The exclusion of high trauma fractures may underestimate the prevalence of bone fragility fractures in the community : the Geelong Osteoporosis Study Sanders, K. M., Pasco, J. A., Ugoni, A. M., Nicholson, G. C., Seeman, E., Martin, T. J., Skoric, B., Panahi, S. and Kotowicz, M. A. 1998, The exclusion of high trauma fractures may underestimate the prevalence of bone fragility fractures in the community : the Geelong Osteoporosis Study, Journal of bone and mineral research, vol. 13, no. 8, pp. 1337-1342, doi: 10.1359/jbmr.1998.13.8.1337. Attached Files Name Description MIMEType Size Downloads Title The exclusion of high trauma fractures may underestimate the prevalence of bone fragility fractures in the community : the Geelong Osteoporosis Study Author(s) Sanders, K. M. Pasco, J. A. Ugoni, A. M. Nicholson, G. C. Seeman, E. Martin, T. J. Skoric, B. Panahi, S. Kotowicz, M. A. Journal name Journal of bone and mineral research Volume number 13 Issue number 8 Start page 1337 End page 1342 Total pages 6 Publisher Wiley - Blackwell Place of publication Durham, NC Publication date 1998-08 ISSN 0884-0431 1523-4681 Keyword(s) Accidental Falls Adult Age Factors Aged, 80 and over Australia Bone Density Densitometry, X-Ray Summary Fractures associated with severe trauma are generally excluded from estimates of the prevalence of osteoporotic fractures in the community. Because the degree of trauma is difficult to quantitate, low bone mass may contribute to fractures following severe trauma. We ascertained all fractures in a defined population and compared the bone mineral density (BMD) of women who sustained fractures in either 'low' or 'high' trauma events with the BMD of a random sample of women from the same population. BMD was measured by dual-energy X-ray absorptiometry and expressed as a standardized deviation (Z score) adjusted for age. The BMD Z scores (mean ± SEM) were reduced in both the low and high trauma groups, respectively: spine-posterior-anterior (- 0.50 ± 0.05 and -0.21 ± 0.08), spine-lateral (-0.28 ± 0.06 and -0.19 ± 0.10), femoral neck (-0.42 ± 0.04 and -0.26 ± 0.09), Ward's triangle (- 0.44 ± 0.04 and -0.28 ± 0.08), trochanter (-0.44 ± 0.05 and -0.32 ± 0.08), total body (-0.46 ± 0.06 and -0.32 ± 0.08), ultradistal radius (- 0.47 ± 0.05 and -0.42 ± 0.07), and midradius (-0.52 ± 0.06 and -0.33 ± 0.09). Except at the PA spine, the deficits were no smaller in the high trauma group. Compared with the population, the age-adjusted odds ratio for osteoporosis (t-score < -2.5) at one or more scanning sites was 3.1 (95% confidence interval 1.9, 5.0) in the high trauma group and 2.7 (1.9, 3.8) in the low trauma group. The data suggest that the exclusion of high trauma fractures in women over 50 years of age may result in underestimation of the contribution of osteoporosis to fractures in the community. Bone density measurement of women over 50 years of age who sustain fractures may be warranted irrespective of the classification of trauma. Language eng DOI 10.1359/jbmr.1998.13.8.1337 Field of Research 119999 Medical and Health Sciences not elsewhere classified Socio Economic Objective 970111 Expanding Knowledge in the Medical and Health Sciences HERDC Research category C1.1 Refereed article in a scholarly journal Copyright notice ©1998, American Society for Bone and Mineral Research Persistent URL http://hdl.handle.net/10536/DRO/DU:30042835 Document type: Journal Article Collection: School of Medicine Related Links Link Description Connect to published version (restricted access) Go to link with your DU access privileges     Unless expressly stated otherwise, the copyright for items in DRO is owned by the author, with all rights reserved. Versions Version Filter Type Mon, 05 Mar 2012, 11:17:34 EST Mon, 02 Jul 2012, 09:59:07 EST Mon, 02 Jul 2012, 12:54:27 EST Mon, 02 Jul 2012, 12:55:23 EST Fri, 13 Jun 2014, 13:08:18 EST Filtered Full Citation counts:   Cited 117 times in TR Web of Science Cited 128 times in Scopus Search Google Scholar Access Statistics: 146 Abstract Views, 0 File Downloads  -  Detailed Statistics Created: Mon, 05 Mar 2012, 11:17:34 EST

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