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Low-energy distal radius fractures in middle-aged and elderly women--seasonal variations, prevalence of osteoporosis, and associates with fractures
Osteoporosis International, 09/29/09

Oyen G et al. – Environmental factor, as well as osteoporosis are associated with distal radius fractures in middle-aged and elderly women. Osteoporosis is also frequently found in outdoor patients, thus, all female distal radius fracture patients ≥ 50 years should be referred for osteoporosis assessment.

Methods

In 2-year period, 263 women ≥ 50 years suffered a low-energy distal radius fracture in geographic catchment area
214 women who met for osteoporosis assessment age-matched with 191 controls
BMD was assessed by dual energy X-ray absorptiometry at femoral neck, total hip, and lumbar spine
Demographic and clinical data collected

Results

Prevalence of indoor fractures showed no seasonal variance
Prevalence of outdoor fractures highest in winter
Prevalence of osteoporosis among patients with indoor fractures higher (58.5%) than outdoor fractures without (38.6%) and with snow/ice (36.0%)
Prevalence of osteoporosis higher in fracture patients (42.5%) than controls (24.1%) this was also found in the youngest age group 50–59 years (22.2% vs 1.8%)
In conditional logistic regression analyses osteoporosis, current use of glucocorticoids, and living alone independently associated with distal radius fractures

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