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Inverse association between sarcopenia and displacement in the early phase of fragility fractures of the pelvis
OBJECTIVES: Fragility fractures of the pelvis (FFP) commonly occur in the frail elderly. Displacement in the posterior pelvic ring is recognized as the key sign of instability. This study aims to elucidate the relationship between computer tomography (CT)-based frailty markers and displacement of th...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Korean Society of Osteoporosis
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8987323/ https://www.ncbi.nlm.nih.gov/pubmed/35415276 http://dx.doi.org/10.1016/j.afos.2022.03.002 |
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author | Honda, Shintaro Ota, Satoshi Yamashita, Shinnosuke Yasuda, Tadashi |
author_facet | Honda, Shintaro Ota, Satoshi Yamashita, Shinnosuke Yasuda, Tadashi |
author_sort | Honda, Shintaro |
collection | PubMed |
description | OBJECTIVES: Fragility fractures of the pelvis (FFP) commonly occur in the frail elderly. Displacement in the posterior pelvic ring is recognized as the key sign of instability. This study aims to elucidate the relationship between computer tomography (CT)-based frailty markers and displacement of the posterior pelvic ring within 7 days after injury. METHODS: This retrospective study included 49 patients (42 females, 7 males) with FFP (type I 10, type II 24, type III 12, type IV 3). On a CT slice at the level of the third lumbar vertebra, skeletal muscle area, skeletal muscle radiation attenuation, and skeletal muscle index (SMI) were calculated as sarcopenia markers. Osteopenia was measured with trabecular region of interest attenuation technique on the same CT slice. RESULTS: There was no difference in the demographics between non-displaced and displaced FFP. CT-based data showed that patients with FFP had osteopenia. However, no difference was found between non-displaced and displaced FFP. SMI was higher in FFP types III/IV than non-displaced FFP when CT-based data on sarcopenia were compared among all patients. Female patients with FFP demonstrated similar results. Logistic regression analysis using the demographics and CT-based markers on sarcopenia and osteopenia revealed that SMI was a potential determinant of displacement of the posterior pelvic ring fractures. CONCLUSIONS: There was inverse association between sarcopenia and displacement of the posterior pelvic ring in the early phase of FFP. Relatively preserved muscle may develop displacement in the elderly with osteopenia. |
format | Online Article Text |
id | pubmed-8987323 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Korean Society of Osteoporosis |
record_format | MEDLINE/PubMed |
spelling | pubmed-89873232022-04-11 Inverse association between sarcopenia and displacement in the early phase of fragility fractures of the pelvis Honda, Shintaro Ota, Satoshi Yamashita, Shinnosuke Yasuda, Tadashi Osteoporos Sarcopenia Original Article OBJECTIVES: Fragility fractures of the pelvis (FFP) commonly occur in the frail elderly. Displacement in the posterior pelvic ring is recognized as the key sign of instability. This study aims to elucidate the relationship between computer tomography (CT)-based frailty markers and displacement of the posterior pelvic ring within 7 days after injury. METHODS: This retrospective study included 49 patients (42 females, 7 males) with FFP (type I 10, type II 24, type III 12, type IV 3). On a CT slice at the level of the third lumbar vertebra, skeletal muscle area, skeletal muscle radiation attenuation, and skeletal muscle index (SMI) were calculated as sarcopenia markers. Osteopenia was measured with trabecular region of interest attenuation technique on the same CT slice. RESULTS: There was no difference in the demographics between non-displaced and displaced FFP. CT-based data showed that patients with FFP had osteopenia. However, no difference was found between non-displaced and displaced FFP. SMI was higher in FFP types III/IV than non-displaced FFP when CT-based data on sarcopenia were compared among all patients. Female patients with FFP demonstrated similar results. Logistic regression analysis using the demographics and CT-based markers on sarcopenia and osteopenia revealed that SMI was a potential determinant of displacement of the posterior pelvic ring fractures. CONCLUSIONS: There was inverse association between sarcopenia and displacement of the posterior pelvic ring in the early phase of FFP. Relatively preserved muscle may develop displacement in the elderly with osteopenia. Korean Society of Osteoporosis 2022-03 2022-03-22 /pmc/articles/PMC8987323/ /pubmed/35415276 http://dx.doi.org/10.1016/j.afos.2022.03.002 Text en © 2022 The Korean Society of Osteoporosis. Publishing services by Elsevier B.V. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Original Article Honda, Shintaro Ota, Satoshi Yamashita, Shinnosuke Yasuda, Tadashi Inverse association between sarcopenia and displacement in the early phase of fragility fractures of the pelvis |
title | Inverse association between sarcopenia and displacement in the early phase of fragility fractures of the pelvis |
title_full | Inverse association between sarcopenia and displacement in the early phase of fragility fractures of the pelvis |
title_fullStr | Inverse association between sarcopenia and displacement in the early phase of fragility fractures of the pelvis |
title_full_unstemmed | Inverse association between sarcopenia and displacement in the early phase of fragility fractures of the pelvis |
title_short | Inverse association between sarcopenia and displacement in the early phase of fragility fractures of the pelvis |
title_sort | inverse association between sarcopenia and displacement in the early phase of fragility fractures of the pelvis |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8987323/ https://www.ncbi.nlm.nih.gov/pubmed/35415276 http://dx.doi.org/10.1016/j.afos.2022.03.002 |
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