Distal forearm fracture as risk factor for vertebral osteoporosis

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Abstract
* Fractures of the vertebral body and of the distal forearm are typical manifestations of type I or postmenopausal osteoporosis,1 but the association between the two fractures in individual women is not clear. In type I osteoporosis vertebral fractures are associated with low bone mineral density of the lumbar spine, and the risk of vertebral fracture increases two to three times with each standard deviation decrease in bone mineral density.2 We aimed to determine whether a fracture of the distal forearm in postmenopausal women indicated an increased risk of vertebral osteoporosis. We identified 127 women aged 50 to 82 (mean 64.7 years) from records in the radiology department and fracture clinic who had a fracture of the distal forearm within the previous three years (62% uptake); 375 women aged 50 to 85 years (mean 64.6 years) were randomly selected from three general practice populations in Sheffield (55% uptake). Twelve women with previous fractures …

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