porozendoОстеопороз и остеопатииOsteoporosis and Bone Diseases2072-26802311-0716Endocrinology Research Centre10.14341/osteo201229-12porozendo-4040Research ArticleСтатьиArticlesСОСТОЯНИЕ МИНЕРАЛЬНОЙ ПЛОТНОСТИ КОСТНОЙ ТКАНИ У ЖЕНЩИН, ПЕРЕНЕСШИХ МАЛОТРАВМАТИЧНЫЕ ПЕРЕЛОМЫ В ВОЗРАСТЕ 50 ЛЕТ И СТАРШЕSOSTOYaNIE MINERAL'NOY PLOTNOSTI KOSTNOY TKANI U ZhENShchIN, PERENESShIKh MALOTRAVMATIChNYE PERELOMY V VOZRASTE 50 LET I STARShEDobrovol'skayaO V

m.n.s. laboratorii osteoporoza

epid@irramn.ruDeminN V

n.s.

-ToroptsovaN V

d.m.n., zaveduyushchaya laboratoriey osteoporoza

-201215082012152№2 (2012)912Copyright © Dobrovol'skaya O.V., Demin N.V., Toroptsova N.V., 20122012Dobrovol'skaya O.V., Demin N.V., Toroptsova N.V.Dobrovol'skaya O.V., Demin N.V., Toroptsova N.V.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.osteo-endojournals.ru/jour/article/view/4040

Цель исследования — изучить состояние минеральной плотности костной ткани (МПК) у женщин в возрасте 50 лет и старше, перенесших переломы при минимальном уровне травматического воздействия. Остеоденситометрия трех областей измерения проведена у 173 женщин с малотравматичными переломами (МП) различных локализаций. Выявлено, что у 77% женщин имелся остеопороз (ОП), у 21% — остеопения (ОПе). ОП хотя бы в одной из областей измерения выявлен у 80% больных с переломом проксимального отдела бедра, у 77% — с переломами дистального отдела лучевой кости, у 73% — с переломами шейки плеча, у 86% — с переломами позвонка и у 62% — с переломами лодыжки. Кроме того, при этих видах переломов ОП в двух областях измерения встречался у 38%, 23%, 30%, 33% и 24% женщин соответственно. ОП всех трех областей измерения чаще всего обнаруживался у женщин с переломами дистального отдела лучевой кости (39%). Высокая частота выявления ОП у обследованных лиц с МП доказывает необходимость назначения адекватной противоостеопоротической терапии у таких больных без обязательного денситометрического подтверждения снижения МПК.

This study was aimed to evaluate the bone mineral density (BMD) in women at the age of 50 years and older with the his tory of fracture(s) after a low-energy trauma. For this purpose the osteodensitometry of three areas was performed in 173 women with different low-traumatic fractures. Osteoporosis and osteopenia were found in 77% and 21% of patients respectively. Osteoporosis at least in one of three areas was revealed in 80% of women with hip fracture, in 77% of women with wrist fractures, in 73% of patients with humeral fractures, in 86% women after vertebral fractures and in 62% of patients with ankle fractures. Moreover, in these subgroups the osteoporosis in two areas of three was found in 38%, 23%, 30%, 33% and 24% of cases respectively. Osteoporosis in all three areas was detected more frequently in women with wrist fractures (in 39% of cases). The high frequency of osteoporosis in women with the history of low-traumatic fractures argues the need of an adequate antiosteoporotic treatment without mandatory verification of the reduced BMD by the mean of the osteodensitometry.

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