Fractures and handicap in an adult population: A clinical study - 27/12/07
, Anne Limouzin c, Patrick Garnero d, Caroline de Montalivet a, Dominique Loubier c
Corresponding author. Medicine Department, Valence Hospital, 179 boulevard Maréchal Juin, 26000 Valence Cedex 09, France. Tel.: +33 4 7575 7527; fax: +33 4 575 7275.Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
| pages | 6 |
| Iconographies | 2 |
| Vidéos | 0 |
| Autres | 0 |
Abstract |
Objective |
To evaluate the bone status of ambulatory patients with physical and mental handicaps before a program of fracture prevention.
Methods |
We recruited 58 walking adults. We retrospectively collected the past episodes of fractures, essentially peripheral, and epilepsy. The serum calcium, albumin, 25-hydroxyvitamin D, parathormone, CTX-1 and P1NP levels were prospectively measured in 36 consecutive patients. Each patient received daily calcium and vitamin D. The vertebral status has been not evaluated.
Results |
Twenty-one patients had presented at least one fracture. Thirty nine per cent of the fractures were minor (nasal bone, hands, feet). The age of patients with fractures was significantly higher than patients without fracture (46 versus 40years, respectively; p=0.04). Patients with fractures had a significantly increased S-P1NP (63.5ng/ml±32.0 versus 41.9ng/ml±20.0, respectively; p=0.02).
Nineteen patients suffered from epilepsy. We listed 23 fractures among 9 patients treated by phenobarbital and 8 fractures, which tended to be less severe among 5 patients epileptics without this drug. Minor fracture was often followed by severe fracture in case of phenobarbital treatment. This treatment was associated with a significantly lower serum calcium level (2.16mmol/l±0.05, versus epileptic patients without phenobarbital 2.32mmol/l±0.08, p<0.0004).
Conclusions |
The presence of a fracture, even minor, must encourage to improve the preventive and curative measures among patients with handicaps.
Le texte complet de cet article est disponible en PDF.Keywords : Handicap, Fractures, Bone turnover, Vitamin D, Epilepsy
Plan
Vol 74 - N° 6
P. 584-589 - décembre 2007 Retour au numéro
Article précédent
- Genetic basis for systemic sclerosis
- Yannick Allanore, Julien Wipff, André Kahan, Catherine Boileau
- Effect of strontium ranelate on fracture healing in rat tibia
- Oguz Cebesoy, Ediz Tutar, Kamil Cagri Kose, Yasemin Baltaci, Cahit Bagci
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’achat d’article à l’unité est indisponible à l’heure actuelle.
Déjà abonné à cette revue ?