Low Bone Mineral Density of the Forearm and Femur among Postmenopausal Women with Metaphyseal Comminuted Fracture of the Distal Radius

• 資料種別: 博士論文
• タイトル: Low Bone Mineral Density of the Forearm and Femur among Postmenopausal Women with Metaphyseal Comminuted Fracture of the Distal Radius
• 著者・編者: Kanda, Toshihiro
• 出版年月日等: 2020-03-23
• 出版年（W3CDTF）: 2020-03-23
• 並列タイトル等: 閉経後女性の橈骨遠位骨幹端粉砕骨折例は前腕及び大腿骨の骨密度が低い
• 授与機関名: 新潟大学
• 授与年月日: 2020-03-23
• 授与年月日（W3CDTF）: 2020-03-23
• 報告番号: 甲第4704号
• 学位: 博士(医学)
• 博論授与番号: 甲第4704号
• 本文の言語コード: eng
• 件名標目: bone mineral density; distal radius fracture; fragility fracture; osteoporosis; postmenopausal women
• 一般注記: Osteoporosis is characterized by bone loss and skeletal fragility and is likely to occur in postmenopausal women. Distal radius fracture is a type of fragility fractures associated with osteoporosis. Bone mineral density (BMD) refers to the amount of mineral in bone tissue and is an indicator of osteoporosis. This study aimed to investigate the relationship between the severity of distal radius comminution and the BMD of the healthy contralateral forearm and femur in postmenopausal women. Of 165 women who sustained low-energy trauma from falls on flat ground, forearm and femoral neck BMDs were measured in 155 and 163 participants, respectively. Evaluation of distal radius comminution was performed by computed tomography, and the severity is classified based on the degree of articular surface comminution and on the presence of metaphyseal comminution. We thus evaluated 165 cases of articular surface comminution (extra-articular, 43 cases; intra-articular simple, 91 cases; and intra-articular multifragment, 31 cases) and metaphysis comminution (metaphyseal simple, 58 cases; metaphyseal monocortical comminution on either the palmar or dorsal side, 82 cases; and metaphyseal bicortical comminution on the palmar and dorsal sides, 25 cases). There was no significant association between intra-articular comminution and BMD of the forearm and femur. By contrast, the participants with metaphyseal bicortical comminution showed lower BMD of the forearm and femur compared with other types of metaphysis comminution (p < 0.05). In conclusion, postmenopausal women who developed bicortical comminuted fractures of the distal radius tend to have lower femoral BMD, which may predispose them to future hip fractures.; The Tohoku Journal of Experimental Medicine. 2019, 249(3), 147-154.; 新大院博(医)甲第938号; 元資料の権利情報 : 【○!C】 2019 Tohoku University Medical Press
• DOI: info:doi/10.1620/tjem.249.147; https://doi.org/info:doi/10.1620/tjem.249.147
• 国立国会図書館永続的識別子: info:ndljp/pid/11538630; https://dl.ndl.go.jp/pid/11538630
• コレクション（共通）: 障害者向け資料
• コレクション（障害者向け資料：レベル1）: テキストデータ
• コレクション（個別）: 国立国会図書館デジタルコレクション > デジタル化資料 > 博士論文; https://dl.ndl.go.jp/collections/A00014
• 収集根拠: 博士論文（自動収集）
• 受理日（W3CDTF）: 2020-09-07T06:04:08+09:00
• 作成日（W3CDTF）: 2020-08-31
• 記録形式（IMT）: application/pdf
• オンライン閲覧公開範囲: 国立国会図書館内限定公開
• デジタル化資料送信: 図書館・個人送信対象外
• 遠隔複写可否（NDL）: 可
• 掲載誌（URI）: http://hdl.handle.net/10191/00051827
• 連携機関・データベース: 国立国会図書館 : 国立国会図書館デジタルコレクション; https://dl.ndl.go.jp