Evaluation of trabecular bone score in patients with a distal radius fracture

Evaluation of trabecular bone score in patients with a distal radius fracture

Summary We compared bone mineral density (BMD) and trabecular bone score (TBS) in postmenopausal women with a distal radius fracture older than 50 years with controls. Total hip BMD was significantly different, but TBS was not different between two groups, suggesting TBS does not reflect microarchit...

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Bibliographic Details
Published in:Osteoporosis international Vol. 27; no. 12; pp. 3559 - 3565
Main Authors: Shin, Y. H., Gong, H. S., Gang, D. H., Shin, H. S., Kim, J., Baek, G. H.
Format: Journal Article
Language:English
Published: London Springer London 01-12-2016
Springer Nature B.V
Subjects:
Absorptiometry, Photon
Aged
Body mass index
Bone Density
Bone mineral density
Cancellous bone
Cancellous Bone - pathology
Case-Control Studies
Dual energy X-ray absorptiometry
Endocrinology
Female
Fractures
Hip
Humans
Lumbar Vertebrae
Medicine
Medicine & Public Health
Middle Aged
Multivariate analysis
Neck
Original Article
Orthopedics
Osteoporosis
Osteoporotic Fractures - pathology
Post-menopause
Postmenopause
Radius
Radius Fractures - pathology
Rheumatology
Spine (lumbar)
Trochanter
Osteoporosis
Bone mineral density
Trabecular bone score
Bone microarchitecture
Distal radius fracture
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Summary:Summary We compared bone mineral density (BMD) and trabecular bone score (TBS) in postmenopausal women with a distal radius fracture older than 50 years with controls. Total hip BMD was significantly different, but TBS was not different between two groups, suggesting TBS does not reflect microarchitectural changes of the distal radius. Introduction The purpose of this study was to determine whether trabecular bone score (TBS) has additive value for discriminating distal radius fracture (DRF) independent of BMD. Methods We compared BMD and TBS in 258 postmenopausal women with a DRF older than 50 years of age with age- and body mass index (BMI)-matched controls who had no history of osteoporotic fracture. BMD was measured at the lumbar spine and hip using dual energy X-ray absorptiometry scans (GE Lunar Prodigy). TBS was calculated on the same spine image. A multivariate logistic regression analysis was used to analyze the odds ratio (OR) for the occurrence of DRF using age, BMI, lumbar spine BMD, total hip BMD, and TBS. Results Patients with a DRF had significantly lower BMDs at hip (neck, trochanter and total) than those of controls: 0.752 ± 0.097, 0.622 ± 0.089, and 0.801 ± 0.099 in patients and 0.779 ± 0.092, 0.648 ± 0.089, 0.826 ± 0.101 in controls. However, lumbar spine BMD and TBS were not significantly different between the groups ( p  = 0.400 and 0.864, respectively). The multivariate analysis indicated that only total hip BMD was significantly associated with the occurrence of DRF (OR, 10.231; 95 % confidence interval, 1.724–60.702; p  = 0.010). Conclusions TBS was not different between women with a DRF and those without a history of osteoporotic fracture, suggesting that TBS measured at the lumbar spine does not reflect early microarchitectural changes of the distal radius. Only total hip BMD is associated with the risk of DRF in Korean women.
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ISSN:0937-941X
1433-2965
DOI:10.1007/s00198-016-3686-4