MURAT APİ, GÜLTEKİN KÖSE, NURETTİN AKA, ÖZGÜR KARTAL
Gynecology Obstetrics & Reproductive Medicine - 2004;10(1):50-53
OBJECTIVE: The epidemiologic patterns of femoral fractures are greatly different to suggest that they represent osteoporosis, with different severity in different ethnic groups. To determine whether differences in femoral geometry, one of the main determinants of bone quality, might contrubute to the heterogenicity in osteoporotic fractures. STUDY DESIGN: We obtained dual energy x-ray absorptiometry (DEXA) scans of 598 women aged 40 years or older. Hip axis length and width measured on the scan printout and data analysed with appropriate statistical method. RESULTS: Hip axis length and width revealed no correlation with other bone mineral density T-scores in Wards triangle and femoral neck (avarage r=0.09, p>0.05). CONCLUSION: This data provided further evidence that geometric characteristics of the femoral neck may not be implicated on the hip bone mineral density in Turkish postmenopausal female population. Furthermore, our findings suggest that an increase in the hip axis length may predispose to fragility fractures with mechanisms other than decrease in mineral content, consistent with the postulated heterogenety in the pathogenesis of osteoporotic fractures.
