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Bone material strength index as measured by impact microindentation is low in patients with fractures irrespective of fracture site

Overview of attention for article published in Osteoporosis International, May 2017
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Title
Bone material strength index as measured by impact microindentation is low in patients with fractures irrespective of fracture site
Published in
Osteoporosis International, May 2017
DOI 10.1007/s00198-017-4054-8
Pubmed ID
Authors

F. Malgo, N.A.T. Hamdy, S.E. Papapoulos, N.M. Appelman-Dijkstra

Abstract

We evaluated the relationship between bone material strength index (BMSi) and fragility fractures, including vertebral fractures. Our data showed that BMSi is low in all fracture patients with low bone mass, independently of whether patients sustained a vertebral or a non-vertebral fracture. Impact microindentation (IMI) is a new technique for the measurement of tissue level properties of cortical bone in vivo. Previous studies showed an association between BMSi and non-vertebral fractures, but an association with vertebral fractures is still being debated. The objective of this paper was to evaluate the relationship between BMSi and different types of fragility fractures, including vertebral fractures. In this cross-sectional study, we measured BMSi in patients of both sexes with different types of fragility fractures and low bone mass with the IMI method using the Osteoprobe®. Vertebral fractures were diagnosed and graded on lateral spine radiographs. A total of 132 patients were included in the study, of whom 101 patients (65 women) had sustained a low energy fracture and 31 (mean age 57.7 ± 9.9 years) had no history or radiological evidence for a fracture. Of the fracture patients, 53 (mean age 62.8 ± 8.3 years) had only non-vertebral fractures (VF-/Fx+), 34 (mean age 62.8 ± 9.9 years) had vertebral and non-vertebral fractures (VF+/Fx+), and 14 (mean age 64.7 ± 9.3 years) had only vertebral fractures (VF+/Fx-). BMSi values, adjusted for age and BMD, were similar for all three groups of fracture patients (78.9 ± 0.7, 78.3 ± 0.9, and 78.4 ± 1.4, respectively; p = 0.866). BMSi values were not associated with number or severity of vertebral fractures. Our data demonstrate that BMSi is low in fracture patients with low bone mass, irrespective of whether they sustained a vertebral fracture or a non-vertebral fracture.

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Geographical breakdown

Country Count As %
Unknown 32 100%

Demographic breakdown

Readers by professional status Count As %
Student > Ph. D. Student 7 22%
Researcher 4 13%
Student > Postgraduate 3 9%
Student > Bachelor 2 6%
Other 2 6%
Other 3 9%
Unknown 11 34%
Readers by discipline Count As %
Medicine and Dentistry 9 28%
Engineering 3 9%
Computer Science 1 3%
Psychology 1 3%
Social Sciences 1 3%
Other 3 9%
Unknown 14 44%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 13 May 2017.
All research outputs
#20,420,242
of 22,971,207 outputs
Outputs from Osteoporosis International
#3,024
of 3,668 outputs
Outputs of similar age
#270,474
of 310,772 outputs
Outputs of similar age from Osteoporosis International
#58
of 69 outputs
Altmetric has tracked 22,971,207 research outputs across all sources so far. This one is in the 1st percentile – i.e., 1% of other outputs scored the same or lower than it.
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