J Back Musculoskelet Rehabil:骨质疏松症增加老年人髋部骨折风险

2018-12-27 MedSci MedSci原创

本研究旨在确定髋部创伤患者的骨矿物质密度(BMD),臀大肌肌肉体积和髋部骨折类型之间的关系。研究共纳入134名患者;研究组76例[平均年龄71.89(65-80)](髋部骨折组),58例为对照组[平均年龄71.27(65-80)](无骨折的髋部创伤)。评估骨折类型,股骨头直径(FHD)和体重指数(BMI)。根据AO/OTA分类评估骨折类型。通过计算机断层扫描(CT)评估总臀大肌体积t(GMV)。结

本研究旨在确定髋部创伤患者的骨矿物质密度(BMD),臀大肌肌肉体积和髋部骨折类型之间的关系。

研究共纳入134名患者;研究组76例[平均年龄71.89(65-80)](髋部骨折组),58例为对照组[平均年龄71.27(65-80)](无骨折的髋部创伤)。评估骨折类型,股骨头直径(FHD)和体重指数(BMI)。根据AO/OTA分类评估骨折类型。通过计算机断层扫描(CT)评估总臀大肌体积t(GMV)。

结果显示,两组中,BMD和tGMV/FHD,tGMV/BMI和tGMV之间存在明显的正相关。当比较关于总肌肉体积的组时,对照组的肌肉体积明显更高。

综上所述,该研究而记过表明,GMV对骨密度有影响。不应仅通过检查65岁以上患者的骨密度来评估髋部骨折的风险。临床意义在于,将老年人的臀肌体积增加到临界值以上可能有助于降低髋部骨折风险。

原始出处:

Turkmen I, Ozcan C. Osteosarcopenia increases hip fracture risk: A case-controlled study in the elderly. J Back Musculoskelet Rehabil. 2018 Dec 14. doi: 10.3233/BMR-181389. 

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    2018-12-29 liuquan
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    2018-12-29 qjddjq
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    2018-12-29 Eleven17