BONE FRAGILITY, FRACTURE RISK AND TRAUMA:A COMPLICATED TRIANGLE IN CHILDREN

BONE FRAGILITY, FRACTURE RISK AND TRAUMA:A COMPLICATED TRIANGLE IN CHILDREN

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ABSTRACT Objective: To analyze whether association between bone fragility and risk of fracture depends on the trauma level.Method: All participants along with their mothers underwent DXA scan and body measurements.The subjects answered a self-report questionnaire about their physical activities and the precipitating causes.The questionnaire results were associated with DXA performed at the baseline visit.

Results: A total 374 children with available DXA scan and complete follow-up of 5 years were included in the final analysis.Of the 374 children, 53 HEART DROPS ORIGINAL (14.2%) had one fracture, and 11 (20.7%) had more than one fracture.

Based on the modified Landin classification, the trauma 534 level was determined.Of the 53 (14.2%) children who had one fracture, 39 (73.6%) were classified, namely 19 (48.

7%) with mild trauma, 16 (41%) with moderate trauma and four (10.2%) with severe trauma.Trauma level could not be assigned to 14 (26.4%) children due to limited information.

Children without fractures had significantly higher values in all bone parameters compared to those with fractures caused by mild trauma.Conclusion: Subjects with mild trauma fractures had an inversely proportional ratio between bone fragility parameters and fracture risk compared with subjects without fractures.Level of Evidence IV, Case Series.