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首页> 外文期刊>WMW Wiener Medizinische Wochenschrift >Expected frequency of femoral neck fractures by fall in the osteoporotic and osteopenic East Slovak female population: Epidemiological study
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Expected frequency of femoral neck fractures by fall in the osteoporotic and osteopenic East Slovak female population: Epidemiological study

机译：骨质疏松和骨质疏松的东斯洛伐克女性人群中因跌倒而导致的股骨颈骨折的预期发病率：流行病学研究

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摘要

OBJECTIVE OF THE STUDY: To compare an expected frequency of pathological FSI values with an expected frequency of pathological BMD (T-score ≤ −2.5 SD) in the total hip area in the East Slovak female population. PATIENTS AND METHODS: We analyzed the data in the sample of 3,215 East Slovak women with a primary or secondary osteopenia and osteoporosis and with risk factors for osteoporosis, aged 20–89 years, x = 58.9 years, 95% CI (55.15; 60.35). Measured variables: T-score total hip left and FSI left (femur strength index with dual energy X-ray absorptiometry. RESULTS: In the East Slovak female population we can expect 6.25% of women with osteoporosis in the total hip area and 14.54% of women with FSI <1, i.e. these women will suffer a femoral neck fracture in case of a fall. The expected frequency of the incidence of pathological FSI values of the East Slovak female population is 2.33 times higher than the expected frequency of the incidence of pathological T-score for osteoporosis measured in the total hip area. CONCLUSIONS: The measurement of FSI variable values may discover a higher percentage of women with a risk of femoral neck fracture by fall than the measurement of BMD variable values in the total hip area. This disproportion shows that even a patient with osteopenia measured in the total hip area may sustain a femoral neck fracture by fall, when she has adverse values of geometric variables of proximal femur (biomechanically unfavourable proximal femur configuration).
机译：这项研究的目的：比较东部斯洛伐克女性人口中整个髋关节区域的病理FSI值的预期频率与病理BMD的预期频率（T分数≤-2.5 SD）。患者和方法：我们分析了3,215名东斯洛伐克地区患有原发性或继发性骨质减少和骨质疏松症且有骨质疏松症危险因素的女性，年龄20-89岁，x = 58.9岁，95％CI（55.15; 60.35）。 。测量变量：左T总得分和左FSI（具有双能X线骨密度仪的股骨强度指数。结果）在东斯洛伐克女性人群中，我们可以预期有6.25％的女性患有骨质疏松症，占总髋关节的女性的14.54％ FSI <1的女性，即这些女性在跌倒时会遭受股骨颈骨折。东部斯洛伐克女性人群病理性FSI值的预期发病率比病理性发病率的预期发病率高2.33倍结论：在整个髋关节区域测量骨质疏松的T评分结论：FSI变量值的测量可能会发现比秋季BMD变量值在整个髋关节区域测量的女性有较高的患股骨颈骨折风险的百分比。不成比例的结果表明，即使在整个髋关节区域测量到骨质减少的患者，如果其对股骨近端的几何变量具有不良价值（biomech，不利的股骨近端构型）。

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