Structural Parameters of Proximal Femur in Evaluation of Its Strength



Cite item

Full Text

Abstract

Comparative assessment of software HAS for Hologic densitometer was performed in two groups of osteoporotic patients (mean age 60.4 years) with and without proximal femur fractures. The area of cross-section, cross-section moment of inertia, axial moment of section resistance, cortical bone thickness and coefficient of bending were assessed in three zones of the femur (narrow part of the neck, intertrochanteric and diaphyseal zones). Results of linear discriminant analysis showed that totality of 9 out of 15 geometric parameters assessed by that program enabled with 100% probability to differentiate patients with and without fractures and gave the background to introduce that method into clinical practice for timely detection of patients with high risk of proximal femur fracture.

About the authors

S. S Rodionova

Central Institute of Traumatology and Orthopaedics named after N.N. Priorov, Moscow, Russia

Email: rod06@inbox.ru

A. N Torgashin

Central Institute of Traumatology and Orthopaedics named after N.N. Priorov, Moscow, Russia

E. I Solod

Central Institute of Traumatology and Orthopaedics named after N.N. Priorov, Moscow, Russia

N. S Morozova

Central Institute of Traumatology and Orthopaedics named after N.N. Priorov, Moscow, Russia

A. K Morozov

Central Institute of Traumatology and Orthopaedics named after N.N. Priorov, Moscow, Russia

S. V Lapkina

Central Institute of Traumatology and Orthopaedics named after N.N. Priorov, Moscow, Russia

References

  1. International Osteoporosis Foundation. Osteoporosis costs EU countries EU 37 billion every year. 2013. http://www.eurekalert.org/pub_releases/2013-04/iofoce041413.php.
  2. Fonseca H., Moreira-Gonçalves D., Coriolano H.J., Duarte J.A. Bone quality: the determinants of bone strength and fragility. Sports Med. 2014; 44 (1): 37-53.
  3. Макаров М.А., Родионова С.С. Влияние структурных особенностей проксимального отдела бедренной кости на риск развития переломов шейки бедра при остеопорозе. Остеопороз и остеопатии. 2000; 1: 32-4.
  4. Родионова С.С., Макаров М.А., Колондаев А.Ф., Гаврюшенко Н.С., Морозов А.К. Значение минеральной плотности и показателей качества костной ткани в обеспечении ее прочности при остеопорозе. Вестник травматологии и ортопедии им. Н.Н. Приорова. 2001; 2: 76-81.
  5. Martin R.B., Burr D. Non-invasive measurement of long bone cross-sectional moment of inertia by photon absorptiometry. J. Biomech. 1984; 17: 195-201.
  6. Beck T.J., Ruff C.B., Warden K.E. Scott W.W. Jr., Rao G.U. Predicting femoral neck strength from bone mineral date. A structural approach. Invest. Radiol. 1990; 25 (1): 6-18.
  7. Crawford H., Thomas S. Roarks formulas for stress and strain. 6th ed. New York: McGraw-Hill; 1989: 688.
  8. Seeman E. The periosteum - a surface for all seasons. Osteoporosis Int. 2007; 18 (2): 123-8.
  9. Seeman E. Periosteal bone formation - a neglected determinant of bone strength. N. Engl. J. Med. 2003; 349 (4): 320-3.
  10. Lotz J. C., Cheal E. J., Hayes W.C. Stress distributions within the proximal femur during gait and falls implications for osteoporotic fractures. |Osteoporosis Int. 1995; 5 (4): 252-61.
  11. Bousson V., Le Bras A., Roqueplan F., Kang Y., Mitton D., Kolta S. et al. Volumetric quantitative computed tomography of the proximal femur: ralationships linking geometric and densitometric variables to bone strength. Role for compact bone. Osteoporosis Int. 2006; 17 (6): 855-64.

Supplementary files

Supplementary Files
Action
1. JATS XML

Copyright (c) 2014 Eco-Vector



СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: серия ПИ № ФС 77-76249 от 19.07.2019.


This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies