Niempoog S, Sukkarnkosol S, Boontanapibul K
Department of Orthopaedics, Thammasat University, Pathum Thani, Thailand.
Department of Orthopedics, Chulabhorn International College of Medicine, Pathum Thani, Thailand.
Malays Orthop J. 2019 Nov;13(3):15-20. doi: 10.5704/MOJ.1911.003.
Osteoporosis is a devastating problem leading to significant morbidity and mortality. Patients with osteoporosis usually present with fractures from low-energy trauma and falls, commonly of the distal radius, which may precede more severe fractures like fracture of the neck of femur, but data from Thailand are limited. The objective of our study was to determine the prevalence of osteoporosis in patients with distal radius fracture from low-energy trauma. This was a descriptive retrospective study, performed at Thammasat University Hospital in Thailand, from January 2011 to June 2017. Patients aged more than 50 years with distal radial fractures from low-energy trauma with available bone mineral density (BMD) result were included. Patients with known secondary causes of osteoporosis were excluded. Patients were grouped by age, sex, and BMD status (normal, osteopenic and osteoporotic). One hundred out of 351 patients with distal radial fractures had bone mineral density data but only 79 (73 females) met the inclusion criteria. Most patients were aged 60-69 years old (n=31, 42.5%). 47 (59.5%) patients were osteoporotic, 23 (29.1%) osteopenic, and 9 (11.4%) were normal. Seven (6 osteoporotic) patients suffered a more severe fracture subsequently. No deaths were recorded. Our study found a high rate of osteoporosis mostly in females, consistent with published literature. Assessing BMD is crucial in middle age and elderly patients with fractures to better manage osteoporosis and prevent more severe fractures in the future.
骨质疏松症是一个严重的问题，会导致显著的发病率和死亡率。骨质疏松症患者通常因低能量创伤和跌倒而骨折，常见于桡骨远端，这可能先于更严重的骨折，如股骨颈骨折，但泰国的数据有限。我们研究的目的是确定低能量创伤导致桡骨远端骨折患者中骨质疏松症的患病率。这是一项描述性回顾性研究，于2011年1月至2017年6月在泰国法政大学医院进行。纳入年龄超过50岁、因低能量创伤导致桡骨远端骨折且有可用骨密度（BMD）结果的患者。排除已知有继发性骨质疏松症病因的患者。患者按年龄、性别和BMD状态（正常、骨量减少和骨质疏松）分组。351例桡骨远端骨折患者中有100例有骨密度数据，但只有79例（73例女性）符合纳入标准。大多数患者年龄在60 - 69岁（n = 31，42.5%）。47例（59.5%）患者为骨质疏松症，23例（29.1%）为骨量减少，9例（11.4%）为正常。7例（6例骨质疏松症）患者随后发生了更严重的骨折。无死亡记录。我们的研究发现骨质疏松症发生率很高，主要发生在女性，这与已发表的文献一致。对中年及老年骨折患者进行骨密度评估对于更好地管理骨质疏松症和预防未来更严重的骨折至关重要。
