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Method and Instrumented Fixture for Femoral Fracture Testing in a Sideways Fall-on-the-Hip Position
Published on: August 17, 2017
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Osteosarcopenia increases hip fracture risk: A case-controlled study in the elderly
Journal of Back and Musculoskeletal Rehabilitation
|December 26, 2018
Summary
Gluteus maximus muscle volume (GMV) positively correlates with bone mineral density (BMD) in elderly individuals. Increasing GMV may help reduce hip fracture risk in older adults.
Area of Science:
- Gerontology
- Orthopedics
- Biomedical Engineering
Background:
- Hip fractures are a significant concern in elderly populations.
- Bone mineral density (BMD) is a known risk factor for fractures.
- The role of muscle mass, specifically gluteus maximus muscle volume (GMV), in hip fracture risk requires further investigation.
Purpose of the Study:
- To investigate the relationship between BMD, GMV, and hip fracture type in patients with hip trauma.
- To explore potential correlations between muscle volume and bone density in an elderly cohort.
Main Methods:
- A cohort of 134 patients (76 hip fracture, 58 controls) aged 65-80 were analyzed.
- Computed tomography (CT) was used to assess total gluteus maximus volume (tGMV).
- Fracture type, femoral head diameter (FHD), and body mass index (BMI) were evaluated.
Main Results:
- Significant positive correlations were found between BMD and tGMV, tGMV/FHD, and tGMV/BMI in both groups.
- The control group (no fracture) exhibited significantly higher total muscle volume compared to the hip fracture group.
Conclusions:
- Gluteus maximus muscle volume (GMV) significantly impacts bone mineral density (BMD).
- Assessing hip fracture risk solely on bone density in individuals over 65 may be insufficient.
- Increasing gluteal muscle mass in the elderly could be a strategy to mitigate hip fracture risk.
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