Journal of Musculoskeletal Trauma

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; J Korean Fract Soc 2009;22(1):1-5. Published online January 31, 2009; DOI: https://doi.org/10.12671/jkfs.2009.22.1.1

Abstract PDF: PURPOSE
To compare anthropometric indicators around the hip between osteoporotic fracture group and control group.
MATERIALS AND METHODS
Thirty patients for osteoporotic hip fracture and the same number of patients for spine fracture who admitted our institute from November 2006 to March 2007 were matched with control patients without osteoporotic fracture. The waist circumference (WC), hip circumference (HC), thigh circumference (TC), and height were measured. From these measurements, waist to hip ratio (WHR), waist to thigh ratio (WTR), hip to thigh ratio (HTR), waist to height ratio (WHtR), hip to height ratio (HHtR), and thigh to height ratio (THtR) were calculated. All these indicators were compared between hip fracture and control group, and between spine fracture and control group.
RESULTS
Comparison between spine fracture and control group showed that the WC, WHR, WHtR were statistically significant, but all indicators failed to show accuracy in the ROC analysis. Comparison between hip fracture and control group demonstrated the TC, WTR, HTR, WHtR, HHtR, THtR were statistically significant. However, only the HTR showed fair accuracy in the ROC analysis. The area under the curve (AUC) of the HTR was 0.75 (95% confidence interval, 0.62 to 0.87) (p=0.001).
CONCLUSION
The HTR was fairly accurate in predicting the incidence of hip fracture compared with any other anthropometric indicators. Therefore, we can consider that the HTR has clinical usefulness.

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MedicalTreatmentinthePatientswithOsteoporoticFracture: Seong Hwan Moon; J Korean Fract Soc 2006;19(2):291-294. Published online April 30, 2006; DOI: https://doi.org/10.12671/jkfs.2006.19.2.291

Abstract: No abstract available.

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The Relationship between the Variation of the femoral neckshaft angle according to Age and the Fracture of the Hip: Jun Seop Jahng, Seong Hwan Moon, Jin Ho Che; J Korean Soc Fract 2000;13(4):702-708. Published online October 31, 2000; DOI: https://doi.org/10.12671/jksf.2000.13.4.702

Abstract PDF: PURPOSE
Femur neck-shaft angles were obtained from plain radiographs of the pelvis and their changes according to age were assessed along with their correlations to hip fracture incidence.
MATERIALS AND METHODS
Forty-four patients who have received surgical treatments for femur neck or intertrochanteric fractures and 171 patients who performed bone densitometry at out patient clinic without any history of hip fractures were included in the study. All patients were older than 50 years. Standard value of 0.725 g/cm2 w a s used to separate the osteoporosis and non-osteoporosis groups. Femur neck-shaft angle was measured from standardized radiograph.
RESULTS
In the non-osteoporosis group, varization of femur neck-shaft angle was observed as age increased. No significant difference of the neck-shaft angle was proven between osteoporosis and non-osteoporosis group, and no correlation existed between the femoral neck bone mineral density and neck-shaft angle. Furthermore, fracture group and no fracture group showed no significant difference in neck-shaft angle.
CONCLUSION
The decrease in the neck-shaft angle with age increments has no effects on incidence of hip fracuture and factor most closely associated with fractures is bone mineral density.

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