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Postural stability and Colles' fracture.

R G Crilly, L Delaquerrière Richardson, J H Roth

    Age and Ageing
    |May 1, 1987
    PubMed
    Summary
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    Postmenopausal women with Colles

    Area of Science:

    • Orthopedics
    • Biomechanics
    • Geriatrics

    Background:

    • Colles' fractures are common in postmenopausal women.
    • The cause is often attributed to bone loss, but postural instability may also play a role.

    Purpose of the Study:

    • To test the hypothesis that postural instability, not just bone loss, increases the risk of Colles' fractures in postmenopausal women.

    Main Methods:

    • Bone mass was measured using dual photon spinal densitometry and single photon wrist densitometry.
    • Postural sway was measured in 19 postmenopausal women with a history of Colles' fracture.

    Main Results:

    • Colles' fracture patients showed a slight reduction in bone mass.
    • Significantly increased postural sway was observed in Colles' fracture patients.

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  • Increased postural sway is a known characteristic of older individuals prone to falls.
  • Conclusions:

    • Postural instability is a significant factor contributing to Colles' fractures in a subset of postmenopausal women.
    • This instability increases their susceptibility to falls and subsequent fractures.