Evaluation of association of fragility fracture and bone mineral density in Nepalese population

Authors

  • Md. Farid Amanullah Department of Orthopaedics, B.P. Koirala Institute of Health Sciences, Dharan,
  • BP Shrestha Department of Orthopaedics, B.P. Koirala Institute of Health Sciences, Dharan,
  • GP Khanal Department of Orthopaedics, B.P. Koirala Institute of Health Sciences, Dharan,
  • NK Karna Department of Orthopaedics, B.P. Koirala Institute of Health Sciences, Dharan,
  • S Ansari Department of Orthopaedics, B.P. Koirala Institute of Health Sciences, Dharan,
  • K Ahmad Department of Radiodiagnosis, B.P. Koirala Institute of Health Sciences, Dharan,

DOI:

https://doi.org/10.3126/njms.v2i2.8956

Keywords:

Bone mineral densitometer, fragility fracture, osteoporosis, T-score

Abstract

Background: Fragility fractures are one of the major health problems. Many factors are associated with it some of which are modifiable and some are not. If we know the value of T-score at which fragility fracture occurs and associated factors responsible for fragility fracture than we will be able to control this burden to the society. The objective of this study is to determine association between fragility fracture and bone mineral density (BMD) using bone densitometry and to know the value of T-score at which fragility fracture occurs.

Methods: Patients presenting to B.P. Koirala Institute of Health Sciences with fragility fracture of distal end of radius, fracture around hip and vertebral fractures were included in the study to know the value of T-score at which fragility fracture occurs and their associated risk factor. Patients less than 50 years of age, high energy trauma fracture and pathological fractures were excluded from the study.

Results: We found that being multipara, smoking, alcohol consumption, post-hysterectomized patients and steroid intake had significant association with fragility fracture. There was no association with religion, geographic location, associated medical illness, age, sex, associated injury and site of injury.

Conclusion: The patients with risk factor for fragility fracture like smoking, alcohol consumption, multipara women, post-hysterectomized women and those who are on long term steroid therapy should undergo BMD test and the value at -3.254 are prone to fragility fracture and should be treated accordingly.

Nepal Journal of Medical Sciences | Volume 02 | Number 02 | July-December 2013 | Page 130-134

DOI: http://dx.doi.org/10.3126/njms.v2i2.8956

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Published

2013-10-17

How to Cite

Amanullah, M. F., Shrestha, B., Khanal, G., Karna, N., Ansari, S., & Ahmad, K. (2013). Evaluation of association of fragility fracture and bone mineral density in Nepalese population. Nepal Journal of Medical Sciences, 2(2), 130–134. https://doi.org/10.3126/njms.v2i2.8956

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Section

Original Articles