Nordvall Helena, Glanberg-Persson Gunhild, Lysholm Jack
Department of Physiotherapy, Sunderby Hospital, Luleå, Sweden.
Acta Orthop. 2007 Apr;78(2):271-7. doi: 10.1080/17453670710013799.
A fracture of the distal radius is considered to indicate an increased risk of future fractures, especially a hip fracture. The main causes may be osteoporosis or a tendency to fall, separately or in combination.
93 women and 5 men with a recent radius fracture and the same number of controls were measured with a heel-DXL and asked to complete one questionnaire on their quality of life (SF-36), and one on risk factors.
The mean T-score of the patients was -2.1, and for the controls it was -1.9 (p = 0.3). The patients aged over 64 years had a history of falling more often than the corresponding controls (p = 0.01), but there was no difference in T-score. By contrast, patients 45-64 years of age showed a non-significant, lower T-score (p = 0.09), but there was no difference concerning their history of falling. For all other risk factors, no differences were found between the patients and the controls. There were significant differences between the patients and the controls in some of the functions in the SF-36, due to the radius fracture.
This study indicates that the underlying cause of a distal radius fracture may be different in patients aged 45-64 years and those who are more than 64 years old.
桡骨远端骨折被认为预示着未来骨折风险增加，尤其是髋部骨折。主要原因可能是骨质疏松或跌倒倾向，单独或共同作用。
对93名近期发生桡骨骨折的女性和5名男性以及相同数量的对照组进行足跟双能X线吸收法测量，并要求他们完成一份关于生活质量的问卷（SF-36）和一份关于风险因素的问卷。
患者的平均T值为-2.1，对照组为-1.9（p = 0.3）。64岁以上的患者跌倒史比相应对照组更频繁（p = 0.01），但T值无差异。相比之下，45 - 64岁的患者T值较低但无统计学意义（p = 0.09），但其跌倒史无差异。对于所有其他风险因素，患者与对照组之间未发现差异。由于桡骨骨折，患者与对照组在SF-36的某些功能方面存在显著差异。
本研究表明，45 - 64岁患者和64岁以上患者桡骨远端骨折的潜在原因可能不同。
