The Department of Endocrinology, 
Does hip structural analysis confer additional benefit to routine BMD assessment in postmenopausal women with hip fracture? A study from a tertiary center in southern India.
- Department of Endocrinology, Christian Medical College, Vellore, India, 632004.
- Department of Endocrinology, Christian Medical College, Vellore, India, 632004. kripaec@gmail.com.
- Department of Orthopedics, Christian Medical College, Tamil Nadu, Vellore, India, 632004.
Archives of osteoporosis Vol. 17 · Issue 1 · pp. 32
PMID 35122523 DOI 10.1007/s11657-022-01070-4
Cite This Article
Johns T Johnson, Kripa Elizabeth Cherian, Nitin Kapoor, Felix K Jebasingh, Hesarghatta Shyamsunder Asha, Thomas Mathai, Manasseh Nithyananth, Anil Thomas Oommen, Alfred Job Daniel, Nihal Thomas, Thomas Vizhalil Paul. Does hip structural analysis confer additional benefit to routine BMD assessment in postmenopausal women with hip fracture? A study from a tertiary center in southern India. Archives of osteoporosis. 2022;17(1):32. doi:10.1007/s11657-022-01070-4
Abstract
UNLABELLED: This study from southern India showed that proximal hip geometry was significantly impaired in postmenopausal women with femoral neck fracture. The trabecular bone score (TBS), which is reflective of bone microarchitecture, was also significantly impaired in patients with fracture.
INTRODUCTION: There is limited information with regard to comprehensive bone health in Indian postmenopausal women with neck of femur fracture. We studied the bone mineral density (BMD), trabecular bone score (TBS), proximal hip geometry, and bone mineral biochemistry in postmenopausal women with and without femoral neck fractures.
METHODS: This was a cross-sectional study conducted at a tertiary care center in South India. BMD, TBS, and hip structural analysis (HSA) were assessed using a dual-energy X-ray absorptiometry (DXA) scanner. Bone mineral biochemical profiles were also studied.
RESULTS: A total of 90 postmenopausal women with acute femoral neck fracture with mean (SD) age of 63.2 (6.1) years and 90 age-matched controls were included. The prevalence of osteoporosis was higher among cases as compared to controls (83.3% vs 47.8%; P
CONCLUSION: This study highlights that impaired parameters of proximal hip geometry and a low trabecular bone score may be significantly associated with femoral neck fractures in postmenopausal women.
Keywords
- Hip structural analysis
- India
- Neck of femur fracture
- Postmenopausal osteoporosis
- Proximal hip geometry
- Trabecular bone score
