Injuries of the trochanteric region: can analysis of radiographic indices help in prediction of recurrent osteoporotic hip fractures?

Main Article Content

Andrea Pellegrini
Fabrizio Tacci
Massimiliano Leigheb
Cosimo Costantino
Alessio Pedrazzini
Giuseppe Pedrazzi
Enrico Vaienti
Francesco Ceccarelli
Francesco Pogliacomi


osteoporosis, radiographic indices, bone mineral density, femoral fractures


Objective: In a context of bone fragility, primitive and subsequent fractures are a growing problem in the industrialized countries where the mean age of the population is constantly increasing. Among the various factors that favor a fragility fracture, the most important is osteoporosis, a pathology that can be prevented through diagnostic screenings and treated by pharmacological and rehabilitative therapies. The aim of this study is to identify the subjects who are likely to have a higher risk of subsequent fractures of the trochanteric region through a retrospective radiographic evaluation of patients affected by low-energy trochanteric fractures and operated by intramedullary fixation between June 2013 and June 2015, so they can be targeted for prevention interventions. Materials and Methods: Three hundred and sixty-one patients yet alive were analyzed 2 years after surgery. Fifty-one (group 1), characterized by another contralateral trochanteric femoral fracture, were included. All subjects were retrospectively examined with the analysis of contralateral femur X-ray performed at the time of initial trauma in order to detect a condition of bone fragility and a predisposition to fractures by evaluating three radiographic indices (Singh index, Dorr’s classification and Cortical Thickness Index). Patients of group 1 were compared to the other 310 patients (group 2) affected by isolated trochanteric fracture. Results: Group 1 had all radiographic indices worse than group 2. Conclusions: The results observed suggest that orthopedists can use radiographic indices, in particular Cortical Thickness Index, as a valuable, simple and inexpensive screening tool for prevention of recurrent osteoporotic fractures.


Download data is not yet available.
Abstract 193 | PDF Downloads 79

Most read articles by the same author(s)

1 2 3 4 5 6 7 8 9 10 > >>