg), moderate-risk (17-24 kg), or low-risk (≥ 25 kg) (p < 0.001). High-risk patients showed a 2.2-fold (95% CI = 1.55-3.17) higher recurrent fracture risk compared to low-risk patients. Cumulative secondary fracture probabilities of the high-risk group patients at 5, 10, and 15 years were estimated to be 16%, 30%, and 54%, respectively.

conclusionsGrip strength measurement, as a surrogate of sarcopenia diagnosis, effectively predicts secondary fracture risk in patients with DRF. This simple tool could improve clinical practice by identifying high-risk patients for targeted interventions to prevent recurrent fractures or even reverse functional decline.

Indexed as

Hand StrengthMuscle, SkeletalRadius FracturesSarcopeniaAgedAged, 80 and overFemaleHumansMaleMiddle AgedRetrospective StudiesWrist FracturesColles fractureDistal radius fractureGrip strengthOsteoporosisOsteosarcopeniaRecurrent fractureSarcopeniaSecondary fractureWrist fracture

Identifiers

PMID39821704
PMCPMC11739271

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.