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Citations to this article

Unequal decrease in bone density of lumbar spine and ultradistal radius in Colles' and vertebral fracture syndromes.
R Eastell, … , L J Melton 3rd, B L Riggs
R Eastell, … , L J Melton 3rd, B L Riggs
Published January 1, 1989
Citation Information: J Clin Invest. 1989;83(1):168-174. https://doi.org/10.1172/JCI113854.
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Research Article

Unequal decrease in bone density of lumbar spine and ultradistal radius in Colles' and vertebral fracture syndromes.

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Abstract

We measured bone mineral density (BMD) at the lumbar spine (LS-BMD) and ultradistal radius (UDR-BMD) in 42 postmenopausal normal women and in 108 postmenopausal osteoporotic women (55 with vertebral fracture, 34 with Colles' fracture, and 19 with both fractures). By receiver operating characteristic analysis, LS-BMD was better than UDR-BMD (P less than 0.01) as an indicator of vertebral fracture; the converse was true for Colles' fracture (P less than 0.01). Although UDR-BMD and LS-BMD were lower in each of the three fracture groups than in controls (P less than 0.01), the pattern of bone loss differed (P less than 0.001, analysis of variance): with vertebral fracture, LS-BMD decreased relatively more than UDR-BMD; with Colles' fracture, UDR-BMD decreased relatively more than LS-BMD; and with both fractures, decreases in LS-BMD and UDR-BMD were similar. We conclude that both types of fracture are caused by excessive bone loss but the difference in bone loss at the two sites is a major factor in determining which will fracture.

Authors

R Eastell, H W Wahner, W M O'Fallon, P C Amadio, L J Melton 3rd, B L Riggs

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Year: 2019 2018 2016 2015 2014 2013 2011 2010 2009 2007 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 Total
Citations: 1 2 1 2 1 1 1 4 1 3 3 3 2 3 2 3 3 4 3 7 11 11 12 5 6 8 2 105
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