Journal of Musculoskeletal Trauma

Comparison of Bone Mineral Density in Elderly Patients over 65 Years according to Presence and Types of Hip Fracture: Myung Ho Kim, Moon Jib Yoo, Joong Bae Seo, Hyun Yul Yoo, Sang Young Moon; J Korean Fract Soc 2010;23(3):263-269. Published online July 31, 2010; DOI: https://doi.org/10.12671/jkfs.2010.23.3.263

PURPOSE
We measured the BMD of elderly patients with osteoporotic hip fracture in order to understand the relationship between BMD of each sites and hip fracture occurrence or the types, and also to suggest a reference point for starting an osteoporosis treatment program.
MATERIALS AND METHODS
From July 2007 to February 2010, we investigated total 147 elderly osteoporotic hip fracture patients over 65 years. For control group, 80 patients who were over 65-year-old and did not have any fracture were selected. BMD was compared at each site between each groups statistically.
RESULTS
In the comparison of femur intertrochanter and neck fracture groups, BMD of femur neck and trochanter areas and L2, L3 areas were significantly less in intertrochanteric fracture group. In the analysis according to the classification of intertrochanteric fracture, BMD of intertrochanter and Ward's triangle area were significantly less in unstable fracture group than stable one. Each of the fracture threshold of intertrochanteric and neck fracture group was -1.10 and -1.36 of the T-score in proximal femur, and -1.40 and -1.40 of the T-score in lumbar vertebrae.
CONCLUSION
To examine the BMD of both proximal femur and lumbar vertebrae areas is helpful to predict the hip fracture occurrence and the type of hip fracture. And for the prevention of hip fracture in elderly patients over 65 years, we propose that the aggressive treatment of osteoporosis should be started to prevent fracture for patients with a T-score less than -1.40.

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Risk factors affecting hip fracture patterns in an elderly Korean patient population
Sug Hun Che, Myung-Rae Cho, Patrick Michael Quinn, Suk-Kyoon Song
Medicine.2023; 102(33): e34573. CrossRef
Does Fracture Severity of Intertrochanteric Fracture in Elderly Caused by Low-Energy Trauma Affected by Gluteus Muscle Volume?
Byung-Kook Kim, Suk Han Jung, Donghun Han
Hip & Pelvis.2022; 34(1): 18. CrossRef

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Comparison of Bone Mineral Density in Elderly Patients according to Presence of Intertrochanteric Fracture: Sang Ho Moon, Byoung Ho Suh, Dong Joon Kim, Gyu Min Kong, Hyeon Guk Cho; J Korean Fract Soc 2007;20(3):222-226. Published online July 31, 2007; DOI: https://doi.org/10.12671/jkfs.2007.20.3.222

Abstract PDF

PURPOSE
To analyze difference in bone mineral density (BMD) between intertrochanteric fracture and control group and to explore the predictive value of BMD for intertrochanteric fracture.
MATERIALS AND METHODS
57 patients who were over 60-year-old with intertrochanteric fracture were examined. For control group, 110 patients who did not have any fracture were selected. Dual energy X-ray absorptiometry was studied at 1, 2, 3, 4 lumbar vertebrae, femoral neck, trochanter and Ward's triangle. BMD was compared at each site between two groups statistically.
RESULTS
Fracture group consisted of 16 male, 41 female and was average 70.8 year old. Control group consisted of 21 male, 89 female and was average 68.1 year old. There was no differences in sex and age between two groups (p>0.05). BMD of L1, L2 and mean lumbar area were significantly less in fracture group than control group (p<0.05). There was no difference between two groups in BMD of another sites (p>0.05).
CONCLUSION
BMD of L1, L2 and mean lumbar area in fracture group had lower value significantly, but had no differences between two groups at another sites. BMD of L1, L2 and mean lumbar area might be used as the most sensitive predictive indicator for risk of osteoporotic fractures including intertrochanteric fracture in elderly patient.

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An Analysis of the Changes in Bone Mineral Density in Long-Stay Patients of a Geriatric Hospital in Relation to Physical Therapy
Sang-Min Lee, Soon-Hee Kim, Ji-Sung Kim, Joong-San Wang, Sung-Won Kim, Nyeon-Jun Kim, Sook-Hee Lee, Kyoung-Ok Min
Journal of International Academy of Physical Therapy Research.2011; 2(2): 267. CrossRef
Comparison of Bone Mineral Density in Elderly Patients over 65 Years according to Presence and Types of Hip Fracture
Myung-Ho Kim, Moon-Jib Yoo, Joong-Bae Seo, Hyun-Yul Yoo, Sang-Young Moon
Journal of the Korean Fracture Society.2010; 23(3): 263. CrossRef
The Relationship between Hip Fracture and Bone Mineral Density in Elderly Patients
Hwa Jae Jeong, Jae-Yeol Choi, Jinmyung Lee, Kyubo Choi, Byeongsam Jeon
Journal of the Korean Orthopaedic Association.2010; 45(3): 228. CrossRef
The Usefulness of Hip to Thigh Ratio as an Anthropometric Indicator for the Incidence of Hip Fracture
Jin Park, Kyu Hyun Yang, Seong Hwan Moon
Journal of the Korean Fracture Society.2009; 22(1): 1. CrossRef

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Differences of Bone Mineral Density between Spine and Hip in Osteoporotic Patients: Gyu Min Kong, Sang Eon Lee, Dong Jun Kim, Tae Hyun Yoon; J Korean Fract Soc 2005;18(2):181-184. Published online April 30, 2005; DOI: https://doi.org/10.12671/jkfs.2005.18.2.181

Abstract PDF

PURPOSE
To evaluate differences and correlations of spine and hip region BMD in osteoporotic patients with or without spine fracture.
MATERIALS AND METHODS
From January 1999 to December 2002, We measured and evaluated BMD of L3 and hip by DXA in 52 patients with spine fracture (fracture group) and 96 osteoporotic patients without spine fracture (non-fracture group) above 60 years.
RESULTS
The average age of patients with spine fracture is 72.1 years and without spine fracture is 66.9 years. There were no statistical significant differences of BMD of spine, neck of femur and trochanteric area between 2 groups. But the BMD of Ward triangle of fracture group decreased significantly in statistics. The correlation coefficient between the lumbar spine and trochanteric area were 0.674 in fracture group and 0.794 in non-fracture group. They had statistical significance (<0.01).
CONCLUSION
The BMD of Ward triangle of fracture group had lower value, but the BMD of lumbar spine had no differences between 2 groups. Therefore in these persons who have decreased BMD in Ward triangle should be concerned about high vertebral compression fracture risk vertebral compression fracture.

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Comparison of vertebral and femoral bone mineral density in adult females
Han Seong Choe, Jae Hong Lee, Dong Ki Min, So Hong Shin
Journal of Physical Therapy Science.2016; 28(6): 1928. CrossRef
Functional Outcomes of Percutaneous K-Wire Fixation for Distal Radius Fractures with or without Osteoporosis
Ki-Chan An, Gyu-Min Kong, Jang-Seok Choi, Hi-Chul Gwak, Joo-Yong Kim, Sung-Yub Jin
Journal of the Korean Fracture Society.2013; 26(4): 248. CrossRef
Comparison of Bone Mineral Density in Elderly Patients over 65 Years according to Presence and Types of Hip Fracture
Myung-Ho Kim, Moon-Jib Yoo, Joong-Bae Seo, Hyun-Yul Yoo, Sang-Young Moon
Journal of the Korean Fracture Society.2010; 23(3): 263. CrossRef
Comparison of Bone Mineral Density in Elderly Patients according to Presence of Intertrochanteric Fracture
Sang Ho Moon, Byoung Ho Suh, Dong Joon Kim, Gyu Min Kong, Hyeon Guk Cho
Journal of the Korean Fracture Society.2007; 20(3): 222. CrossRef

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Correlation Analysis of BMD in Proximal Femur and Spine: Jun Young Yang, Young Mo Kim; J Korean Soc Fract 2003;16(4):570-576. Published online October 31, 2003; DOI: https://doi.org/10.12671/jksf.2003.16.4.570

Abstract PDF

PURPOSE
To analogize the result of the test through explaining the correlation of bone mineral density (BMD) test value between proximal femur and lumbar spine.
MATERIALS AND METHODS
It is based on 59 cases who visited the out-patient department. They were classified into two groups by age, group I (55~59 yr) and II (60~64 yr). Then we evaluated the average and the degree of correlation between the two groups and analyzed the correlation of the two sites according to the T & Z-score through the regression analysis.
RESULTS
In T-score, the correlation between L (independent variable, lumbar) and H (dependent variable, femur) indicated that L = 0.751 xH -0.195 for group I and L = 0.912 xH+0.31 for group II. In Z-score, the correlation was L = 0.647 xH -0.656 for group I and L = 0.897 xH -0.481 for group II.
CONCLUSION
It is regarded that there will be a clinical availability which can analogize the result of a part by using the result of the other part.

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A Novel Method for Estimation of Femoral Neck Bone Mineral Density Using Forearm Images from Peripheral Cone Beam Computed Tomography
Kwanmoon Jeong, Hoon Ko, Chang-Hoon Lee, Myeung Lee, Kwon-Ha Yoon, Jinseok Lee
Applied Sciences.2016; 6(4): 113. CrossRef
The Correlation Analysis and Correction factor of BMD in Forearm and Lumbar with DXA
Man-Seok Han
The Journal of Digital Policy and Management.2013; 11(12): 551. CrossRef
The Correlation Analysis of BMD in Proximal Femur and Spine with Dual Energy X-ray Absorptiometry
Man-Seok Han, Dong-Heon Cho
Journal of the Korea Society of Computer and Information.2012; 17(9): 165. CrossRef

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Differences of Bone Mineral Density and Fracture Threshold Between Lumbar Spine Fracture and Control group: Ig Gon Kim, Jae Hyek Kim, Jung Ill Kim, Young Ill Hong; J Korean Soc Fract 2001;14(2):257-264. Published online April 30, 2001; DOI: https://doi.org/10.12671/jksf.2001.14.2.257

Abstract PDF: PURPOSE
The purpose of this study was to show how bone mineral densities of the lumbar spine decrease with aging, to investigate the relationship between the bone mineral densities of the control and fracture group, and to obtain fracture threshold values.
MATERIALS AND METHOD
From January 1995 to December 1999, we measured and evaluated BMD of L3 by DXA in 239 normal volunteers(96 men and 143 women), and in 218 patients with lumbar spine fracture(91 men and 127 women) above 50 years. The Chi-Square test was used for statistical analysis.
RESULTS
1. The average BMD of L3 in control group and lumbar spine fracture group were 0.772+/-0.030 g/cm2 in male and 0.732+/-0 . 0 8 9 g / c m2 i n female and 0.720+/-0 . 0 3 1 g / c m2 in male and 0.692+/-0 . 0 0 2 g / c m2 i n female, respectively.
RESULTS
2. The BMD of the control group and fracture group decreased with aging(p<0.05) and were higher in men than in women. There were statistically significant difference(p<0.001).
RESULTS
3. There were statistically significant difference between BMD of the control group and BMD of the lumbar spine fracture group(p<0.05). The BMD were higher in the control group than fracture group.
RESULTS
4. Fracture threshold of the lumbar spine fracture group were 0.867g/cm2( male: 0.898g /cm2, female:0.836g/cm2) according to 90 percentile.

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Differences of Bone Mineral Density and Fracture Threshold Between Hip Joint Fracture and the Control group: Ig Gon Kim, Jae Hyek Kim, Cul Hyun Kim, Jong Suck Kim; J Korean Soc Fract 1999;12(2):231-238. Published online April 30, 1999; DOI: https://doi.org/10.12671/jksf.1999.12.2.231

Abstract PDF: Osteoporosis represents reduced amount of bone mass per unit volume as compared with controls of the same age and sex. In this condition, bone mineral density decreases and the skeleton becomes more prone to fracture. The purpose of this study was to show how bone mineral densities of the femoral neck area decrease with aging, to in vestigate the relationship between the bone mineral densities of the control and fracture group, and to obtain fracture threshold values. This report observed BMD of femoral neck region in femoral neck and intertrochanteric fracture group was less than that of control group and the differences were significant. We measured and evaluated BMD of femoral neck region by DEXA in 234 normal volunteers(99 men and 135 women), in 105 patien ts with femoral neck fracture(41 men and 64 women) and in 103 patients with intertrochanteric fracture(40 men and 63 women) above 50 years-old. Following results were obtained: 1. The average BMD of femoral neck region in control group, femoral neck fracture group and intertrochanteric fracture group were 0.751+/-0.030 g/cm2 in male and 0.661+/-0.089g/cm2 in female, 0.660+/- 0.031g/cm2 in male and 0.557+/-0.002g/cm2 in female and 0.661+/-0.008g/cm2 in male and 0.562+/-0.005g/cm2 in 2. The BMD of the control group and fracture group decreased with aging and were higher in men than in women and there were statistically significant difference(p<0.001). 3. There were statistically significant difference between BMD of the control group and BMD of the hip fracture group(p<0.005) but no significant differences between BMD of the femoral neck fracture group and intertrochanteric fracture group. 4. Fracture threshold of the hip fracture group were 0.815g/cm2(male:0.832g/cm2, female:0.733g/cm2) according to 95 percentile.

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Structural Study of Proximal femur in the Elderly Femoral Neck & Trochanteric Fracture: Byung Chul Park, Chang Wug Oh, Seung Hoon Oh; J Korean Soc Fract 1998;11(1):175-180. Published online January 31, 1998; DOI: https://doi.org/10.12671/jksf.1998.11.1.175

Abstract PDF: The factors that determine whether a proximal femoral fracture is neck or trochanteric area are a matter of controversy. So we studied the BMD(bone mineral density) and the morphology of the contralateral femur in subcapital fracture and intertrochanteric fracture(Boyd - Griffin Type I,II). The bone density of femoral neck, Ward's triangle and trochanteric region was measured by dual energy X-ray absortiometry(DEXA) in 41 patients with femoral neck fracture value and fracture type in same patients, we calculate the femoral neck length from the plain X-ray film. The results were as follows. 1. The ratio of BMD in the neck and trochanter area was higher in the trochanter fracture group. 2. The level of BMD of the trochanter fracture group was lower than the neck fracture group in all opints of measurement. 3. In the measurement of femoral neck length at plain X-ray film, the neck length of trochanter fracture group was longer than the neck fracture group. It may be that difference in BMD and femoral neck length is related to the site at which a proximal femoral fracture occurs.

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