IJOCP | Volume – 2015| Issue – 2015| Article ID – 2015:101
Conference: Indian Orthopaedic Association Annual Conference IOACON-2013,      India [Click for Full details]  

Authors: Basha R, Shanmughanathan R, Yerramshetty J

Authors Affiliations:

Address of correspondence: kiranchandranb@gmail.com


Background: Fragility fractures result in marked morbidity, disability and 25 – 50% suffer mortality in addition to the economic burden. Prevention is better than treatment due to the high cost and burden to the society which can be achieved by education on bone health, and mass screenings. Current available techniques like QCT and DEXA are costly and not readily available especially in rural areas. Therefore we propose to use radiographs along with texture analysis in predicting the fracture risk. In this study texture analysis was evaluated for its clinical applicability alone and in combination with the FRAX score. Materials and

Methods: Ninety two individuals, 61 with fragility fractures and 31 controls were recruited. We used QCT for the assessment of bone mineral density, digital X-ray of the calcaneum to extract the texture variables and the FRAX Score in assessing the fracture risk.

Results: The was a difference in the texture variables between the fractured and non fractured group. Among the texture variables, LGRE was showing the highest effect size (0.4229). The T score was able to differentiate the fractured from non fractured. The T score was able to detect 72.8% of the fractures while for texture variables it was 68.5%. FRAX score it was 81.5%. When T score was combined with FRAX score it was 78.5% and when texture variables were used along with FRAX it was able to detect 84.8% of the fractures.

Conclusion: Based on the above results we believe that texture analysis when combined with FRAX scoring can be used as an effective tool in the prediction of fragility fracture risk. Moreover it is cheap, having low exposure rates and easily accessible and hence can be used in developing countries like India.

How to Cite this Abstract
Basha R, Shanmughanathan R, Yerramshetty J. Fragility fracture assesment using calcaneal texture analysis. International Journal of Conference Proceedings 2015;(2015):101