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The Association of Low Skeletal Muscle Mass with Complex Distal Radius Fracture
Chi-Hoon Oh1, Junhyun Kim1, Junhan Kim1
1Department of Orthopedic Surgery, CHA Bundang Medical Center, CHA University School of Medicine, 335 Pangyo-ro, Bundang-gu, Seongnam-si 13488, Gyeonggi-do, Korea.
Journal of Clinical Medicine
|October 14, 2022
Summary
Low skeletal muscle mass and cardiovascular disease (CVD) significantly increase the risk of distal radius fractures (DRF) in older adults. Female sex is also a predictor, while osteoporosis is not.
Area of Science:
- Gerontology
- Orthopedics
- Cardiology
Background:
- Sarcopenia, a skeletal muscle loss disease, is linked to adverse outcomes like falls and cardiovascular disease (CVD) in older patients.
- Distal radius fractures (DRF) are common in older individuals and strongly associated with falls.
Purpose of the Study:
- To investigate the correlation between distal radius fractures (DRF) and low skeletal muscle mass.
- To identify predictors of DRF in an aging population.
Main Methods:
- Retrospective review of 230 patients (115 with DRF, 115 without) between 2015-2020.
- Propensity score matching was used for patient selection.
- Multivariate logistic regression analyzed sex, BMI, low skeletal muscle mass, bone quality (DXA), and comorbidities (diabetes, CVD).
Main Results:
- Female sex (OR=3.435), CVD (OR=5.431), and low skeletal muscle mass (OR=8.062) were significant predictors of DRF.
- Body mass index (BMI) and osteoporosis were not statistically significant predictors of DRF.
Conclusions:
- Low skeletal muscle mass and cardiovascular disease are significant predictors of distal radius fractures in older adults.
- Female sex is also associated with an increased risk of DRF.
- Osteoporosis was not found to be a significant predictor in this study.
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