Colles' fracture and bone density of the ultradistal radius

Richard Eastell, B. Lawrence Riggs, Heinz W. Wahner, W. Michael O'Fallon, L. Joseph Melton, Peter C. Amadio

Research output: Contribution to journalArticle

61 Scopus citations

Abstract

To determine whether Colles' fracture, generally considered a manifestation of postmenopausal osteoporosis, is associated with a decrease in bone density at the site of fracture, we measured bone mineral density of the ultradistal radius (UDR‐BMD) by single‐photon absorptiometry with computer‐assisted image processing. In 119 normal women (ages 22–92 years), UDR‐BMD decreased by 17% between ages 30 and 75 years. From UDR‐BMD measurements in these normal women and in 40 women (ages 53–80 years) with Colles' fracture alone, a population‐based analysis was made to estimate fracture risk at different values of UDR‐BMD. Colles' fracture was uncommon at UDR‐BMD > 0.40 g/cm2 (the “fracture threshold”). As bone density decreased below this level, fractures became more frequent (a “gradient of risk”).

Original languageEnglish (US)
Pages (from-to)607-613
Number of pages7
JournalJournal of Bone and Mineral Research
Volume4
Issue number4
DOIs
StatePublished - Aug 1989

ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism
  • Orthopedics and Sports Medicine

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