Bone mineral density is considered to be the standard measure for the diagnosis of osteoporosis and the assessment of fracture risk. The majority of fragility fractures occur in patients with bone mineral density in the osteopenic range. The Fracture Risk Assessment Tool (FRAX) can be used as an assessment modality for the prediction of fractures on the basis of clinical risk factors, with or w...

Optimising the results of fracture treatment requires a holistic view of both patients and treatment. The nature of the patient determines the priority targets for outcome, which differ widely between the elderly and the young, and between the victims of high and low energy trauma. The efficacy of treatment depends on the overall process of care and rehabilitation as well as the strategy adopte...

BACKGROUND Preventing falls and bone fractures in hospital care is an important issue in geriatric medicine. Use of hypnotics is a potential risk factor for falls and bone fractures in older patients. However, data are lacking on the association between use of hypnotics and the occurrence of bone fracture. METHODS We used a national inpatient database including 1,057 hospitals in Japan and in...

Osteoporosis and metabolic syndrome (MS) share similar risk factors. Previous studies of association between bone marrow density (BMD) and MS are controversial. Moreover, some studies revealed that MS is associated with BMD but not with bone fracture. In clinical practice, patients pay more attention to bone fracture risk than BMD values. Hence, this study aimed to evaluate the association betw...

Although the methods of reduction and fixation of fractures Have been constantly changing since the days of Hippocrates the method of healing has never changed, and never will. It takes a very considerable force to fracture a normal bone: If the bone breaks after a trivial accident the fracture is said to be Pathological. Bone shows an exception from the normal healing of other structures which...

Osteoporosis is a leading health problem worldwide due to the morbidity and mortality associated with fractures. However, a large number of fractures occur in persons without osteoporosis, when defined by bone mineral density alone. Numerous studies have shown that the risk of subsequent fracture is increased following fractures at most sites, and the increased risk is not limited to prior hip ...

conclusions we recognized this type of fracture and treated it similarly to both column fractures. we recommend that the classification of acetabular fractures be modified to include this type of fracture. introduction acetabular fractures are a common problem among young males. an acetabular fracture with disruption of the joint surface, if untreated, will rapidly lead to post-traumatic osteoa...

OBJECTIVE To determine, through bone histomorphometry in femoral neck, whether there are differences in the cancellous bone of the proximal femur from female patients over 60 years old who had femoral neck fracture and similar patients who did not have such fracture. METHODS We analyzed the trabecular part of the femur of 13 female patients, aged over 60 years old, by the bone histomorphometr...

The burden of hip fractures in elderly population has been growing worldwide. A particular focus has been directed towards identifying persons at high risk of fracture. However, bone mineral density (BMD), which is currently used in clinical settings as an indicator of risk of age-related fracture, cannot explain all fracture cases in the elderly. In fact, the risk of hip fractures in the elder...