• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

与股骨近端骨折患者相比，桡骨远端骨折患者对骨质疏松症的认知度较低。

Reduced Awareness for Osteoporosis in Distal Radius Fracture Patients Compared to Patients with Proximal Femur Fractures.

作者信息

Keppler Alexander Martin, Kraus Moritz, Blaschke Matthias, Thomasser Nicole, Kammerlander Christian, Böcker Wolfgang, Neuerburg Carl, Stumpf Ulla Cordula

机构信息

Department of General, Trauma and Reconstructive Surgery, University Hospital, Ludwig-Maximilians-University Munich, 81377 Munich, Germany.

Krankenhaus der Barmherzigen Brüder München, Akademisches Lehrkrankenhaus der Technischen Universität München, Romanstraße 93, 80639 Munich, Germany.

出版信息

J Clin Med. 2021 Feb 19;10(4):848. doi: 10.3390/jcm10040848.

DOI:10.3390/jcm10040848
PMID:33669518
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7922667/
Abstract

PURPOSE

The present study is aiming to evaluate patients' awareness to participate in further diagnostics for osteoporosis and to find out if there are significant differences with regards to fracture site.

METHODS

Patients at risk for underlying osteoporosis (female >60 and male >70 years) undergoing surgical treatment for a distal radius fracture (DRF) or a proximal femur fracture (PFF) were asked to complete a questionnaire assessing the awareness for underlying osteoporosis. Furthermore, dual-X-ray absorptiometry (DXA) scans were analyzed.

RESULTS

Overall, 150 patients (w = 122/m = 28, mean age 79.9 years (±8.6)) were included, of these, 36 patients suffered a DRF and 114 patients a PFF. Of these, 68 out of the 150 patients (45.3%) considered that an examination was necessary, whereas in PFF patients the awareness was higher than in the DRF Group (41% vs. 32%).

CONCLUSIONS

The patients' willingness to undergo further diagnostics for osteoporosis was generally poor. DRFs are frequently accompanied by a lower limitation of quality of life compared to PFF, which might be causative for even poorer awareness in these patients. Especially younger patients (age 60-70 years) with a distal radius fracture seemed to underestimate osteoporosis.

摘要

目的

本研究旨在评估患者参与骨质疏松症进一步诊断的意识，并查明骨折部位是否存在显著差异。

方法

对因桡骨远端骨折（DRF）或股骨近端骨折（PFF）接受手术治疗的潜在骨质疏松症风险患者（女性>60岁，男性>70岁）进行问卷调查，以评估其对潜在骨质疏松症的认知。此外，还分析了双能X线吸收测定法（DXA）扫描结果。

结果

总共纳入了150例患者（女性=122例/男性=28例，平均年龄79.9岁（±8.6岁）），其中36例患者发生了桡骨远端骨折，114例患者发生了股骨近端骨折。在这150例患者中，68例（45.3%）认为有必要进行检查，而在股骨近端骨折患者中，其认知度高于桡骨远端骨折组（41%对32%）。

结论

患者接受骨质疏松症进一步诊断的意愿普遍较低。与股骨近端骨折相比，桡骨远端骨折患者的生活质量受限情况往往更频繁，这可能是导致这些患者认知度更低的原因。尤其是桡骨远端骨折的年轻患者（60-70岁）似乎低估了骨质疏松症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/451c/7922667/5e7e9ca1e0a1/jcm-10-00848-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/451c/7922667/a73b7000f984/jcm-10-00848-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/451c/7922667/45484d785b3a/jcm-10-00848-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/451c/7922667/5e7e9ca1e0a1/jcm-10-00848-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/451c/7922667/a73b7000f984/jcm-10-00848-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/451c/7922667/45484d785b3a/jcm-10-00848-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/451c/7922667/5e7e9ca1e0a1/jcm-10-00848-g003.jpg

相似文献

1
Reduced Awareness for Osteoporosis in Distal Radius Fracture Patients Compared to Patients with Proximal Femur Fractures.与股骨近端骨折患者相比，桡骨远端骨折患者对骨质疏松症的认知度较低。
J Clin Med. 2021 Feb 19;10(4):848. doi: 10.3390/jcm10040848.
2
Reduced Awareness for Osteoporosis in Hip Fracture Patients Compared to Elderly Patients Undergoing Elective Hip Replacement.髋部骨折患者的骨质疏松症意识低于择期髋关节置换的老年患者。
Medicina (Kaunas). 2022 Oct 31;58(11):1564. doi: 10.3390/medicina58111564.
3
Characteristics of subsequent contralateral proximal femoral fracture: more convenient access is needed to treat osteoporosis.后续对侧股骨近端骨折的特点：需要更方便的途径来治疗骨质疏松症。
J Orthop Surg Res. 2023 Feb 21;18(1):126. doi: 10.1186/s13018-023-03621-y.
4
Bone strength and muscle properties in postmenopausal women with and without a recent distal radius fracture.有和没有近期桡骨远端骨折的绝经后女性的骨强度和肌肉特性
Osteoporos Int. 2015 Oct;26(10):2461-9. doi: 10.1007/s00198-015-3160-8. Epub 2015 May 23.
5
The utility of dual-energy X-ray absorptiometry, calcaneal quantitative ultrasound, and fracture risk indices (FRAX® and Osteoporosis Risk Assessment Instrument) for the identification of women with distal forearm or hip fractures: A pilot study.双能X线吸收法、跟骨定量超声以及骨折风险评估工具（FRAX®和骨质疏松风险评估仪）在识别桡骨远端或髋部骨折女性中的应用：一项初步研究。
Endocr Res. 2016 Aug;41(3):248-60. doi: 10.3109/07435800.2015.1120744. Epub 2016 Feb 11.
6
Therapeutic Intervention for Osteoporosis of Surgical Cases With Non-Vertebral Fractures for Three Years in a Newly Established Rural Hospital in Japan.日本一家新建乡村医院对非椎体骨折手术病例的骨质疏松症进行三年治疗干预。
Cureus. 2024 Jul 4;16(7):e63864. doi: 10.7759/cureus.63864. eCollection 2024 Jul.
7
Osteoporosis care after distal radius fracture reduces subsequent hip or spine fractures: a 4-year longitudinal study.桡骨远端骨折后骨质疏松护理可减少后续髋部或脊柱骨折：一项 4 年纵向研究。
Osteoporos Int. 2020 Aug;31(8):1471-1476. doi: 10.1007/s00198-020-05410-3. Epub 2020 Apr 16.
8
Differences in patient and injury characteristics between sports- and non-sports related distal radius fractures.运动相关性与非运动相关性桡骨远端骨折患者和损伤特征的差异。
Orthop Traumatol Surg Res. 2020 Dec;106(8):1605-1611. doi: 10.1016/j.otsr.2020.06.021. Epub 2020 Nov 5.
9
Association between bone mineral density and ulnar styloid fracture in older Japanese adults with low-energy distal radius fracture.老年低能量桡骨远端骨折患者骨密度与尺骨茎突骨折的相关性研究。
Arch Osteoporos. 2020 Mar 19;15(1):51. doi: 10.1007/s11657-020-00724-5.
10
Characterization of trabecular bone microstructure in premenopausal women with distal radius fractures.绝经前女性桡骨远端骨折患者的小梁骨微观结构特征。
Osteoporos Int. 2018 Feb;29(2):409-419. doi: 10.1007/s00198-017-4293-8. Epub 2017 Nov 3.

引用本文的文献

1
[Osteoporosis: diagnostics and treatment].[骨质疏松症：诊断与治疗]
Orthopadie (Heidelb). 2023 Mar;52(3):246-258. doi: 10.1007/s00132-023-04351-z.
2
[Osteoporosis: diagnostics and treatment].[骨质疏松症：诊断与治疗]
Z Gerontol Geriatr. 2022 Dec;55(8):703-714. doi: 10.1007/s00391-022-02148-x.
3
Reduced Awareness for Osteoporosis in Hip Fracture Patients Compared to Elderly Patients Undergoing Elective Hip Replacement.髋部骨折患者的骨质疏松症意识低于择期髋关节置换的老年患者。

本文引用的文献

1
Implementation of an integrated care programme to avoid fragility fractures of the hip in older adults in 18 Bavarian hospitals - study protocol for the cluster-randomised controlled fracture liaison service FLS-CARE.在 18 家巴伐利亚医院实施综合护理计划以避免老年人髋部脆性骨折 - 骨折联络服务 FLS-CARE 的集群随机对照研究方案。
BMC Geriatr. 2021 Jan 12;21(1):43. doi: 10.1186/s12877-020-01966-1.
2
Closing the Osteoporosis Care Gap.《缩小骨质疏松症诊疗差距》
Curr Osteoporos Rep. 2021 Feb;19(1):58-65. doi: 10.1007/s11914-020-00644-w. Epub 2021 Jan 9.
3
[Osteoporosis-epidemiology and quality of care].
Medicina (Kaunas). 2022 Oct 31;58(11):1564. doi: 10.3390/medicina58111564.
4
[Osteoporosis: diagnostics and treatment].
Chirurgie (Heidelb). 2022 Nov;93(11):1107-1120. doi: 10.1007/s00104-022-01595-x. Epub 2022 Apr 6.
[骨质疏松症——流行病学与医疗质量]
Z Gerontol Geriatr. 2019 Aug;52(5):408-413. doi: 10.1007/s00391-019-01559-7. Epub 2019 May 28.
4
Changing trends in the mortality rate at 1-year post hip fracture - a systematic review.髋部骨折后1年死亡率的变化趋势——一项系统综述
World J Orthop. 2019 Mar 18;10(3):166-175. doi: 10.5312/wjo.v10.i3.166.
5
Association of Osteoporosis Medication Use After Hip Fracture With Prevention of Subsequent Nonvertebral Fractures: An Instrumental Variable Analysis.髋部骨折后使用骨质疏松症药物与预防后续非椎体骨折的关系：一项工具变量分析。
JAMA Netw Open. 2018 Jul 6;1(3):e180826. doi: 10.1001/jamanetworkopen.2018.0826.
6
Investigation and management of osteoporosis in aged trauma patients: a treatment algorithm adapted to the German guidelines for osteoporosis.老年创伤患者骨质疏松症的调查与管理：一种适应德国骨质疏松症指南的治疗算法
J Orthop Surg Res. 2017 Jun 8;12(1):86. doi: 10.1186/s13018-017-0585-0.
7
Epidemiology and time trends of distal forearm fractures in adults - a study of 11.2 million person-years in Sweden.成人前臂远端骨折的流行病学及时间趋势——一项基于瑞典1120万人年的研究
BMC Musculoskelet Disord. 2017 Jun 2;18(1):240. doi: 10.1186/s12891-017-1596-z.
8
A Survey of Women's Awareness of and Reasons for Lack of Postfracture Osteoporotic Care.一项关于女性骨折后骨质疏松症护理认知及缺乏护理原因的调查。
J Am Geriatr Soc. 2017 Aug;65(8):1829-1835. doi: 10.1111/jgs.14921. Epub 2017 Apr 19.
9
A critical review of the long-term disability outcomes following hip fracture.对髋部骨折后长期残疾结果的批判性综述。
BMC Geriatr. 2016 Sep 2;16(1):158. doi: 10.1186/s12877-016-0332-0.
10
The Adequacy of Diagnosis and Treatment for Osteoporosis in Patients with Proximal Humeral Fractures.肱骨近端骨折患者骨质疏松症的诊断与治疗的充分性
Clin Orthop Surg. 2016 Sep;8(3):274-9. doi: 10.4055/cios.2016.8.3.274. Epub 2016 Aug 10.