Journal Article

Evaluation of trabecular bone score in patients with a distal radius fracture

Kim, J., Shin, Y. H., Baek, G. H., Gang, D. H., Gong, H. S., Shin, H. S.

2016

Overview

Summary We compared bone mineral density (BMD) and trabecular bone score (TBS) in postmenopausal women with a distal radius fracture older than 50 years with controls. Total hip BMD was significantly different, but TBS was not different between two groups, suggesting TBS does not reflect microarchitectural changes of the distal radius. Introduction The purpose of this study was to determine whether trabecular bone score (TBS) has additive value for discriminating distal radius fracture (DRF) independent of BMD. Methods We compared BMD and TBS in 258 postmenopausal women with a DRF older than 50 years of age with age- and body mass index (BMI)-matched controls who had no history of osteoporotic fracture. BMD was measured at the lumbar spine and hip using dual energy X-ray absorptiometry scans (GE Lunar Prodigy). TBS was calculated on the same spine image. A multivariate logistic regression analysis was used to analyze the odds ratio (OR) for the occurrence of DRF using age, BMI, lumbar spine BMD, total hip BMD, and TBS. Results Patients with a DRF had significantly lower BMDs at hip (neck, trochanter and total) than those of controls: 0.752 ± 0.097, 0.622 ± 0.089, and 0.801 ± 0.099 in patients and 0.779 ± 0.092, 0.648 ± 0.089, 0.826 ± 0.101 in controls. However, lumbar spine BMD and TBS were not significantly different between the groups ( p  = 0.400 and 0.864, respectively). The multivariate analysis indicated that only total hip BMD was significantly associated with the occurrence of DRF (OR, 10.231; 95 % confidence interval, 1.724–60.702; p  = 0.010). Conclusions TBS was not different between women with a DRF and those without a history of osteoporotic fracture, suggesting that TBS measured at the lumbar spine does not reflect early microarchitectural changes of the distal radius. Only total hip BMD is associated with the risk of DRF in Korean women.

• Publisher: Springer London,Springer Nature B.V
• Subject: Absorptiometry, Photon / Aged / Body mass index / Bone Density / Bone mineral density / Cancellous bone / Cancellous Bone - pathology / Case-Control Studies / Dual energy X-ray absorptiometry / Endocrinology / Female / Fractures / Hip / Humans / Lumbar Vertebrae / Medicine / Medicine & Public Health / Middle Aged / Multivariate analysis / Neck / Original Article / Orthopedics / Osteoporosis / Osteoporotic Fractures - pathology / Post-menopause / Postmenopause / Radius / Radius Fractures - pathology / Rheumatology / Spine (lumbar) / Trochanter