TY  - JOUR
PY  - 2010//
TI  - Expected frequency of femoral neck fractures by fall in the osteoporotic and osteopenic East Slovak female population: Epidemiological study
JO  - Wiener Medizinische Wochenschrift
A1  - Wendlova, J.
SP  - 399
EP  - 405
VL  - 160
IS  - 15-16
N2  - OBJECTIVE OF THE STUDY: To compare an expected frequency of pathological FSI values with an expected frequency of pathological BMD (T-score </= -2.5 SD) in the total hip area in the East Slovak female population. PATIENTS AND METHODS: We analyzed the data in the sample of 3,215 East Slovak women with a primary or secondary osteopenia and osteoporosis and with risk factors for osteoporosis, aged 20-89 years, x = 58.9 years, 95% CI (55.15; 60.35). Measured variables: T-score total hip left and FSI left (femur strength index with dual energy X-ray absorptiometry. RESULTS: In the East Slovak female population we can expect 6.25% of women with osteoporosis in the total hip area and 14.54% of women with FSI <1, i.e. these women will suffer a femoral neck fracture in case of a fall. The expected frequency of the incidence of pathological FSI values of the East Slovak female population is 2.33 times higher than the expected frequency of the incidence of pathological T-score for osteoporosis measured in the total hip area. CONCLUSIONS: The measurement of FSI variable values may discover a higher percentage of women with a risk of femoral neck fracture by fall than the measurement of BMD variable values in the total hip area. This disproportion shows that even a patient with osteopenia measured in the total hip area may sustain a femoral neck fracture by fall, when she has adverse values of geometric variables of proximal femur (biomechanically unfavourable proximal femur configuration).<p />  <p>Language: en</p>
LA  - en
SN  - 0043-5341
UR  - http://dx.doi.org/10.1007/s10354-010-0779-0
ID  - ref1
ER  -