Icd 10 distal radius fracture1/20/2024 Osteopenia was diagnosed in 25 (11.5%) and osteoporosis in 94 (43.3%)13. Another large research in Germany conducted between January 2002 to September 2003 found that 217 of 652 got BMD investigated after having distal radius fracture. Another case-control study also in Norway in 1998-2000, demonstrated that 64 out of 171 (37%) patients with forearm fractures had osteoporosis 8. The corresponding values were 17% in male patients and 13% in male controls7. The results showed that the prevalence of osteoporosis was 34% in female patients and 10% in female controls. The patients were in the age range of 50-99 years. Øyen et al conducted a case-control study in Norway in 2003-2007 with 664 female and 85 male patients who had distal radius fractures and 554 female and 54 male controls. The importance of distal radius fracture from low-energy trauma as a predictor of osteoporosis is well established but the prevalence of osteoporosis in patients with distal radius fracture from low-energy trauma in Thailand has not been determined and data from other countries are limited. Therefore, a distal radius fracture from low-energy trauma should be a reminder to practitioners to be aware of the possibility of underlying osteoporosis and to investigate accordingly. However, the fracture itself increases the risk for a subsequent hip fracture, which can have devastating consequences for activities of daily living and may lead to mortality 7- 12. Several studies have shown that fractures of the distal radius from low-energy trauma are related to osteoporosis though not as strongly as hip or vertebral fractures. The known common sites of fractures are the spine, hip and distal radius 6. The hall-mark clinical manifestation of osteoporosis is a fracture from low-energy trauma. Osteoporosis is still under-diagnosed and under-treated in Asia 4, 5. The prevalence of osteoporosis is increasing year on year parallel with the rise in the ageing population, especially in Asia. The female to male ratio in individuals aged above 50 years reported by large series is 4:13. Rates of up to 50% have been recorded in individuals aged above 70 years 2. Osteoporosis is common and estimated to be 20% in Thailand 2 and rates increase with increasing age. Osteoporosis is a systemic skeletal disease characterised by low bone mass and microarchitectural deterioration of bone tissue, leading to enhanced bone fragility and a consequent increase in fracture risk 1. Assessing BMD is crucial in middle age and elderly patients with fractures to better manage osteoporosis and prevent more severe fractures in the future. No deaths were recorded.Ĭonclusion: Our study found a high rate of osteoporosis mostly in females, consistent with published literature. Seven (6 osteoporotic) patients suffered a more severe fracture subsequently. Most patients were aged 60-69 years old (n=31, 42.5%). Results: One hundred out of 351 patients with distal radial fractures had bone mineral density data but only 79 (73 females) met the inclusion criteria. Patients were grouped by age, sex, and BMD status (normal, osteopenic and osteoporotic). Patients with known secondary causes of osteoporosis were excluded. Patients aged more than 50 years with distal radial fractures from low-energy trauma with available bone mineral density (BMD) result were included. Materials and Methods: This was a descriptive retrospective study, performed at Thammasat University Hospital in Thailand, from January 2011 to June 2017. The objective of our study was to determine the prevalence of osteoporosis in patients with distal radius fracture from low-energy trauma. Patients with osteoporosis usually present with fractures from low-energy trauma and falls, commonly of the distal radius, which may precede more severe fractures like fracture of the neck of femur, but data from Thailand are limited. Introduction: Osteoporosis is a devastating problem leading to significant morbidity and mortality.
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