Top

Published in:

01-06-2020 | Osteoporosis | Editorial

Stop (mis)classifying fractures as high- or low-trauma or as fragility fractures

Authors: S. R. Cummings, R. Eastell

Published in: Osteoporosis International | Issue 6/2020

Excerpt

We strongly recommend that caregivers for fractures stop classifying fractures as high- or low-trauma, fragility fractures and provide the same care for fractures now mislabeled as “high trauma” as all other fractures. The study by Leslie and colleagues in the current issue of Osteoporosis International adds to the evidence that attempts to classify the degree of trauma deprive a large number of patients with fractures of appropriate evaluation and preventive treatment [1]. …

Leslie WD, Schousboe JT, Morin SN, Martineau P, Lix LM, Johansson H, McCloskey EV, Harvey NC, Kanis JA (2019) Fracture risk following high-trauma versus non-trauma fracture: a registry-based cohort study. Osteoporos Int 2020 (in press)

Muschitz C, Kocijan R, Baierl A, Dormann R, Feichtinger X, Haschka J, Szivak M, Muschitz GK, Schanda J, Pietschmann P, Resch H, Dimai HP (2017) Preceding and subsequent high- and low-trauma fracture patterns-a 13-year epidemiological study in females and males in Austria. Osteoporos Int 28:1609–1618CrossRef

Mackey DC, Lui LY, Cawthon PM, Bauer DC, Nevitt MC, Cauley JA, Hillier TA, Lewis CE, Barrett-Connor E, Cummings SR, Study of Osteoporotic Fractures (SOF) and Osteoporotic Fractures in Men Study (MrOS) Research Groups (2007) High-trauma fractures and low bone mineral density in older women and men. JAMA 298:2381–2388CrossRef

Sanders KM, Pasco JA, Ugoni AM, Nicholson GC, Seeman E, Martin TJ, Skoric B, Panahi S, Kotowicz MA (1998) The exclusion of high trauma fractures may underestimate the prevalence of bone fragility fractures in the community: the Geelong Osteoporosis Study. J Bone Miner Res 13:1337–1342CrossRef

Pereira L, Bliuc D, Stanford P, Eisman JA, Center JR (2017) More-than-minimal-trauma fractures are associated with low bone density: an 8-year prospective study. Osteoporos Int 28:103–110CrossRef

Mackey DC, Black DM, Bauer DC, McCloskey EV, Eastell R, Mesenbrink P, Thompson JR, Cummings SR (2011) Effects of antiresorptive treatment on nonvertebral fracture outcomes. J Bone Miner Res 26:2411–2418CrossRef

Title: Stop (mis)classifying fractures as high- or low-trauma or as fragility fractures
Authors: S. R. Cummings
R. Eastell
Publication date: 01-06-2020
Publisher: Springer London
Keywords: Osteoporosis
Osteoporosis
Published in: Osteoporosis International / Issue 6/2020
Print ISSN: 0937-941X
Electronic ISSN: 1433-2965
DOI: https://doi.org/10.1007/s00198-020-05325-z

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Stop (mis)classifying fractures as high- or low-trauma or as fragility fractures

Excerpt

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Excerpt

Please log in to get access to this content

Other articles of this Issue 6/2020

Describing the resource utilisation and costs associated withvertebral fractures: the Build Better Bones with Exercise (B3E) Pilot Trial

Postoperative decrease of regional volumetric bone mineral density measured by quantitative computed tomography after lumbar fusion surgery in adjacent vertebrae

Kyphosis and 3-year fall risk in community-dwelling older men

Testing a theoretical model of imminent fracture risk in elderly women: an observational cohort analysis of the Canadian Multicentre Osteoporosis Study

Insulin resistance negatively affects bone quality not quantity: the relationship between bone and adipose tissue

The natural course of the paravertebral muscles after the onset of osteoporotic vertebral fracture