An Age- and Sex-Controlled Matched Pair Analysis of T Scores in Ethnic Indians with Hip Fractures
Objective. The first study to predict peritrochanteric fractures by the use of T scores amongst the Indian population was performed. This study aimed to assess the risk of fracture around the hip in peri-menopausal and postmenopausal women, and in men over the age of 35 years using dual energy X-ray...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2003-06-01
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| Series: | Journal of Orthopaedic Surgery |
| Online Access: | https://doi.org/10.1177/230949900301100106 |
| _version_ | 1818537823213453312 |
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| author | SV Vaidya D Dholakia S Yadav |
| author_facet | SV Vaidya D Dholakia S Yadav |
| author_sort | SV Vaidya |
| collection | DOAJ |
| description | Objective. The first study to predict peritrochanteric fractures by the use of T scores amongst the Indian population was performed. This study aimed to assess the risk of fracture around the hip in peri-menopausal and postmenopausal women, and in men over the age of 35 years using dual energy X-ray absorptiometry, and to analyse whether the result, i.e. the T score, can predict an impending hip fracture. Methods. T scores of the unaffected hip in 30 patients with peritrochanteric fractures were determined, and matched pair analysis was done using a control group without fracture. All patients were from a single centre and were evaluated using the same scanner. Results. The mean T score of the 30 patients in the fracture group was −3.34 (range, −1.2 to −5.1; standard deviation [SD], 1.032), compared with the mean T score of the 30 control subjects which was −2.41 (range, 0.6 to −5.0; SD, 1.378). T scores of patients from the fracture group were significantly lower than those in the control group. Conclusion. We infer that T scores are the best predictors for fracture risk. A score of −2.5 or lower effectively defines patients at risk and is useful for predicting fracture risk in the Indian population. In patients with osteoporosis, whether a fall precedes the fracture or the fracture precedes a fall may not be an issue of debate, but can serve as a basis for prevention of additional fractures by instituting appropriate measures in patients at risk. |
| first_indexed | 2024-12-11T18:55:44Z |
| format | Article |
| id | doaj.art-4c6ffd9a914d44b596b381c5af2e5585 |
| institution | Directory Open Access Journal |
| issn | 2309-4990 |
| language | English |
| last_indexed | 2024-12-11T18:55:44Z |
| publishDate | 2003-06-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Orthopaedic Surgery |
| spelling | doaj.art-4c6ffd9a914d44b596b381c5af2e55852022-12-22T00:54:09ZengSAGE PublishingJournal of Orthopaedic Surgery2309-49902003-06-011110.1177/230949900301100106An Age- and Sex-Controlled Matched Pair Analysis of T Scores in Ethnic Indians with Hip FracturesSV VaidyaD DholakiaS YadavObjective. The first study to predict peritrochanteric fractures by the use of T scores amongst the Indian population was performed. This study aimed to assess the risk of fracture around the hip in peri-menopausal and postmenopausal women, and in men over the age of 35 years using dual energy X-ray absorptiometry, and to analyse whether the result, i.e. the T score, can predict an impending hip fracture. Methods. T scores of the unaffected hip in 30 patients with peritrochanteric fractures were determined, and matched pair analysis was done using a control group without fracture. All patients were from a single centre and were evaluated using the same scanner. Results. The mean T score of the 30 patients in the fracture group was −3.34 (range, −1.2 to −5.1; standard deviation [SD], 1.032), compared with the mean T score of the 30 control subjects which was −2.41 (range, 0.6 to −5.0; SD, 1.378). T scores of patients from the fracture group were significantly lower than those in the control group. Conclusion. We infer that T scores are the best predictors for fracture risk. A score of −2.5 or lower effectively defines patients at risk and is useful for predicting fracture risk in the Indian population. In patients with osteoporosis, whether a fall precedes the fracture or the fracture precedes a fall may not be an issue of debate, but can serve as a basis for prevention of additional fractures by instituting appropriate measures in patients at risk.https://doi.org/10.1177/230949900301100106 |
| spellingShingle | SV Vaidya D Dholakia S Yadav An Age- and Sex-Controlled Matched Pair Analysis of T Scores in Ethnic Indians with Hip Fractures Journal of Orthopaedic Surgery |
| title | An Age- and Sex-Controlled Matched Pair Analysis of T Scores in Ethnic Indians with Hip Fractures |
| title_full | An Age- and Sex-Controlled Matched Pair Analysis of T Scores in Ethnic Indians with Hip Fractures |
| title_fullStr | An Age- and Sex-Controlled Matched Pair Analysis of T Scores in Ethnic Indians with Hip Fractures |
| title_full_unstemmed | An Age- and Sex-Controlled Matched Pair Analysis of T Scores in Ethnic Indians with Hip Fractures |
| title_short | An Age- and Sex-Controlled Matched Pair Analysis of T Scores in Ethnic Indians with Hip Fractures |
| title_sort | age and sex controlled matched pair analysis of t scores in ethnic indians with hip fractures |
| url | https://doi.org/10.1177/230949900301100106 |
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