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2023, Number 1

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Investigación en Discapacidad 2023; 9 (1)

Association between osteoporosis and the AO classification of distal radius fractures

Chaman-Alvarado JAR, Espinosa-Gutiérrez AJ, Ballesteros-Riverón FT

Language: Spanish
References: 27
Page: 5-12
PDF size: 233.83 Kb.


ABSTRACT

Introduction: bone mineral density (BMD) is a known risk factor for distal radius fractures. However, there is no reported evidence of the association between low BMD and the complexity of the fracture line. Objective: this study attempts to find the association of low BMD, as well as other risk factors, with the AO (Arbeitsgemeinschaft für Osteosynthesefragen) classification of distal radius fracture. Material and methods: 144 medical records of patients older than 44 years of age with information on centripetal bone mineral density, smoking habit, body mass index and mechanism of trauma were studied. Fractures were classified according to the AO 2018 system using tomography with 3D reconstruction. Results: it was found that there is a relationship between a low BMD with simple fracture lines if they were due to a low energy mechanism (OR = 0.15; p = 0.009). However, the high energy mechanism increases the risk of suffering complex fractures regardless of the degree of BMD (OR = 5.56). Conclusion: there is a relationship between a low BMD and a simple line of distal radius fracture according to the AO classification. However, a high-energy trauma mechanism is a sufficient factor to generate a complex fracture line.


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