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Association between bone mineral density and ulnar styloid fracture in older Japanese adults with low-energy distal radius fracture

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Abstract

Summary

We investigated the association of the ulnar styloid fracture (USF) with the bone mineral status and fractured radial displacement in elderly patients. The presence of USF correlates with decreased BMD and severe displacement of the radius. These findings are helpful in treating osteoporosis to prevent subsequent fragility fracture.

Purpose

The pathogenesis of ulnar styloid fracture (USF), which often occurs with distal radius fracture (DRF), is unclear. This study aimed to investigate whether USF concomitant with low-energy DRF was associated with the bone mineral status and the degree of radiographically observed pretreatment radius displacement in Japanese adults above 50 years of age.

Methods

The study subjects were 45 (44 female, 1 male) consecutive patients aged > 50 years with DRF caused by falls from June 2015 to May 2016. Fractures due to high-energy injuries were excluded. Patients were divided into two groups according to the presence or absence of USF. Radius displacement was assessed on anteroposterior and lateral radiographs by measuring ulnar variance, radial inclination, and volar tilt at initial examination before manual reduction of the bone. Bone mineral density (BMD) of the lumbar spine, femoral neck, and distal radius was also measured by dual-energy X-ray absorptiometry within 1 week of injury.

Results

Significant differences in the BMD values of femoral neck, ulnar variance, radial inclination, and volar tilt were found between patients with USF and those without USF (all comparisons, p < 0.05). Logistic regression analysis of all subject data identified that volar tilt was significantly associated with the presence of USF (p = 0.048).

Conclusions

The presence of USF in low-energy DRF correlates with the decreased BMD of femoral neck and severe displacement of radius in elderly patients. These findings are helpful for the treatment of osteoporosis to prevent subsequent fragility fracture.

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Acknowledgments

We would like to thank Editage (www.editage.jp) for the English language editing.

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Authors and Affiliations

  1. Department of Orthopedic Surgery, Uonuma Kikan Hospital, 4132 Urasa, Minamiuonuma, Niigata, 949-7302, Japan

    Takuya Yoda, Masayuki Shirahata & Akira Ogose

  2. Division of Comprehensive Musculoskeletal Medicine, Graduate School of Medical and Dental Sciences, Niigata University, Niigata, Japan

    Takuya Yoda

  3. Division of Orthopedic Surgery, Graduate School of Medical and Dental Sciences, Niigata University, Niigata, Japan

    Kei Watanabe & Naoto Endo

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  1. Takuya Yoda
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  2. Kei Watanabe
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  3. Masayuki Shirahata
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  5. Naoto Endo
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Correspondence to Takuya Yoda.

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“All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.”

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Yoda, T., Watanabe, K., Shirahata, M. et al. Association between bone mineral density and ulnar styloid fracture in older Japanese adults with low-energy distal radius fracture. Arch Osteoporos 15, 51 (2020). https://doi.org/10.1007/s11657-020-00724-5

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  • DOI: https://doi.org/10.1007/s11657-020-00724-5

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