Morphometric Parameters of the Proximal Femur in Nepalese Population: A Cross-sectional Study

2020 ◽  
Vol 3 (2) ◽  
pp. 8-12
Author(s):  
Bishnu Pokharel ◽  
Ashok Raj Pant ◽  
Pashupati Chaudhary ◽  
Guru Prasad Khanal
Keyword(s):  
Femoral Neck ◽  
Proximal Femur ◽  
Cross Sectional Study ◽  
Morphometric Parameters ◽  
Radiographic Measurement ◽  
Sectional Study ◽  
Cross Sectional ◽  
Neck Width ◽  
Femur Fractures ◽  
Femoral Neck Width

Background: Most of the proximal femur fractures are managed surgically by internal fiation with a variety of implants. Improperly designed or ill-fited implant may lead to a failure of fiation, breakage of implant and nonunion, thus increasing the morbidity and the cost of treatment. This study was conducted to evaluate the radiographic morphometry of the proximal femur which may be helpful in designing the implants for the Nepalese population. Methods: In this cross-sectional study, 84 patients aged 18 years and above with traumatic unilateral hip fracture were enrolled. Anthropometric measurements were recorded. The postoperative check X-ray in the antero-posterior view of the pelvis and bilateral hip were assessed. Various morphometric parameters of the proximal femur were measured and recorded in the radiograph of the unaffcted limb using a digital caliper. Results: Out of 84 patients, 47 were male. The mean ± SD femoral neck width, femoral neck length, femoral axis length, cervico-diaphyseal angle, acetabular tear-drop distance, and great trochanter-pubic symphysis distance were 36.10 ± 5.67 mm, 28.29 ± 4.18 mm, 104.51 ± 9.56 mm, 130.35 ± 8.67°, 32.56 ± 11.05 mm, and 163.07 ± 10.71 mm respectively. The femoral neck width was found to be signifiantly larger in males (39.08 ± 3.06 mm) than in females (32.32 ± 5.99 mm, p < 0.001). Conclusion: This study determined the radiographic measurement of the proximal femur and found that the femoral neck width of the males was larger than that of the females.

scholarly journals Evaluation of Radiographic Measurement of Mental Foramen in Selected Urban Population

KYAMC Journal ◽  
2019 ◽  
Vol 10 (1) ◽  
pp. 31-34
Author(s):  
Sutapa Sarker ◽  
Siba Pada Roy ◽  
Tazdik G Chowdhury ◽  
Dilruba Rahman ◽  
Md Mahfuz Hossain ◽  
...  
Keyword(s):  
Urban Population ◽  
Sampling Technique ◽  
Vertical Axis ◽  
Mental Foramen ◽  
Cross Sectional Study ◽  
Radiographic Measurement ◽  
Horizontal Position ◽  
Sectional Study ◽  
Cross Sectional ◽  
Bangladeshi Population

Background: To determine the most common position of both mental foramen in selected Bangladeshi population. Materials and Methods: This was a cross sectional study. Convenient sampling technique was used. For this seventy five panoramic radiographs of Bangladeshi population were taken from Out Patient Department of MH Samorita dental unit, Dhaka, Bangladesh. Result: The most common Horizontal position of the mental foramen was in line with second premolar (position 4). In vertical axis, the location of MF in lower half of body of mandible was found in all OPGs (100%). Conclusion: The knowledge about the position of the mental foramen may be helpful to the dental surgeons to achieve full anesthesia after nerve block. KYAMC Journal Vol. 10, No.-1, April 2019, Page 31-34

scholarly journals Bone Size and Volumetric Density in Women with Anorexia Nervosa Receiving Estrogen Replacement Therapy and in Women Recovered from Anorexia Nervosa

2000 ◽  
Vol 85 (9) ◽  
pp. 3177-3182 ◽  
Author(s):  
Magnus K. Karlsson ◽  
Susan J. Weigall ◽  
Yunbo Duan ◽  
Ego Seeman
Keyword(s):  
Anorexia Nervosa ◽  
Femoral Neck ◽  
Replacement Therapy ◽  
Vertebral Body ◽  
Estrogen Replacement Therapy ◽  
Bone Size ◽  
Estrogen Replacement ◽  
Cross Sectional ◽  
Neck Width ◽  
Femoral Neck Width

Abstract Anorexia nervosa is associated with bone loss during adulthood, but may also delay skeletal growth and mineral accrual during growth. We asked the following questions. 1) Is anorexia nervosa associated with reduced bone size and reduced volumetric bone mineral density (vBMD)? 2) Is estrogen replacement therapy (ERT) or recovery from anorexia nervosa associated with normal bone size and vBMD? Using dual-energy x-ray absorptiometry, we measured bone size and vBMD of the third lumbar vertebra and femoral neck in a cross-sectional study of 161 female patients: 77 with untreated anorexia nervosa, 58 with anorexia nervosa receiving ERT, 26 recovered from anorexia nervosa, and 205 healthy age-matched controls. Results were expressed as the sd or z-score (mean ± sem). Deficits in vertebral body and femoral neck width in untreated women were −1.0 ± 0.1 and −0.3 ± 0.1 sd (P &lt; 0.001 and P &lt; 0.05, respectively). Deficits in bone width were less in the ERT-treated women than in untreated women at the vertebral body (−0.6 ± 0.1 sd; P &lt; 0.001), but not at the femoral neck (−0.4 ± 0.2 sd;P &lt; 0.05). There were no significant deficits in vertebral body and femoral neck width in recovered women (both −0.3 ± 0.2 sd; P = NS). In untreated women, vertebral and femoral neck vBMD were −1.6 ± 0.1 and −1.1 ± 0.1 sd, respectively (both P &lt; 0.001), less severely reduced in ERT-treated women (−1.2 ± 0.2 and −0.6 ± 0.2 sd, respectively; both P &lt; 0.001), and least reduced in recovered women (−0.6 ± 0.1 and −0.5 ± 0.2 sd;P &lt; 0.01 and P &lt; 0.05, respectively). After adjusting for differences in fat and lean mass, vertebral body and femoral neck width were no longer reduced in untreated, ERT-treated, and recovered women. Adjustment for body composition had little effect on group difference in vBMD. Bone fragility in anorexia nervosa is due to reduced bone size and reduced vBMD. Although causality cannot be inferred in cross- sectional studies, the data are consistent with the view that malnutrition may contribute to reduced bone size, whereas estrogen deficiency may reduce vBMD. The use of ERT early in disease is a reasonable component of management if the chance of recovery appears remote.

scholarly journals Hyponatremia in elderly patients with fragility fractures of the proximal femur: a cross-sectional study

2019 ◽  
Vol 41 (4) ◽  
pp. 518-525
Author(s):  
Aída Fernanda Batista Rocha ◽  
Marcus Villander Barros De Oliveira Sá ◽  
Ubirace Fernando Elihimas Junior
Keyword(s):  
Proximal Femur ◽  
Fragility Fractures ◽  
Cross Sectional Study ◽  
Electrolyte Balance ◽  
Cross Sectional ◽  
Mortality And Morbidity ◽  
Elderly Individuals ◽  
Proximal Femur Fractures ◽  
Femur Fractures ◽  
Balance Disorder

ABSTRACT Introduction: Proximal femur fractures affect the mortality and morbidity of elderly individuals. Recent studies have shown an association between fragility fractures and hyponatremia, a common fluid and electrolyte balance disorder. Objectives: This study aimed to investigate the occurrence of hyponatremia in patients with fragility fractures of the proximal femur. Methods: The authors looked into the data from the medical records of patients admitted to the emergency unit of the Real Hospital Português for fragility fractures of the proximal femur from 2014 to 2017. The study included patients with serum sodium levels recorded in their charts. Results: Fourteen of 69 (20.3%) patients with proximal femur fractures had hyponatremia. The main factors linked to hyponatremia were lung disease, and prescription of amiodarone and/or antidepressants. Conclusion: In elderly individuals, fragility fractures of the proximal femur may correlate with hyponatremia, particularly among patients on amiodarone or antidepressants.

scholarly journals Decreased Serum Maresin 1 Concentration Is Associated With Postmenopausal Osteoporosis: A Cross-Sectional Study

2022 ◽  
Vol 8 ◽  
Author(s):  
Jing Wu ◽  
Xin-Yue Li ◽  
Xia Fang ◽  
Fang-Yuan Teng ◽  
Yong Xu
Keyword(s):  
Lumbar Spine ◽  
Femoral Neck ◽  
Postmenopausal Women ◽  
Postmenopausal Osteoporosis ◽  
Cross Sectional Study ◽  
Normal Group ◽  
Sectional Study ◽  
Cross Sectional ◽  
Amino Terminal ◽  
Maresin 1

Background: Maresin 1 plays a role in the regulation of inflammation and metabolic diseases in vivo. An increasing number of studies have reported that postmenopausal osteoporosis (PMOP) is associated with inflammation. However, the potential relationship between the serum Maresin 1 content and PMOP is unclear.Aims: 1) To evaluate the Maresin 1 content in postmenopausal women with osteopenia, osteoporosis, or without these conditions (normal group) and 2) to analyze the correlations between Maresin 1 concentrations and bone mineral density (BMD) and bone turnover markers.Methods: In this cross-sectional study, we measured serum Maresin 1 concentrations, serum biochemical parameters, markers of bone metabolism, and BMD of the femoral neck, lumbar spine, and hip in 141 postmenopausal women.Results: We found that serum Maresin 1 in the osteopenia (140.09 ± 30.54 pg/ml) and PMOP (124.68 ± 31.35 pg/ml) groups were significantly lower than those in the normal group (167.38 ± 24.85 pg/ml) (P &lt; 0.05 and P &lt; 0.001). Serum Maresin 1 levels were positively correlated with femoral neck, lumbar spine, and hip BMD (P &lt; 0.001). Meanwhile, Maresin 1 concentrations were positively associated with 25-hydroxyvitamin D [25(OH)D] levels (P &lt; 0.001), but negatively correlated with β-CrossLaps of type 1 collagen containing cross-linked C-telopeptide (β-CTX) (P = 0.002), procollagen type I amino-terminal propeptide (PINP) (P = 0.004), tartrate-resistant acid phosphatase 5b (TRAP-5b) (P = 0.005), and osteocalcin (OC) levels (P = 0.001). Multivariate logistic regression analysis showed that a decrease in Maresin 1 concentration was still associated with osteopenia (P = 0.035) or PMOP (P = 0.016). Maresin 1 levels had a maximum area under curve of 0.820 for osteopenia and 0.746 for PMOP (P &lt; 0.001). Our results showed that the serum Maresin 1 levels were reduced in osteopenia and PMOP patients compared with that in normal subjects, and were the lowest in the PMOP subjects. The results suggest that Maresin 1 may serve as a new non-invasive diagnostic biomarker for PMOP.

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