Hip and femur trump spine for predicting fractures

Article

Bone density measurements with dual-energy-x-ray absorptiometry of the proximal femur consistently outperform those of the lumbar spine for predicting global fracture risk in postmenopausal women. . .

Bone density measurements with dual-energy x-ray absorptiometry of the proximal femur consistently outperform those of the lumbar spine for predicting global fracture risk in postmenopausal women, according to the results of a Canadian historical cohort study.

Researchers from Manitoba included in the study over 16,000 women 50 years of age and older. They calculated age-adjusted hazard ratios (HRs) per standard deviation for osteoporotic fracture of 1.61 (95% CI, 1.39–1.87) for the lumbar spine, 1.76 (95% CI, 1.62–1.92) for the femur neck, 1.77 (95% CI, 1.63–1.92) for the trochanter, and 1.85 (95% CI, 1.70–2.01) for the total hip.

While the spine was the most useful site for predicting spine fractures alone, total hip measurement was the most useful for global fracture prediction in the overall population, and no other measurement added substantial information.

Recent Videos
Trina Mansour, MD
Negative pressure wound therapy reduces c-section infections and costs | Image Credit: doctors.valleyhealth.com.
Amy Valent DO, MCR, highlights new tech for prenatal diabetes management | Image Credit: linkedin.com.
Lisa Bayer, MD, MPH
Megan Wasson, DO, FACOG
Megan Cohen, MD, MPH, outlines 2024 CDC contraception guidelines | Image Credit: linkedin.com.
Wasson and Colak
Johanna Finkle, MD, weight loss specialist, OB/GYN, The University of Kansas Health System.
Navigating hormone therapy in high-risk menopause cases | Image Credit: © dhaj7-cepo.com.
Tia Welsh, MD, highlights breakthroughs in cervical cancer screening | Image Credit: doctors.valleyhealth.com.
Related Content
© 2025 MJH Life Sciences

All rights reserved.