Hip structure analysis and femoral osteodensitometry in aged postmenopausal women with hip osteoarthritis and femoral neck fracture
Purpose Osteoarthritis (OA), osteoporosis, and bone fractures are frequent aging-related conditions. Regardless of the growing research interest in the effects of hip OA on femoral fracture risk, data about the region specificity of osteodensitometric and hip structure analysis (HSA) parameters of...
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| Veröffentlicht in: | International orthopaedics 2022-12, Vol.46 (12), p.2747-2755 |
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| creator | Jadzic, Jelena Zagorac, Slavisa Djuric, Marija Djonic, Danijela |
| description |
Purpose
Osteoarthritis (OA), osteoporosis, and bone fractures are frequent aging-related conditions. Regardless of the growing research interest in the effects of hip OA on femoral fracture risk, data about the region specificity of osteodensitometric and hip structure analysis (HSA) parameters of the proximal femora are lacking in aged postmenopausal women with hip OA compared to individuals with femoral neck fragility fracture.
Methods
This study included 76 postmenopausal women admitted for total hip arthroplasty due to non-traumatic femoral neck fracture (FN_Fx group,
n
= 39) and hip osteoarthritis (OA group,
n
= 37).
Results
Osteodensitometric parameters differed significantly between the OA and FN_Fx groups, depicting lower bone mineral density in the FN_Fx group (
p
|
| doi_str_mv | 10.1007/s00264-022-05602-y |
| format | Article |
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Purpose
Osteoarthritis (OA), osteoporosis, and bone fractures are frequent aging-related conditions. Regardless of the growing research interest in the effects of hip OA on femoral fracture risk, data about the region specificity of osteodensitometric and hip structure analysis (HSA) parameters of the proximal femora are lacking in aged postmenopausal women with hip OA compared to individuals with femoral neck fragility fracture.
Methods
This study included 76 postmenopausal women admitted for total hip arthroplasty due to non-traumatic femoral neck fracture (FN_Fx group,
n
= 39) and hip osteoarthritis (OA group,
n
= 37).
Results
Osteodensitometric parameters differed significantly between the OA and FN_Fx groups, depicting lower bone mineral density in the FN_Fx group (
p
< 0.05). The most significant increase in these parameters was registered in the intertrochanteric region of the OA group. Moreover, the OA-induced changes in HSA-derived parameters displayed significant regional heterogeneity, with the intertrochanteric region showing the most notable difference between OA and FN_Fx group.
Conclusion
Our data may indicate that OA displayed the most prominent positive effect on the intertrochanteric femoral region, revealing the regional heterogeneity in structural geometry and biomechanical indices of proximal femora in OA individuals. Since we did not observe significant differences in the femoral neck region, we may speculate that OA does not have a substantial protective effect on the femoral neck fracture risk in aged postmenopausal women.
Graphical abstract</description><identifier>ISSN: 0341-2695</identifier><identifier>EISSN: 1432-5195</identifier><identifier>DOI: 10.1007/s00264-022-05602-y</identifier><identifier>PMID: 36222881</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Absorptiometry, Photon ; Aged ; Bone Density ; Female ; Femoral Neck Fractures - surgery ; Femur Neck - diagnostic imaging ; Hip Fractures ; Humans ; Medicine ; Medicine & Public Health ; Original Paper ; Orthopedics ; Osteoarthritis, Hip ; Postmenopause</subject><ispartof>International orthopaedics, 2022-12, Vol.46 (12), p.2747-2755</ispartof><rights>The Author(s) under exclusive licence to SICOT aisbl 2022. Springer Nature or its licensor holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2022. The Author(s) under exclusive licence to SICOT aisbl.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c228t-ebf2434b371fedc5e897edf322a195f599702289c43bc69690a35c694f9482573</cites><orcidid>0000-0002-3124-1400 ; 0000-0002-0010-0971 ; 0000-0001-6267-827X ; 0000-0003-1043-1077</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00264-022-05602-y$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00264-022-05602-y$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36222881$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jadzic, Jelena</creatorcontrib><creatorcontrib>Zagorac, Slavisa</creatorcontrib><creatorcontrib>Djuric, Marija</creatorcontrib><creatorcontrib>Djonic, Danijela</creatorcontrib><title>Hip structure analysis and femoral osteodensitometry in aged postmenopausal women with hip osteoarthritis and femoral neck fracture</title><title>International orthopaedics</title><addtitle>International Orthopaedics (SICOT)</addtitle><addtitle>Int Orthop</addtitle><description>
Purpose
Osteoarthritis (OA), osteoporosis, and bone fractures are frequent aging-related conditions. Regardless of the growing research interest in the effects of hip OA on femoral fracture risk, data about the region specificity of osteodensitometric and hip structure analysis (HSA) parameters of the proximal femora are lacking in aged postmenopausal women with hip OA compared to individuals with femoral neck fragility fracture.
Methods
This study included 76 postmenopausal women admitted for total hip arthroplasty due to non-traumatic femoral neck fracture (FN_Fx group,
n
= 39) and hip osteoarthritis (OA group,
n
= 37).
Results
Osteodensitometric parameters differed significantly between the OA and FN_Fx groups, depicting lower bone mineral density in the FN_Fx group (
p
< 0.05). The most significant increase in these parameters was registered in the intertrochanteric region of the OA group. Moreover, the OA-induced changes in HSA-derived parameters displayed significant regional heterogeneity, with the intertrochanteric region showing the most notable difference between OA and FN_Fx group.
Conclusion
Our data may indicate that OA displayed the most prominent positive effect on the intertrochanteric femoral region, revealing the regional heterogeneity in structural geometry and biomechanical indices of proximal femora in OA individuals. Since we did not observe significant differences in the femoral neck region, we may speculate that OA does not have a substantial protective effect on the femoral neck fracture risk in aged postmenopausal women.
Graphical abstract</description><subject>Absorptiometry, Photon</subject><subject>Aged</subject><subject>Bone Density</subject><subject>Female</subject><subject>Femoral Neck Fractures - surgery</subject><subject>Femur Neck - diagnostic imaging</subject><subject>Hip Fractures</subject><subject>Humans</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Paper</subject><subject>Orthopedics</subject><subject>Osteoarthritis, Hip</subject><subject>Postmenopause</subject><issn>0341-2695</issn><issn>1432-5195</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1v1DAQhi1E1S5t_wAH5COXgD22k_iIKkqRKnGBs-VNxt2UJA4eR1XO_HHMbuHAgZNHej9m_DD2Wop3UojmPQkBta4EQCVMLaDaXrCd1AoqI615yXZCaVlBbc0Fe0X0KIRs6laeswtVA0Dbyh37eTcsnHJau7wm5H7240YDlaHnAaeY_MgjZYw9zjTkOGFOGx9m7h-w50uRJpzj4lcqxqciz_xpyAd-KLXHnE_5kIb8T-WM3Xcekj9uvWJnwY-E18_vJft2-_HrzV11_-XT55sP91VXjs0V7gNopfeqkQH7zmBrG-yDAvDlu8FY2xQUre202ne1ra3wypRBB6tbMI26ZG9PvUuKP1ak7KaBOhxHP2NcyUEDGlRbK1OscLJ2KRIlDG5Jw-TT5qRwv-G7E3xXNrojfLeV0Jvn_nU_Yf838od2MaiTgYo0P2Byj3FNBTn9r_YXiFOTQw</recordid><startdate>20221201</startdate><enddate>20221201</enddate><creator>Jadzic, Jelena</creator><creator>Zagorac, Slavisa</creator><creator>Djuric, Marija</creator><creator>Djonic, Danijela</creator><general>Springer Berlin Heidelberg</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-3124-1400</orcidid><orcidid>https://orcid.org/0000-0002-0010-0971</orcidid><orcidid>https://orcid.org/0000-0001-6267-827X</orcidid><orcidid>https://orcid.org/0000-0003-1043-1077</orcidid></search><sort><creationdate>20221201</creationdate><title>Hip structure analysis and femoral osteodensitometry in aged postmenopausal women with hip osteoarthritis and femoral neck fracture</title><author>Jadzic, Jelena ; Zagorac, Slavisa ; Djuric, Marija ; Djonic, Danijela</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c228t-ebf2434b371fedc5e897edf322a195f599702289c43bc69690a35c694f9482573</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Absorptiometry, Photon</topic><topic>Aged</topic><topic>Bone Density</topic><topic>Female</topic><topic>Femoral Neck Fractures - surgery</topic><topic>Femur Neck - diagnostic imaging</topic><topic>Hip Fractures</topic><topic>Humans</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Paper</topic><topic>Orthopedics</topic><topic>Osteoarthritis, Hip</topic><topic>Postmenopause</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jadzic, Jelena</creatorcontrib><creatorcontrib>Zagorac, Slavisa</creatorcontrib><creatorcontrib>Djuric, Marija</creatorcontrib><creatorcontrib>Djonic, Danijela</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>International orthopaedics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jadzic, Jelena</au><au>Zagorac, Slavisa</au><au>Djuric, Marija</au><au>Djonic, Danijela</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Hip structure analysis and femoral osteodensitometry in aged postmenopausal women with hip osteoarthritis and femoral neck fracture</atitle><jtitle>International orthopaedics</jtitle><stitle>International Orthopaedics (SICOT)</stitle><addtitle>Int Orthop</addtitle><date>2022-12-01</date><risdate>2022</risdate><volume>46</volume><issue>12</issue><spage>2747</spage><epage>2755</epage><pages>2747-2755</pages><issn>0341-2695</issn><eissn>1432-5195</eissn><abstract>
Purpose
Osteoarthritis (OA), osteoporosis, and bone fractures are frequent aging-related conditions. Regardless of the growing research interest in the effects of hip OA on femoral fracture risk, data about the region specificity of osteodensitometric and hip structure analysis (HSA) parameters of the proximal femora are lacking in aged postmenopausal women with hip OA compared to individuals with femoral neck fragility fracture.
Methods
This study included 76 postmenopausal women admitted for total hip arthroplasty due to non-traumatic femoral neck fracture (FN_Fx group,
n
= 39) and hip osteoarthritis (OA group,
n
= 37).
Results
Osteodensitometric parameters differed significantly between the OA and FN_Fx groups, depicting lower bone mineral density in the FN_Fx group (
p
< 0.05). The most significant increase in these parameters was registered in the intertrochanteric region of the OA group. Moreover, the OA-induced changes in HSA-derived parameters displayed significant regional heterogeneity, with the intertrochanteric region showing the most notable difference between OA and FN_Fx group.
Conclusion
Our data may indicate that OA displayed the most prominent positive effect on the intertrochanteric femoral region, revealing the regional heterogeneity in structural geometry and biomechanical indices of proximal femora in OA individuals. Since we did not observe significant differences in the femoral neck region, we may speculate that OA does not have a substantial protective effect on the femoral neck fracture risk in aged postmenopausal women.
Graphical abstract</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>36222881</pmid><doi>10.1007/s00264-022-05602-y</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-3124-1400</orcidid><orcidid>https://orcid.org/0000-0002-0010-0971</orcidid><orcidid>https://orcid.org/0000-0001-6267-827X</orcidid><orcidid>https://orcid.org/0000-0003-1043-1077</orcidid></addata></record> |
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| source | MEDLINE; SpringerLink Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Absorptiometry, Photon Aged Bone Density Female Femoral Neck Fractures - surgery Femur Neck - diagnostic imaging Hip Fractures Humans Medicine Medicine & Public Health Original Paper Orthopedics Osteoarthritis, Hip Postmenopause |
| title | Hip structure analysis and femoral osteodensitometry in aged postmenopausal women with hip osteoarthritis and femoral neck fracture |
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