porozendoОстеопороз и остеопатииOsteoporosis and Bone Diseases2072-26802311-0716Endocrinology Research Centre10.14341/osteo13129porozendo-13129Research ArticleНАУЧНЫЙ ОБЗОРREVIEWАссоциация остеопороза с переломами лодыжек в гериатрической популяцииAssociation of osteoporosis with ankle fractures in the geriatric populationhttps://orcid.org/0000-0002-3026-5814НурлыгаяновР. З.NurlygaianovR. Z.

Нурлыгаянов Радик Зуфарович – врач травматолог-ортопед высшей категории ГБУЗ РБ ГКБ №21 г. Уфа; руководитель Уфимского городского центра по профилактике, диагностике и лечению остеопороза, кандидат медицинских наук, член президиума РАОП, Заслуженный врач РБ.

450071, Уфа, Лесной проезд, д. 3

Radik Z. Nurlygaianov.

3 Lesnoy proezd street, 450071 Ufa

radiknur@list.ruhttps://orcid.org/0000-0003-1916-3830МинасовТ. Б.MinasovT. B.

Минасов Тимур Булатович – доктор медицинских наук, профессор.

Уфа

Scopus Author ID: 17346255400

Timur B. Minasov - MD, PhD, Professor.

Ufa

Scopus Author ID: 17346255400

m004@ya.ruhttps://orcid.org/0000-0002-8896-6875НурлыгаяноваД. Р.NurlygaianovaD. R.

Нурлыгаянова Динара Радиковна.

Казань

Dinara R. Nurlygaianova.

Kazan

dinaranur0203@gmail.comГосударственное бюджетное учреждение здравоохранения «Городская клиническая больница №21»РоссияState budgetary healthcare institution «City Clinical Hospital No. 21»Russian FederationФедеральное государственное бюджетное образовательное учреждение высшего образования Министерства здравоохранения Российской Федерации «Башкирский государственный медицинский университет»РоссияFederal State Budgetary Educational Institution of Higher Education of the Ministry of Health of the Russian Federation «Bashkir State Medical University»Russian FederationФедеральное государственное автономное образовательное учреждение высшего образования «Казанский (Приволжский) федеральный университет»РоссияFederal State Autonomous Educational Institution of Higher Education «Kazan (Volga Region) Federal University»Russian Federation20231511202326249Copyright © Нурлыгаянов Р.З., Минасов Т.Б., Нурлыгаянова Д.Р., 20232023Нурлыгаянов Р.З., Минасов Т.Б., Нурлыгаянова Д.Р.Nurlygaianov R.Z., Minasov T.B., Nurlygaianova D.R.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.osteo-endojournals.ru/jour/article/view/13129

Переломы лодыжек, как и большинство других переломов костей, часто встречаются у людей пожилого возраста. Однако взаимосвязь переломов данной локализации с остеопорозом остается спорной. Этот систематический обзор направлен на определение взаимосвязи между переломами лодыжек и минеральной плотностью костной ткани (МПКТ). В статье представлен обзор статей, имеющих статистические данные о взаимосвязи МПКТ с частотой переломов лодыжек у пожилых людей. Авторами был проведен обзорный анализ статей, в которых использовалась статистическая обработка для презентации полученных результатов. Поиск проводился в публикациях PubMed, Medline, Scopus статей, в которых исследовались пожилые пациенты с переломами лодыжек с оценкой МПКТ с последующей статистической обработкой и презентацией результатов. Переломы лодыжек в гериатрической популяции обусловлены генерализованной потерей костной массы и изменением микроархитектоники трабекулярной костной ткани, следовательно, должны рассматриваться как низкоэнергетические («остеопорозные») переломы, независимо от МПКТ. Были установлены взаимосвязи с женским полом, избытком массы тела, сахарным диабетом 2 типа, артериальной гипертензией, которые характеризуются изменением трабекулярной структуры костной ткани. Алгоритм переломов FRAX недооценивает вероятность переломов у гериатрических пациентов, которые имеют высокий индекс массы тела и сопутствующую соматическую патологию, поэтому необходимо акцентироваться на независимых клинических факторах риска МПКТ, чтобы оптимизировать профилактику переломов в гериатрической популяции.

Ankle fractures are common in older people. However, their association with osteoporosis remains controversial. This systematic review aims to determine the relationship between ankle fracture and bone mineral density (BMD). The article presents an overview of articles that have statistical data on the relationship of bone mineral density with the frequency of ankle fractures in the elderly. The aim of the review is to define ankle fracture associations in the geriatric population. Search was performed in PubMed, Medline, Scopus publications for articles in which a study of elderly patients with ankle fractures was conducted with an assessment of bone mineral density, followed by statistical processing with the presentation of the results. Ankle fractures in the geriatric population are due to generalized bone loss and changes in trabecular bone microarchitectonics, fragility, and therefore should be considered osteoporotic fractures, regardless of BMD. Correlation relationships were established with female sex, overweight, type 2 diabetes mellitus, arterial hypertension, which are characterized by a decrease in the trabecular structure. The FRAX fracture algorithm underestimates the likelihood of fractures in geriatric patients who have a high BMI and comorbid physical pathology, so it is necessary to focus on independent clinical risk factors for BMD in order to optimize fracture prevention.

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The authors declare that there are no conflicts of interest present.