Femoral Neck Shaft Angle in Men with Fragility Fractures

Introduction. Femoral neck shaft angle (NSA) has been reported to be an independent predictor of hip fracture risk in men. We aimed to assess the role of NSA in UK men. Methods. The NSA was measured manually from the DXA scan printout in men with hip (62, 31 femoral neck and 31 trochanteric), sympto...

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Main Authors: S. P. Tuck, D. J. Rawlings, A. C. Scane, I. Pande, G. D. Summers, A. D. Woolf, R. M. Francis
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Journal of Osteoporosis
Online Access:http://dx.doi.org/10.4061/2011/903726
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author S. P. Tuck
D. J. Rawlings
A. C. Scane
I. Pande
G. D. Summers
A. D. Woolf
R. M. Francis
author_facet S. P. Tuck
D. J. Rawlings
A. C. Scane
I. Pande
G. D. Summers
A. D. Woolf
R. M. Francis
author_sort S. P. Tuck
collection DOAJ
description Introduction. Femoral neck shaft angle (NSA) has been reported to be an independent predictor of hip fracture risk in men. We aimed to assess the role of NSA in UK men. Methods. The NSA was measured manually from the DXA scan printout in men with hip (62, 31 femoral neck and 31 trochanteric), symptomatic vertebral (91), and distal forearm (67) fractures and 389 age-matched control subjects. Age, height, weight, and BMD (g/cm2: lumbar spine, femoral neck, and total femur) measurements were performed. Results. There was no significant difference in mean NSA between men with femoral neck and trochanteric hip fractures, so all further analyses of hip fractures utilised the combined data. There was no difference in NSA between those with hip fractures and those without (either using the combined data or analysing trochanteric and femoral neck shaft fractures separately), nor between fracture subjects as a whole and controls. Mean NSA was smaller in those with vertebral fractures (129.2° versus 131°: P=0.001), but larger in those with distal forearm fractures (129.8° versus 128.5°: P=0.01). Conclusions. The conflicting results suggest that femoral NSA is not an important determinant of hip fracture risk in UK men.
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spelling doaj-art-3d4adfc4326c40369ef1983a78d372a92025-02-03T06:44:19ZengWileyJournal of Osteoporosis2042-00642011-01-01201110.4061/2011/903726903726Femoral Neck Shaft Angle in Men with Fragility FracturesS. P. Tuck0D. J. Rawlings1A. C. Scane2I. Pande3G. D. Summers4A. D. Woolf5R. M. Francis6Department of Rheumatology, The James Cook University Hospital, Marton Road, Middlesbrough TS4 3BW, UKRegional Medical Physics Department, Freeman Hospital, Newcastle upon Tyne NE7 7DN, UKHunter Rural Aged Care Assessment Team, Lang Street, Kurri Kurri, NSW 2327, AustraliaRheumatology Department, Nottingham University Hospital, Nottingham NG7 2UH, UKMedical Specialities OPD, Royal Derby Hospital, Uttoxeter Road, Derby DE22 3NE, UKDepartment of Rheumatology, Royal Cornwall Hospital, Truro TR1 3LJ, UKInstitute for Ageing and Health, The Medical School, University of Newcastle, Newcastle upon Tyne NE2 4HH, UKIntroduction. Femoral neck shaft angle (NSA) has been reported to be an independent predictor of hip fracture risk in men. We aimed to assess the role of NSA in UK men. Methods. The NSA was measured manually from the DXA scan printout in men with hip (62, 31 femoral neck and 31 trochanteric), symptomatic vertebral (91), and distal forearm (67) fractures and 389 age-matched control subjects. Age, height, weight, and BMD (g/cm2: lumbar spine, femoral neck, and total femur) measurements were performed. Results. There was no significant difference in mean NSA between men with femoral neck and trochanteric hip fractures, so all further analyses of hip fractures utilised the combined data. There was no difference in NSA between those with hip fractures and those without (either using the combined data or analysing trochanteric and femoral neck shaft fractures separately), nor between fracture subjects as a whole and controls. Mean NSA was smaller in those with vertebral fractures (129.2° versus 131°: P=0.001), but larger in those with distal forearm fractures (129.8° versus 128.5°: P=0.01). Conclusions. The conflicting results suggest that femoral NSA is not an important determinant of hip fracture risk in UK men.http://dx.doi.org/10.4061/2011/903726
spellingShingle S. P. Tuck
D. J. Rawlings
A. C. Scane
I. Pande
G. D. Summers
A. D. Woolf
R. M. Francis
Femoral Neck Shaft Angle in Men with Fragility Fractures
Journal of Osteoporosis
title Femoral Neck Shaft Angle in Men with Fragility Fractures
title_full Femoral Neck Shaft Angle in Men with Fragility Fractures
title_fullStr Femoral Neck Shaft Angle in Men with Fragility Fractures
title_full_unstemmed Femoral Neck Shaft Angle in Men with Fragility Fractures
title_short Femoral Neck Shaft Angle in Men with Fragility Fractures
title_sort femoral neck shaft angle in men with fragility fractures
url http://dx.doi.org/10.4061/2011/903726
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