Girl predominance in trampoline-related forearm shaft fractures and their increasing incidence since 2000.

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Abstract

[Indexed for MEDLINE] Conflict of interest statement: This was a researcher initiated study with no commercial conflict of interest. The patients were not contacted for the study purpose. The informed consent was waived following official instructions by the Ethics Committee of Northern Finland Hospital District, ethical board evaluation was waived, and no ethics committee approval was needed. All methods were performed in accordance with the relevant guidelines and regulations of Declaration of Helsinki. The authors declare that they have no competing interests. 20. J Clin Densitom. 2022 Apr-Jun;25(2):208-214. doi: 10.1016/j.jocd.2021.07.012. Epub 2021 Aug 13. Clinical Characteristics and Fracture Patterns Among Postmenopausal Women with Isolated Osteoporosis at the Forearm. Chukir T(1), Haseltine K(2), Do H(3), McMahon DJ(4), Russell L(5), Stein EM(4). Author information: (1)Weill Cornell Medicine in Qatar, Doha, Qatar. (2)Endocrinology and Metabolic Bone Disease Service, Hospital for Special Surgery, New York, NY, USA. Electronic address: katherine.noto@gmail.com. (3)Healthcare Research Institute, Hospital for Special Surgery, New York, NY 10021, USA. (4)Endocrinology and Metabolic Bone Disease Service, Hospital for Special Surgery, New York, NY, USA. (5)Rheumatology, Hospital for Special Surgery, New York, NY, USA. Patients found to have isolated osteoporosis at the 1/3 radius (1/3RO) represent a therapeutic dilemma. It is unknown whether 1/3RO is associated with an increased risk of fragility fractures, and is therefore unclear whether these patients should be treated similarly to those with osteoporosis at central sites. This retrospective study investigated the clinical significance of 1/3RO by comparing medical history, fracture prevalence, areal BMD, and Trabecular Bone Score in postmenopausal women with 1/3RO (n = 107) to age-matched women with osteoporosis at the hip and/or spine (PMO, n = 214), and to controls without osteoporosis at any site (n = 214). We then compared the clinical and densitometric characteristics among women with 1/3RO according to fracture history. The mean age of the 535 women included in the study was 71 ± 8 yr. Women with 1/3RO had BMD in the osteopenic range at all other sites (mean spine T-score = -1.0, total hip = -1.4, femoral neck = -1.7). Women with 1/3RO reported similar calcium and vitamin D intake, prevalence of primary hyperparathyroidism, chronic kidney disease, and other comorbidities compared to the other groups. The prevalence of an osteoporotic fracture of the spine, hip, wrist, or humerus tended to be higher among women with PMO compared to 1/3RO or controls (PMO: 31%, 1/3RO: 21%, Controls: 23%, p = 0.07). Among women with 1/3RO, fracture prevalence was related to older age. No other clinical characteristic distinguished women with and without fracture. Neither BMD at other sites nor TBS differed according to fracture history. Among postmenopausal women with 1/3RO, those who are older are at an increased risk of fracture, even when T-scores at other sites are well above the osteoporosis threshold. Additional research is needed to confirm our results, and to assess whether treatment should be considered to reduce fracture risk in older women with 1/3RO. Copyright © 2021. Published by Elsevier Inc. DOI: 10.1016/j.jocd.2021.07.012