Calcaneal bone density as a screening tool for osteoporosis
Journal Title: International Journal of Orthopaedics Sciences - Year 2017, Vol 3, Issue 4
Abstract
Introduction: Osteoporosis is a common disease in elderly associated with high morbidity and economic burden. Low bone mass is the strongest predictor of low and moderate energy fracture risk. As there are accurate as well as safe diagnostic tests available and treatment is effective, early diagnosis and quantification of bone loss and fracture risk have become more important so that it can slow or even reverse the progression of osteoporosis. Material and Methods: This is a prospective study, conducted on patients with intertrochantric and neck of femur fractures in the age group of 50 to 75 years. The period of study is 6 months from May 2017 to October 2017. 96 Patients (34 neck of femur and 62 intertrochantric fractures) were selected into the study from those presenting to Victoria hospital and Bowring hospital, Bangalore medical college and research institute, Bangalore. The calcaneal X ray of the uninjured limb was taken along with the X ray of pelvis with both hip joint. The films were then scored based on the trabecular pattern by 2 different observers and recorded in separate charts. After a minimum of 2 weeks, the same observers scored the radiographs again for assessment of intra-observer reproducibility. Calcaneal index score and Singhs index scores were compared. Results: As the age progressed there is a linear relationship in the bone density and the calcaneal index scored. However there is some discrepancy in the score of Singhs index and Calcaneal index. But this difference is not a statistically significant. Conclusion: Calcaneal index can be used as a screening tool for diagnosing osteoporosis, it is cost effective, requires less radiation dose exposure and the radiation directed away from the gonads, even though it does not predict the exact bone density.
Authors and Affiliations
Dr. Sharath Kumar P V, Akash Hosthota
Keywords
Related Articles
- EP ID EP481778
- DOI 10.22271/ortho.2017.v3.i4g.67
- Views 120
- Downloads 0
A comparative study of plating versus nailing in distal tibia metaphyseal fractures
Background: Distal tibia fractures continue to be one of the most controversial fractures that we treat. The best option for surgical treatment of distal tibia fractures is still unclear. Aim of treating such fracture is...
Role of flexible elastic nails in diaphyseal fractures of long bones of lower extremities in children of 5-14 years of age
Femoral and tibial fractures are common long-bone injuries in children. Above five years of age all such fractures, when treated conservatively could lead to loss of reduction, malunion, intolerance and complications ass...
Is dynamic compression plate better than interlocking nail in treatment of adult fracture shaft of Humerus? - A prospective comparative study
Introduction: In past all fracture shaft humerus due to low velocity trauma was managed conservatively. However, in recent years the increasing high-speed motor vehicular accidents has posed a greater challenge on treati...
Evaluation of extra-articular distal humerus diaphyseal fractures treated with single pre-contoured locking lateral column plating
Background: A prospective study was done in the Department of Orthopedics in D.Y HOSPITAL, Navi Mumbai from January 2015 to May 2017 to evaluate outcomes of single column plating in extra articular distal comminuted as w...
A study of humerus shaft fractures treated with dynamic compression plating
Background and Objective: Management of humeral shaft fractures has historically been largely conservative. A significant body of literature has shown that functional bracing may achieve greater than 90% union rates and...