Prevalence of Osteoporosis in Patients with Distal Radius Fracture from Low-energy Trauma: An Observational Study

Introduction: Osteoporosis is characterized by low bone mass, leading to enhanced bone fragility. Low-energy fractures of distal radius are related to osteoporosis and is therefore related to increased risk of subsequent hip fractures. The objective of this study was to study the prevalence of oste...

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Main Authors: Manoj Kandel, Sarik Kumar Shrestha, Krishna Prasad Paudel, Sunil Panta, Deepak Banjade, Ramesh Syangtan, Sushil Thapa
Format: Article
Language:English
Published: Nepal Medical Association 2025-01-01
Series:Journal of Nepal Medical Association
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Online Access:https://www.jnma.com.np/jnma/index.php/jnma/article/view/8884
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author Manoj Kandel
Sarik Kumar Shrestha
Krishna Prasad Paudel
Sunil Panta
Deepak Banjade
Ramesh Syangtan
Sushil Thapa
author_facet Manoj Kandel
Sarik Kumar Shrestha
Krishna Prasad Paudel
Sunil Panta
Deepak Banjade
Ramesh Syangtan
Sushil Thapa
author_sort Manoj Kandel
collection DOAJ
description Introduction: Osteoporosis is characterized by low bone mass, leading to enhanced bone fragility. Low-energy fractures of distal radius are related to osteoporosis and is therefore related to increased risk of subsequent hip fractures. The objective of this study was to study the prevalence of osteoporosis in patients with distal radius fracture from low-energy trauma. This will emphasise the need to investigate these patients for osteoporosis and make practitioners should be aware of the possibility of osteoporosis in such patients. Methods: This observational cross-section study evaluated the prevalence of osteoporosis in patients with distal radius fracture from low-energy trauma among patients presenting to tertiary level hospital of Nepal from October 2022 to September 2023.The participants’ demographic data, mechanism of injury, BMD values and T-score values were recorded and diagnosis of osteoporosis and osteopenia was made according to WHO diagnostic criteria. Ethical approval was taken from Institutional Review Committee (Reference Number: 079/80-015). Results: The study involved 96 patients with mean age of 68.27±4.09 years. The mean BMD among the participants was 0.69±0.02 and the mean T-score was -2.75±0.23. Diagnosis of osteoporosis was made in 88 (91.67%) patients and diagnosis of osteopenia was made in 8 (8.33%) patients based on the T-score using the WHO criteria. Of the 88n(%) patients who met the diagnosis of osteoporosis, only 45 (46.88%) patients had started treatment with bisphosphonates for osteoporosis. Conclusions: We have found a high prevalence of osteoporosis among patients with low-energy distal radius fracture.
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spelling doaj-art-451dc1fab5ef435c8486ebbc79c5dc522025-02-04T09:26:18ZengNepal Medical AssociationJournal of Nepal Medical Association0028-27151815-672X2025-01-016328210.31729/jnma.8884Prevalence of Osteoporosis in Patients with Distal Radius Fracture from Low-energy Trauma: An Observational StudyManoj Kandel0Sarik Kumar Shrestha1Krishna Prasad Paudel2Sunil Panta3Deepak Banjade4Ramesh Syangtan5Sushil Thapa6Department of Orthopedics and Trauma Surgery, Bharatpur Hospital, Bharatpur, Chitwan, NepalDepartment of Orthopedics and Trauma Surgery, Bharatpur Hospital, Bharatpur, Chitwan, NepalDepartment of Orthopedics and Trauma Surgery, Bharatpur Hospital, Bharatpur, Chitwan, NepalDepartment of Orthopedics and Trauma Surgery, Bharatpur Hospital, Bharatpur, Chitwan, NepalDepartment of Orthopedics and Trauma Surgery, Bharatpur Hospital, Bharatpur, Chitwan, NepalDepartment of Orthopedics and Trauma Surgery, Bharatpur Hospital, Bharatpur, Chitwan, NepalDepartment of Orthopedics and Trauma Surgery, Bharatpur Hospital, Bharatpur, Chitwan, Nepal Introduction: Osteoporosis is characterized by low bone mass, leading to enhanced bone fragility. Low-energy fractures of distal radius are related to osteoporosis and is therefore related to increased risk of subsequent hip fractures. The objective of this study was to study the prevalence of osteoporosis in patients with distal radius fracture from low-energy trauma. This will emphasise the need to investigate these patients for osteoporosis and make practitioners should be aware of the possibility of osteoporosis in such patients. Methods: This observational cross-section study evaluated the prevalence of osteoporosis in patients with distal radius fracture from low-energy trauma among patients presenting to tertiary level hospital of Nepal from October 2022 to September 2023.The participants’ demographic data, mechanism of injury, BMD values and T-score values were recorded and diagnosis of osteoporosis and osteopenia was made according to WHO diagnostic criteria. Ethical approval was taken from Institutional Review Committee (Reference Number: 079/80-015). Results: The study involved 96 patients with mean age of 68.27±4.09 years. The mean BMD among the participants was 0.69±0.02 and the mean T-score was -2.75±0.23. Diagnosis of osteoporosis was made in 88 (91.67%) patients and diagnosis of osteopenia was made in 8 (8.33%) patients based on the T-score using the WHO criteria. Of the 88n(%) patients who met the diagnosis of osteoporosis, only 45 (46.88%) patients had started treatment with bisphosphonates for osteoporosis. Conclusions: We have found a high prevalence of osteoporosis among patients with low-energy distal radius fracture. https://www.jnma.com.np/jnma/index.php/jnma/article/view/8884bone densitydistal radial fractureosteoporosisosteoporotic fracture
spellingShingle Manoj Kandel
Sarik Kumar Shrestha
Krishna Prasad Paudel
Sunil Panta
Deepak Banjade
Ramesh Syangtan
Sushil Thapa
Prevalence of Osteoporosis in Patients with Distal Radius Fracture from Low-energy Trauma: An Observational Study
Journal of Nepal Medical Association
bone density
distal radial fracture
osteoporosis
osteoporotic fracture
title Prevalence of Osteoporosis in Patients with Distal Radius Fracture from Low-energy Trauma: An Observational Study
title_full Prevalence of Osteoporosis in Patients with Distal Radius Fracture from Low-energy Trauma: An Observational Study
title_fullStr Prevalence of Osteoporosis in Patients with Distal Radius Fracture from Low-energy Trauma: An Observational Study
title_full_unstemmed Prevalence of Osteoporosis in Patients with Distal Radius Fracture from Low-energy Trauma: An Observational Study
title_short Prevalence of Osteoporosis in Patients with Distal Radius Fracture from Low-energy Trauma: An Observational Study
title_sort prevalence of osteoporosis in patients with distal radius fracture from low energy trauma an observational study
topic bone density
distal radial fracture
osteoporosis
osteoporotic fracture
url https://www.jnma.com.np/jnma/index.php/jnma/article/view/8884
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