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Evaluation of bone mineral density as an indicator of possible osteoporosis in patients with rib fracture

Year 2018, , 158 - 161, 30.09.2018
https://doi.org/10.18663/tjcl.453669

Abstract

Aim: The
most common pathology after thoracic trauma is rib fracture. In this study, it
was aimed to determine whether there is a correlation between characteristics
of fractures and bone mineral densities of patients treated with rib fracture
after trauma.

Material and Methods: All
patients were classified into the following two categories: i) Major trauma
(traffic accident, stomping, and fall from height) and minor trauma (falls on a
single level, after coughing, and after chopping wood); ii) Patients were also
divided into two groups, single rib fracture and multiple rib fractures. In all
patients, bone Hounsfield Unit (HU) measurements of L1, L2, and L3 corpuscles
entering the thoracic tomography crosssections were performed and their average
was recorded. The results were statistically analyzed using the t-test.

Results: Of
the 23 patients included in the study (4 women, 19 men), all were over 18 years
of age and the mean age was 52.1 (32-89) years. There were 12 patients with
major trauma, 11 patients with minor trauma. There were only one rib fracture
in 7 patients and multiple rib fractures in 16 patients. The mean bone density
of all patients was 177.82.







Conclusion: The
detection of significantly lower densities in a single rib fracture suggests
that an injury that may not cause fracture in normal bone densities is likely
to cause a single rib fracture in these patients. Patients whose bone mineral
density average was lower than 160 were more likely to have rib fractures with
minor trauma. 

References

  • 1. Liebsch C, Seiffert T, Vlcek M et al. The fracture patterns of serial rib fractures: A retrospective analysis of 383 cases. Ortopaedic Proceedings 2018; 100: 92-92.
  • 2. Pereira L, Bliuc D, Stanford P, Eisman JA, Center JR. More-than-minimal-trauma fractures are associated with low bone density: an 8-year prospective study. Osteoporos Int 2017; 28: 103-10.
  • 3. Kanis JA. Diagnosis of osteoporosis and assessment of fracture risk. Lancet 2002; 359: 1929-36.
  • 4. Genant HK, Cann CE, Ettinger B, Gordan GS. Quantitative Computed Tomography of Vertebral Spongiosa: A Sensitive Method for Detecting Early Bone Loss After Oophorectomy. Ann Intern Med 1982; 97: 699-705.
  • 5. Türk F, Özcan V, Yuncu G, Ekinci Y, Girgin S. Künt göğüs travması sonrası masif hemotoraksa neden olan izole sağ aurikula yırtığı. Turk Gogus Kalp Dama 2014; 22: 410-13.
  • 6. Günay Ş, Eser İ, Kürkcüoğlu İC. Künt toraks travmalarında erken dönemde kemik sintigrafisi, bilgisayarlı tomografi ve direkt grafinin karşılaştırılması. Tıp Araştırmaları Dergisi 2013; 11: 103-6.
  • 7. Göya C, Hamidi C. Torasik Travma. Trd Sem 2016; 4: 272-85.
  • 8. Mah P, Reeves TE, McDavid WD. Deriving Hounsfield units using grey levels in cone beam computed tomography. Dentomaxillofacial Radiology 2010; 39: 323-35.
  • 9. Patel SP, Lee JJ, Hecht GG, Holcombe SA, Wang SC, Goulet JA. Normative vertebral Hounsfield unit values and correlation with bone mineral density. J Clin Exp Orthop 2016; 2: 14.
  • 10. Çobanoğlu U, Hız Ö, Sayır F, Ediz L, Şehitoğulları A. Travmatik ve atravmatik sternum kırıkları: 13 olgunun analizi. Turk Toraks Derg 2012; 13: 146-151

Kaburga kırığı olan hastalarda olası osteoporozun bir göstergesi olarak kemik mineral yoğunluğunun değerlendirilmesi

Year 2018, , 158 - 161, 30.09.2018
https://doi.org/10.18663/tjcl.453669

Abstract

Amaç: Göğüs
travması sonrası acile başvuran hastalarda en sık tespit edilen patoloji
kaburga kırığıdır. Bu çalışmada, travma sonrası kaburga kırığı tanısıyla
yatarak tedavi edilen hastaların ve kırıklarının özellikleriyle kemik
dansiteleri arasında ilişki olup olmadığının belirlenmesi amaçlanmıştır.

Gereç ve Yöntemler: Hastalar,
i) Majör travma (trafik kazası, hayvan ezmesi, yüksekten düşme) ve minör travma
(ayaktayken düşme, öksürük sonrası, odun kırma sonrası) geçirenler; ile ii)
Kaburga kırığı sayılarına göre tek ve çoklu kaburga kırığı olanlar şeklinde iki
gruba ayrıldı. Hastaların hepsinde toraks tomografisinde L1, L2 ve L3 vertebra korpuslarının
kemik Hounsfield Ünitesi (HU) ölçümleri yapılarak ortalamaları alındı. Sonuçlar
istatiksel olarak analiz edildi.

Bulgular: Çalışmaya
dahil edilen 23 hastanın (4 kadın, 19 erkek) hepsi 18 yaş üzerinde ve yaş
ortalaması 52,1 (32-89) idi. 12 majör travma, 11 minör travma hastası saptandı.
7 hastada tek kaburga, 16 hastada çoklu kaburga kırığı mevcuttu. Tüm hastaların
kemik dansiteleri ortalaması 177,82’ydi.







Sonuç: Tek
kaburga kırığında anlamlı olarak daha düşük dansiteler saptanması, kemik dansitesi
normal bireylerde kırık oluşturmayabilecek bir yaralanmanın bu hastalarda tek
kaburga kırığı neden olabilme ihtimali olduğunu düşündürmüştür. Kemik dansite
ortalaması 160’tan düşük olan hastaların minör travmalar ile kaburga kırığı
geçirme ihtimali daha yüksek saptanmıştır.

References

  • 1. Liebsch C, Seiffert T, Vlcek M et al. The fracture patterns of serial rib fractures: A retrospective analysis of 383 cases. Ortopaedic Proceedings 2018; 100: 92-92.
  • 2. Pereira L, Bliuc D, Stanford P, Eisman JA, Center JR. More-than-minimal-trauma fractures are associated with low bone density: an 8-year prospective study. Osteoporos Int 2017; 28: 103-10.
  • 3. Kanis JA. Diagnosis of osteoporosis and assessment of fracture risk. Lancet 2002; 359: 1929-36.
  • 4. Genant HK, Cann CE, Ettinger B, Gordan GS. Quantitative Computed Tomography of Vertebral Spongiosa: A Sensitive Method for Detecting Early Bone Loss After Oophorectomy. Ann Intern Med 1982; 97: 699-705.
  • 5. Türk F, Özcan V, Yuncu G, Ekinci Y, Girgin S. Künt göğüs travması sonrası masif hemotoraksa neden olan izole sağ aurikula yırtığı. Turk Gogus Kalp Dama 2014; 22: 410-13.
  • 6. Günay Ş, Eser İ, Kürkcüoğlu İC. Künt toraks travmalarında erken dönemde kemik sintigrafisi, bilgisayarlı tomografi ve direkt grafinin karşılaştırılması. Tıp Araştırmaları Dergisi 2013; 11: 103-6.
  • 7. Göya C, Hamidi C. Torasik Travma. Trd Sem 2016; 4: 272-85.
  • 8. Mah P, Reeves TE, McDavid WD. Deriving Hounsfield units using grey levels in cone beam computed tomography. Dentomaxillofacial Radiology 2010; 39: 323-35.
  • 9. Patel SP, Lee JJ, Hecht GG, Holcombe SA, Wang SC, Goulet JA. Normative vertebral Hounsfield unit values and correlation with bone mineral density. J Clin Exp Orthop 2016; 2: 14.
  • 10. Çobanoğlu U, Hız Ö, Sayır F, Ediz L, Şehitoğulları A. Travmatik ve atravmatik sternum kırıkları: 13 olgunun analizi. Turk Toraks Derg 2012; 13: 146-151
There are 10 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Orıgınal Artıcle
Authors

Hüseyin Yıldıran

Publication Date September 30, 2018
Published in Issue Year 2018

Cite

APA Yıldıran, H. (2018). Evaluation of bone mineral density as an indicator of possible osteoporosis in patients with rib fracture. Turkish Journal of Clinics and Laboratory, 9(3), 158-161. https://doi.org/10.18663/tjcl.453669
AMA Yıldıran H. Evaluation of bone mineral density as an indicator of possible osteoporosis in patients with rib fracture. TJCL. September 2018;9(3):158-161. doi:10.18663/tjcl.453669
Chicago Yıldıran, Hüseyin. “Evaluation of Bone Mineral Density As an Indicator of Possible Osteoporosis in Patients With Rib Fracture”. Turkish Journal of Clinics and Laboratory 9, no. 3 (September 2018): 158-61. https://doi.org/10.18663/tjcl.453669.
EndNote Yıldıran H (September 1, 2018) Evaluation of bone mineral density as an indicator of possible osteoporosis in patients with rib fracture. Turkish Journal of Clinics and Laboratory 9 3 158–161.
IEEE H. Yıldıran, “Evaluation of bone mineral density as an indicator of possible osteoporosis in patients with rib fracture”, TJCL, vol. 9, no. 3, pp. 158–161, 2018, doi: 10.18663/tjcl.453669.
ISNAD Yıldıran, Hüseyin. “Evaluation of Bone Mineral Density As an Indicator of Possible Osteoporosis in Patients With Rib Fracture”. Turkish Journal of Clinics and Laboratory 9/3 (September 2018), 158-161. https://doi.org/10.18663/tjcl.453669.
JAMA Yıldıran H. Evaluation of bone mineral density as an indicator of possible osteoporosis in patients with rib fracture. TJCL. 2018;9:158–161.
MLA Yıldıran, Hüseyin. “Evaluation of Bone Mineral Density As an Indicator of Possible Osteoporosis in Patients With Rib Fracture”. Turkish Journal of Clinics and Laboratory, vol. 9, no. 3, 2018, pp. 158-61, doi:10.18663/tjcl.453669.
Vancouver Yıldıran H. Evaluation of bone mineral density as an indicator of possible osteoporosis in patients with rib fracture. TJCL. 2018;9(3):158-61.


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