Inadequate management for secondary fracture prevention in patients with distal radius fracture by trauma surgeons

2015 ◽  
Vol 26 (7) ◽  
pp. 1959-1963 ◽  
Author(s):  
T. Baba ◽  
H. Hagino ◽  
H. Nonomiya ◽  
T. Ikuta ◽  
E. Shoda ◽  
...  
Keyword(s):  
Distal Radius Fracture ◽  
Distal Radius ◽  
Fracture Prevention ◽  
Radius Fracture ◽  
Secondary Fracture ◽  
Secondary Fracture Prevention ◽  
Trauma Surgeons

Recent Update in the Diagnosis and Treatment of Bone Frailty in Patients with a Distal Radius Fracture

2016 ◽  
Vol 21 (03) ◽  
pp. 307-312 ◽  
Author(s):  
Young Ho Shin ◽  
Hyun Sik Gong
Keyword(s):  
Distal Radius Fracture ◽  
Distal Radius ◽  
The Elderly ◽  
Diagnosis And Treatment ◽  
Radius Fracture ◽  
Secondary Fracture ◽  
Subsequent Fracture ◽  
Extremity Fracture ◽  
History Of ◽  
Upper Extremity Fracture

Distal radius fracture (DRF) is the most common upper extremity fracture in the elderly. Patients with a DRF have a two to fourfold higher risk of a subsequent fracture than those with no history of fractures, and DRFs occur on average 15 years earlier than hip fractures. Therefore, patients with a DRF offer physicians an important opportunity to diagnose and treat osteoporosis to prevent a secondary fracture. In this review, we provide recent update in the diagnosis and treatment of bone frailty in patients with a DRF.

scholarly journals Frailty and Sarcopenia in Patients With Distal Radius Fracture: A Geriatric Perspective

2020 ◽  
Vol 11 ◽  
pp. 215145932090636
Author(s):  
Hatice Caliskan ◽  
Volkan Igdir ◽  
Cemile Ozsurekci ◽  
Emrah Caliskan ◽  
Meltem Halil
Keyword(s):  
Older People ◽  
Distal Radius Fracture ◽  
Distal Radius ◽  
Frailty Index ◽  
Fracture Prevention ◽  
Cross Sectional Study ◽  
Radius Fracture ◽  
Cross Sectional ◽  
European Working ◽  
Independent Variable

Introduction: Sarcopenia, which is described as loss of muscle mass and function, worsens daily living activities of older people. Sarcopenia is a component of frailty that causes falls and fractures in older people. The aim of this study was to evaluate sarcopenia and frailty status of older people with distal radius fracture (DRF) and compare with age- and sex-matched controls without DRF. Materials and Methods: This is an observational cross-sectional study including 27 patients with DRF and 28 controls without fracture who applied to geriatric outpatient clinic. Sarcopenia was diagnosed according to the definition of European Working Group on Sarcopenia in Older People 2. Frailty was assessed by Fried frailty index. Comprehensive geriatric assessment was applied to all participants. Results: Median ages were 70 and 69 years (min: 65, max: 87 in both) in patients with DRF and controls, respectively. The prevalence of sarcopenia was similar between the groups ( P = .48). Prefrail–frail (nonrobust) phenotype was higher in patients with DRF ( P = .04). Nonrobust phenotype was an independent variable predicting DRF in logistic regression models. Discussion: This study showed that nonrobust phenotype was an independent variable predicting DRF. Conclusion: Assessment of frailty and detecting patients with nonrobust phenotype may help clinicians in fracture prevention strategies.

scholarly journals No association between osteoporosis and AO classification of distal radius fractures: an observational study of 289 patients

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Anja M. Hjelle ◽  
Jan-Erik Gjertsen ◽  
Ellen M. Apalset ◽  
Roy M. Nilsen ◽  
Anja Lober ◽  
...  
Keyword(s):  
Observational Study ◽  
Distal Radius Fracture ◽  
Distal Radius ◽  
Distal Radius Fractures ◽  
Radius Fracture ◽  
Type B ◽  
Radius Fractures ◽  
Secondary Fracture ◽  
Ao Classification

Abstract Background It is mechanically plausible that osteoporosis leads to more severe peripheral fractures, but studies investigating associations between BMD and radiographically verified complexity of distal radius fractures are scarce. This study aims to study the association between osteoporosis, as well as other risk factors for fracture, and the AO classification of distal radius fractures. Methods In this observational study, 289 consecutive patients aged ≥40 years with a distal radius fracture were included. Bone mineral density (BMD) of the hips and spine was measured by dual-energy x-ray absorptiometry (DXA), and comorbidities, medication, physical activity, smoking habits, body mass index (BMI), and history of previous fracture were registered. The distal radius fractures were classified according to the Müller AO system (AO) (type B and C regarded as most complex). Results Patients with osteoporosis (n = 130) did not have increased odds of a more complex distal radius fracture (type B + C, n = 192)) (n = vs type A (n = 92) (OR 1.1 [95% CI 0.5 to 2.3]) compared to those with osteopenia /normal BMD (n = 159). Patients with AO fracture types A or C had a higher prevalence of osteoporosis than patients with type B fracture. Conclusions Distal radius fracture patients with osteoporosis did not sustain more complex fractures than those with osteopenia/normal BMD according to the AO classification system. The AO classification of distal radius fracture cannot be used to decide which patients should be referred to DXA scan and considered for secondary fracture prevention.

scholarly journals Low-Energy Pelvic Ring Fractures: A Care Conundrum

2021 ◽  
Vol 12 ◽  
pp. 215145932098540
Author(s):  
Bailey R. Abernathy ◽  
Lisa K. Schroder ◽  
Deborah C. Bohn ◽  
Julie A. Switzer
Keyword(s):  
Acute Care ◽  
Patient Population ◽  
Pelvic Ring ◽  
Fracture Prevention ◽  
Low Energy ◽  
Care Pathways ◽  
Secondary Fracture ◽  
Secondary Fracture Prevention ◽  
Pelvic Ring Fractures ◽  
Rehabilitative Care

Introduction: A need exists for improved care pathways for patients experiencing low-energy pelvic ring fractures. A review of the current literature was performed to understand the typical patient care and post-acute rehabilitation pathway within the US healthcare system. We also sought to summarize reported clinical outcomes worldwide. Significance: Low-energy pelvic ring fracture patients usually do not qualify for inpatient admission, yet they often require post-acute rehabilitative care. The Center for Medicare and Medicaid Services’ (CMS) 3-day rule is a barrier to obtaining financial coverage of this rehabilitative care. Results: Direct admission of some patients to post-acute care facilities has shown promise with decreased cost, improved patient outcomes, and increased patient satisfaction. Secondary fracture prevention programs may also improve outcomes for this patient population. Conclusions: Post-acute care innovation and secondary fracture prevention should be prioritized in the low-energy pelvic fragility fracture patient population. To demonstrate the effect and feasibility of these improved care pathways, further studies are necessary.

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