ArticleGeriatric orthopaedic surgery & rehabilitation2025
Muscle Atrophy Around the Hip Joint in Patients with Femoral Neck Fracture is Associated with Postoperative Walking Ability.
Article in Geriatric orthopaedic surgery & rehabilitation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Accuracy of automated segmentation of gluteus and paraspinal muscles in patients with hip osteoarthritis using TotalSegmentator in 3Dslicer.Arthroplasty (London, England) · 2026Article
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8 authors.
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No grant is acknowledged in the PubMed record.
Abstract
Introduction: Patients with femoral neck fractures (FNF) have reduced walking ability owing to muscle weakness. Preoperative muscle volume and quality may have an association with prolonged rehabilitation and can be useful to predict the postoperative walking ability in patients with FNF. This study aimed to compare the muscle volume and computed tomography (CT)-assessed density around the hip joint in patients with FNF with patients having hip osteoarthritis (HOA) and assess the association of these measurement with postoperative walking ability. Materials and Methods: This retrospective observational study included 15 patients with FNF and 15 with unilateral HOA who were matched for age, sex, and osteoporosis medication. Muscle volume and CT-assessed density of the gluteus maximus, gluteus medius, gluteus minimus, iliacus, psoas major, rectus femoris, and rectus abdominis on the unaffected side were measured three-dimensionally using 3D Slicer software with preoperative CT data. The associations of muscle measurement with patient background, load to FNF (measured using the finite element method), and pre- or postoperative walking ability were assessed. Results: Muscle volume of gluteus maximus, CT-assessed density of all muscles, and femoral strength were significantly lower in the FNF group than in the OA group ( Conclusion: Muscle volume and CT-assessed density significantly correlated with femoral bone strength, serum total protein levels, and pre- and postoperative walking ability. These findings suggest that muscle CT analysis around the hip joint may serve as a valuable tool for assessing musculoskeletal status in patients with FNF.
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