Hip geometry in hip fracture patients in Greenland occurring over a 7.7-year period
BACKGROUND: Hip geometry influences hip fracture risk. Hip fractures are common, and they are associated with pain, disability, premature death and marked costs on society. Osteoporotic fractures are frequent in Arctic populations and increase with advancing age in this society with a steep rise in...
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ftpubmed:oai:pubmedcentral.nih.gov:8146630 2023-05-15T14:55:51+02:00 Hip geometry in hip fracture patients in Greenland occurring over a 7.7-year period Fleischer, Inuuteq Laursen, Mogens Andersen, Stig 2021-05-25 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8146630/ https://doi.org/10.1186/s13018-021-02482-7 en eng BioMed Central http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8146630/ http://dx.doi.org/10.1186/s13018-021-02482-7 © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. CC0 PDM CC-BY J Orthop Surg Res Research Article Text 2021 ftpubmed https://doi.org/10.1186/s13018-021-02482-7 2021-05-30T00:50:20Z BACKGROUND: Hip geometry influences hip fracture risk. Hip fractures are common, and they are associated with pain, disability, premature death and marked costs on society. Osteoporotic fractures are frequent in Arctic populations and increase with advancing age in this society with a steep rise in life expectancy. Greenland Inuit is a distinct ethnic group, and data on hip geometry is missing. We thus aimed to describe hip geometry in 7.7 years of consecutive hip fracture patients in Greenland. METHODS: We evaluated collodiaphysial angle, femoral neck length, the outer and inner diameter of the femur at 2 and 5 centimetres below the centre of the lesser trochanter and the cortical thickness from pelvic and hip radiographs in all patients operated in Greenland over 7.7 years. We included all 84 patients with one non-fractured hip visible for geometric analysis. Analyses were conducted in duplicate. RESULTS: We found a collodiaphysial angle of 134.8/132.6(o) in men/women (p = 0.06) and a femoral neck length of 38.0/33.9 mm in men/women (p = 0.001). Cortical thickness was affected by sex in the adjusted analysis (p < 0.001). Cortical thickness index at 5 cm below the centre of the lesser trochanter decreased with age (p = 0.026) and may be influenced by height (2 cm below the centre of the lesser trochanter, p = 0.053). CONCLUSION: Our findings differed from European data and suggest a delicate balance in hip geometry in Arctic populations. Ethnic peculiarities influence the structure of the hip and may influence fracture risk. A focus on hip geometry and risk factors for osteoporotic fractures in Arctic populations is warranted. Text Arctic Greenland inuit PubMed Central (PMC) Arctic Greenland Journal of Orthopaedic Surgery and Research 16 1 |
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Research Article Fleischer, Inuuteq Laursen, Mogens Andersen, Stig Hip geometry in hip fracture patients in Greenland occurring over a 7.7-year period |
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Research Article |
description |
BACKGROUND: Hip geometry influences hip fracture risk. Hip fractures are common, and they are associated with pain, disability, premature death and marked costs on society. Osteoporotic fractures are frequent in Arctic populations and increase with advancing age in this society with a steep rise in life expectancy. Greenland Inuit is a distinct ethnic group, and data on hip geometry is missing. We thus aimed to describe hip geometry in 7.7 years of consecutive hip fracture patients in Greenland. METHODS: We evaluated collodiaphysial angle, femoral neck length, the outer and inner diameter of the femur at 2 and 5 centimetres below the centre of the lesser trochanter and the cortical thickness from pelvic and hip radiographs in all patients operated in Greenland over 7.7 years. We included all 84 patients with one non-fractured hip visible for geometric analysis. Analyses were conducted in duplicate. RESULTS: We found a collodiaphysial angle of 134.8/132.6(o) in men/women (p = 0.06) and a femoral neck length of 38.0/33.9 mm in men/women (p = 0.001). Cortical thickness was affected by sex in the adjusted analysis (p < 0.001). Cortical thickness index at 5 cm below the centre of the lesser trochanter decreased with age (p = 0.026) and may be influenced by height (2 cm below the centre of the lesser trochanter, p = 0.053). CONCLUSION: Our findings differed from European data and suggest a delicate balance in hip geometry in Arctic populations. Ethnic peculiarities influence the structure of the hip and may influence fracture risk. A focus on hip geometry and risk factors for osteoporotic fractures in Arctic populations is warranted. |
format |
Text |
author |
Fleischer, Inuuteq Laursen, Mogens Andersen, Stig |
author_facet |
Fleischer, Inuuteq Laursen, Mogens Andersen, Stig |
author_sort |
Fleischer, Inuuteq |
title |
Hip geometry in hip fracture patients in Greenland occurring over a 7.7-year period |
title_short |
Hip geometry in hip fracture patients in Greenland occurring over a 7.7-year period |
title_full |
Hip geometry in hip fracture patients in Greenland occurring over a 7.7-year period |
title_fullStr |
Hip geometry in hip fracture patients in Greenland occurring over a 7.7-year period |
title_full_unstemmed |
Hip geometry in hip fracture patients in Greenland occurring over a 7.7-year period |
title_sort |
hip geometry in hip fracture patients in greenland occurring over a 7.7-year period |
publisher |
BioMed Central |
publishDate |
2021 |
url |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8146630/ https://doi.org/10.1186/s13018-021-02482-7 |
geographic |
Arctic Greenland |
geographic_facet |
Arctic Greenland |
genre |
Arctic Greenland inuit |
genre_facet |
Arctic Greenland inuit |
op_source |
J Orthop Surg Res |
op_relation |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8146630/ http://dx.doi.org/10.1186/s13018-021-02482-7 |
op_rights |
© The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
op_rightsnorm |
CC0 PDM CC-BY |
op_doi |
https://doi.org/10.1186/s13018-021-02482-7 |
container_title |
Journal of Orthopaedic Surgery and Research |
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16 |
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1 |
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1766327852985221120 |