Roentgen osteodensytometry in the evaluation of structural and functional state of bone tissue in women with the distal forearm fractures

Vladyslav Povorozniuk, Maksim Garkusha

Abstract


Objective: To determine the age peculiarities of structural and functional state of bone tissue (SFSBT) in women with the distal forearm fractures and to compare obtained data of the rates of bone mineral density (BMD), namely integrated cortical index (ICI) with reference values of the roentgen osteodensytometry indicators for the relevant age categories of healthy women without fractures in Ukrainian population. Methods: Clinical, anthropometrical, radiological, CT roentgen osteodensytometry with software «ARM-osteology», assessment of BMD at hand bones in 143 women with the distal forearm fractures. Results: In patients with diagnosed low-energy distal forearm fractures was determined significantly reduced rate of ICI comparing to its reference values for the respective age group of healthy women without fractures in Ukrainian population. Among reproductive age women with the distal forearm fractures at 60.8 % of them reduction of BMD in terms of ICI (Z < –2 SD) in the intact limb revealed. Among postmenopausal women osteoporosis diagnosed at 38.1 %, and normal BMD only in 3.1 % of them testifies about significant changes in BMD not only in the area of the fracture. Conclusion: It is advisable to carry out monitoring and correction of SFSBT women with the distal forearm fractures. Reproductive age women in whom a fracture the distal forearm is a marker of BMD reduction at least at the level of hand bones in terms of SRI deserve special attention. Therefore, in postmenopausal period this category of patients with enter with worse SFSBT and will have a greater risk of fractures at other sites.

Keywords


roentgen osteodensytometry; bone mineral density; distal forearm fracture; integral cortical index

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DOI: https://doi.org/10.15674/0030-59872014493-96

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