Fracture

Ibuprofen Better Option for Kids With Fracture

Jenni Laidman October 27, 2014 Ibuprofen proved just as effective as morphine for pain control in children with uncomplicated fractures, and it brought on significantly fewer adverse effects, according to a study published online October 27 in the Canadian Medical Association Journal. In a parallel-group, randomized, blinded superiority trial, Naveen Poonai, MD, from the Division of […]

Kidney Stones Up Fracture Risk

Published: Oct 24, 2014 By Kristina Fiore, Staff Writer, MedPage Today Patients who have kidney stones may be at increased risk of fracture, researchers found. In a retrospective cohort study, men who’d had kidney stones had a higher risk of fracture than men who didn’t have urolithiasis (HR 1.13, 95% CI 1.08-1.18), according to Michelle Denburg, […]

WHO Fracture Assessment Tool

WHO Fracture Assessment Tool The FRAX® tool has been developed by WHO to evaluate fracture risk of patients. It is based on individual patient models that integrate the risks associated with clinical risk factors as well as bone mineral density (BMD) at the femoral neck. The FRAX® models have been developed from studying population-based cohorts […]

Vitamin C offers no benefits to patients with distal radial fractures

Ekrol I. J Bone Joint Surg. 2014. doi:10.2106/JBJS.M.00268. No significant benefits were found for patients with displaced or nondisplaced distal radial fractures who received vitamin C compared with a placebo, according to study data. Investigators studied 336 patients with an acute distal radial fracture during a 1-year period. Patients were randomly assigned to receive either […]

Testing the validity of preventing chronic regional pain syndrome with vitamin C after distal radius fracture

The Journal of Hand Surgery, 09/30/2014  Evidence Based Medicine Clinical Article Malay S, et al. – The number of causal/association criteria met was adequate to support the scientific premise of the effect of vitamin C in preventing CRPS after DRF. Furthermore, vitamin C administration is of relatively low cost and has few complications unless administered […]

SSRIs, Hypnotics Increase Fracture Risk

Medscape Medical News from: The American Society for Bone and Mineral Research (ASBMR) 2014 Story Source September 22, 2014 HOUSTON, Texas — Use of hypnotic medications for insomnia and use of selective serotonin reuptake inhibitors (SSRIs) are each associated with an increased risk for osteoporotic and hip fractures in older women and men, independent of other risk factors on […]

Higher Vitamin D in Menopause Linked to Big Reduction in Fracture

Nancy A. Melville September 15, 2014 HOUSTON — Women who maintain high vitamin-D levels throughout menopause have a more than 40% reduced risk for fracture during the transition than those whose levels are lower, according to new research presented here at the American Society for Bone and Mineral Research (ASBMR) 2014 annual meeting. “Women at midlife with higher […]

Leg-Stand Test Predicts Hip-Fracture Risk in Women

Nancy A. Melville September 13, 2014 HOUSTON — The inability to stand on 1 leg for 10 seconds or to squat down to reach the floor represent strong early predictors of hip fracture and mortality in postmenopausal women, according to a 15-year follow-up study presented here at the American Society for Bone and Mineral Research […]

Subtrochanteric femoral fracture – bisphosphonate related

Case contributed by: Dr Patsy Robertson Story Source Presentation: 78 year old female, thigh pain following a fall from a car Patient Data: Age: 78 Gender: Female Displaced subtrochanteric fracture of the left femur. The left hip is enlocated. Note is made of the widening of the lateral cortex proximal and distal to the fracture. […]

Dietary acid load, kidney function, osteoporosis, and risk of fractures in elderly men and women

Published: 16 September 2014 T. Jia, L. Byberg Osteoporosis International volume 26, pages563–570(2015) Abstract Summary Because kidney dysfunction reduces the ability to excrete dietary acid excess, we hypothesized that underlying kidney function may have confounded the mixed studies linking dietary acid load with the risk of osteoporosis and fractures in the community. In a relatively […]

Sulfonylureas and TZDs May Up Fracture Risk in Diabetes

Medscape Medical News > Conference News Miriam E. Tucker June 15, 2014 SAN FRANCISCO — The oral diabetes drug classes of thiazolidinediones (TZDs/Brand Names) and sulfonylureas (Brand Names) both boost the risk for fractures compared with metformin, a large database analysis has found. The observational study confirms previous findings of increased fracture risk with TZDs but is the first […]

Citing Fracture Risk, Watchdog Group Sues FDA to Force GERD Drug Warning

Published: Apr 30, 2014 By Elbert Chu The FDA failed to respond to a 2011 petition demanding strong warnings about proton pump inhibitors (PPIs), according to a Public Citizen’s lawsuit filed today. Public Citizen’s lawsuit seeks a ruling from the U.S. District Court of the District of Columbia that the FDA unlawfully withheld action, and calls for an […]

Uric Acid Linked to Fracture Risk

 — Older men with higher uric acid levels may be at increased risk for hip fracture, researchers reported here. by Kristina Fiore, Staff Writer, MedPage Today April 28, 2014 AS VEGAS — Older men with higher uric acid levels may be at increased risk for hip fracture, researchers reported here. In a prospective cohort study, […]

More Fractures Seen When Vitamin D Is Consistently Low

Norra MacReady April 15, 2014 Prolonged low levels of vitamin D increase long-term fracture risk in elderly women, a new study confirms. Low serum vitamin D levels at baseline and at a 5-year follow-up examination were associated with a significantly increased incidence of hip fractures at a 10-year follow-up examination, lead author David Buchebner, PhD, […]

Doubt Over Role of Vitamin D, Even to Limit Fractures

Becky McCall April 03, 2014 Full Story New results from extensive analyses of observational and randomized clinical trials (RCTs) suggest that vitamin D given alone does not appear to increase bone-mineral density or reduce the risk for fractures or falls in older people, contrary to many previous reports. The research also signifies that a clear […]

Magnesium intake, bone mineral density, and fractures

Results from the Women’s Health Initiative Observational Study American Journal of Clinical Nutrition, 02/10/2014  Review Article Orchard TS, et al. – The authors examined magnesium intake as a risk factor for osteoporotic fractures and altered bone mineral density (BMD). Lower magnesium intake is associated with lower BMD of the hip and whole body, but this […]

Scores on the Safe Functional Motion Test Are Associated with Prevalent Fractures and Fall History

Chris P. Recknor, MD Physiother Can. 2013 Winter; 65(1): 75–83. Published online 2013 January 28. doi: 10.3138/ptc.2011-25BH PubMed Full Text Reference ABSTRACT Purpose: The Safe Functional Motion test (SFM) was developed to measure observed body mechanics and functional motion associated with spine load, balance, strength, and flexibility during everyday tasks to profile modifiable risks for osteoporotic […]

Children with mild trauma fractures have lower bone strength

January 8, 2014 Full Story Children with forearm fractures that occurred due to mild trauma have lower bone strength compared to other children, predisposing them to osteoporotic fractures later in life, according to a recently published study. “Our study highlights the need for clinicians to consider the level of trauma preceding the injury, when treating […]

Hip Fractures Increase With Chronic Intestinal Damage in Celiac Disease

Fran Lowry January 17, 2014 Full Story (may require free registration): http://www.medscape.com/viewarticle/819382 Chronic damage in the small intestine is a risk factor for hip fracture in patients with celiac disease (CD), according to a cohort study published online January 16 in the Journal of Clinical Endocrinology & Metabolism. “[CD] is associated with an increased fracture risk, […]

Milk Consumption in Teens Does Not Reduce Hip Fracture Risk

Steven Fox November 19, 2013 Milk consumption during adolescence is not associated with decreased risk for hip fracture later in life, according to results from a new study. In fact, high consumption of milk may actually up risk by increasing height. The study was published online November 18 in JAMA Pediatrics. “Greater milk consumption during childhood and adolescence contributes to […]