老年人骨质疏松性髋部骨折与Singh指数和股骨近端几何结构的相关性初探

目的探讨老年性髋部骨折与Singh指数和股骨近端几何结构的关系。方法髋部骨质疏松骨折性46例。男24例,女22例;年龄56～82岁,平均(67.3±12.5)岁。对照组48例,为同期健康体检的志愿者,男25例,女23例;年龄54～79岁,平均(68.2±11.8)岁。测量两组受试者Singh指数及股骨颈轴长(FNAL)、颈干角(NSA)(髋部骨折组对其健侧进行检测),比较分析彼此间的相关性。结果老年性髋部骨折患者与对照组比较Singh指数明显降低,FNAL长于对照组,NSA较对照组大。结论 Singh指数和FNAL及NSA可以提高对老年性髋部骨质疏松骨折危险性的预测。

The expIoration of the relationship between osteoporotic hip f}acture and Singh index and proximal fbmoral geometrical structure in the elderly

Objective To explore the relationship between osteoporotic hip fracture and Singh index and proximal femur geometry in the elderly.Methods Forty-six patients with osteoporotic hip fractures were chosen,including 24 males and 22 females,aged from 56 to 82 years old with an average of 67.3±12.5 years old.Forty-eight healthy volunteers were chosen as the control group,including 25 males and 23 females,aged from 54 to 79 years old with an average of 68.2±11.8 years old.The Singh index,femoral neck axis length(FNAL),and neck shaft angle(NSA) of the patients in both groups were measured and analyzed.Results Singh index of patients in the fracture group was significantly lower than that in the control group.However,FNAL and NSA of patients in the fracture group were significantly longer and larger than those in the control group.Conclusion The combination of Singh index,FNAL,and NSA may improve the risk prediction of osteoporotic hip fracture.