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Atypical Fractures Are Mainly Subtrochanteric in Singapore and Diaphyseal in Sweden: A Cross‐Sectional Study

Overview of attention for article published in Journal of Bone & Mineral Research, May 2015
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  • Above-average Attention Score compared to outputs of the same age (54th percentile)
  • Above-average Attention Score compared to outputs of the same age and source (59th percentile)

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1 policy source

Citations

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35 Dimensions

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30 Mendeley
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Title
Atypical Fractures Are Mainly Subtrochanteric in Singapore and Diaphyseal in Sweden: A Cross‐Sectional Study
Published in
Journal of Bone & Mineral Research, May 2015
DOI 10.1002/jbmr.2547
Pubmed ID
Authors

Jörg Schilcher, Tet Sen Howe, Meng Ai Png, Per Aspenberg, Joyce SB Koh

Abstract

We have previously noted a dichotomy in the location of atypical fractures along the femoral shaft in Swedish patients, and a mainly subtrochanteric location of atypical fractures in descriptions of patients from Singapore. These unexpected differences were now investigated by testing the following hypotheses in a cross-sectional study: First, that there is a dichotomy also in Singapore. Second, that the relation between subtrochanteric and diaphyseal location is different between the two countries. Third, that the location is related to femoral bow. The previously published Swedish sample (n = 151) was re-measured, and a new Singaporean sample (n = 75) was established. Both samples were based on radiographic classification of all femoral fractures in women above 55 years of age. The distance between the fracture line and the lesser trochanter was measured. Femoral bow was classified as present or absent on frontal radiographs. Frequency distribution of the measured distances was analyzed using the Bayesian information criterion to choose the best description of the observed variable distribution in terms of a compilation of normally distributed subgroups. This analysis showed a clear dichotomy of the fracture location: either subtrochanteric or diaphyseal. Subtrochanteric fractures comprised 48 percent of all fractures in Singapore, and 17 percent in Sweden (p = 0.0001). In Singapore, femoral bow was associated with more fractures in the diaphyseal subgroup (P = 0.0001). This was not seen in Sweden. A dichotomous location of atypical fractures was confirmed, as it was found also in Singapore. The fractures showed a different localization pattern in the two countries. This difference may be linked to anatomical variations, but might also be related to cultural differences between the two populations that influence physical activity. This article is protected by copyright. All rights reserved.

Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 30 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 30 100%

Demographic breakdown

Readers by professional status Count As %
Other 5 17%
Professor 4 13%
Student > Ph. D. Student 4 13%
Researcher 3 10%
Professor > Associate Professor 3 10%
Other 7 23%
Unknown 4 13%
Readers by discipline Count As %
Medicine and Dentistry 16 53%
Sports and Recreations 2 7%
Immunology and Microbiology 1 3%
Biochemistry, Genetics and Molecular Biology 1 3%
Nursing and Health Professions 1 3%
Other 1 3%
Unknown 8 27%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 3. 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 23 July 2018.
All research outputs
#8,588,963
of 25,508,813 outputs
Outputs from Journal of Bone & Mineral Research
#2,197
of 4,798 outputs
Outputs of similar age
#97,654
of 279,323 outputs
Outputs of similar age from Journal of Bone & Mineral Research
#20
of 49 outputs
Altmetric has tracked 25,508,813 research outputs across all sources so far. This one is in the 43rd percentile – i.e., 43% of other outputs scored the same or lower than it.
So far Altmetric has tracked 4,798 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 11.2. This one is in the 28th percentile – i.e., 28% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 279,323 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 54% of its contemporaries.
We're also able to compare this research output to 49 others from the same source and published within six weeks on either side of this one. This one has gotten more attention than average, scoring higher than 59% of its contemporaries.