Fracture

Glycation Product Linked to Hip Fracture Risk

Published: Nov 1, 2013 | Updated: Nov 1, 2013 By Cole Petrochko, Staff Writer, MedPage Today Full Story:  http://www.medpagetoday.com/Geriatrics/GeneralGeriatrics/42648 Action Points A characteristic of biological aging is the non-enzymatic glycation of long-lasting proteins, such as collagen, which weakens collagen’s biomechanical properties and leads to increased bone matrix stiffening and fragility. This study shows that increasing […]

More Medication Increases Hip Fracture Risk

The Study: Polypharmacy correlates with increased risk for hip fracture in the elderly: a population-based study. The Facts: a. Hip fracture is an important public health issue. b. The authors looked at the insurance claims of 2328 elderly patients in Taiwan who had previously suffered a hip fracture. c. They sought to see if hip […]

Calcium Supplements and Fracture Prevention

Douglas C. Bauer, M.D. N Engl J Med 2013; 369:1537-1543October 17, 2013DOI: 10.1056/NEJMcp1210380 This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the author’s clinical recommendations. A 62-year-old healthy woman presents for […]

Spine Injections May Set Stage for Fractures

Published: Jun 7, 2013 | Updated: Jun 10, 2013 By Elizabeth DeVita Raeburn , Contributing Writer, MedPage Today Download Complementary Copy of Article Action Points Lumbar epidural steroid injections are often prescribed for the treatment of radiculopathy or neurogenic claudication arising from compression of spinal nerves. In this retrospective cohort study, an increasing number of […]

Vitamin D Status Predicts Hip Fracture Risk

Published: May 17, 2013 | Updated: May 18, 2013 By Kristina Fiore , Staff Writer, MedPage Today Action Points In this prospective case-cohort study of hip fractures, there was an increased risk of hip fracture in subjects in the lowest compared to the highest quartile of serum 25-hydroxyvitamin D level. The association was stronger in […]

Central Fat Has Role in Women’s Fracture Risk

Published: Apr 12, 2013 By Nancy Walsh , Staff Writer, MedPage Today Action Points Older women with low abdominal fat stores were at substantially higher risk for fractures, particularly of the vertebrae. Note that fracture risk among both women and men was significantly greater with older age, previous fracture, history of falls, and lower bone […]

Effect of epidural steroid injection on bone mineral density and markers of bone turnover in postmenopausal women

Al-Shoha A, et al. Spine (Phila Pa 1976). 2012 Dec 1;37(25):E1567-71. doi: 10.1097/BRS.0b013e318270280e. Abstract STUDY DESIGN: A prospective, observational study. OBJECTIVE: To evaluate the effect of epidural steroid injection (ESI) on bone mineral density (BMD) in postmenopausal women. SUMMARY OF BACKGROUND DATA: ESIs are used to treat the pain associated with radiculopathy. Although it is […]

Flattening of sagittal spinal curvature as a predictor of vertebral fracture

Osteoporos Int. 2008 Jan;19(1):65-9. Epub 2007 Sep 14. Flattening of sagittal spinal curvature as a predictor of vertebral fracture. Kobayashi T Abstract In a 12-year prospective study of 100 adult volunteers, incident vertebral fractures were analyzed for potential predictors. Decreased sagittal spinal curvature and pre-existing fractures were identified as independent predictors. The risk of vertebral […]