Innovative imaging approaches in intertrochanteric hip fractures: A retrospective analysis of density assessment using CT, X-ray and DEXA

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dc.contributor.authorDeniz, Gülnihal
dc.contributor.authorKazez, Muhammed
dc.contributor.authorEsmez, Omer
dc.contributor.authorGulsevincler, Ekrem
dc.contributor.authorGenç, Hasan
dc.date.accessioned2026-04-25T14:11:24Z
dc.date.available2026-04-25T14:11:24Z
dc.date.issued2025
dc.departmentSinop Üniversitesi
dc.description.abstractIntertrochanteric hip fractures in elderly patients are closely linked with underlying osteoporosis, making accurate bone quality assessment critical for both treatment planning and secondary fracture prevention. This study aimed to evaluate the feasibility of using computed tomography (CT) and X-ray as complementary or alternative tools to dual-energy X-ray absorptiometry (DEXA), with a focus on the contralateral (non-fractured) hip. A retrospective analysis was conducted on 48 elderly patients (33 females, 15 males) with unilateral intertrochanteric fractures. During the non-weight-bearing period, imaging of the opposite hip was reviewed. The cortical thickness index (CTI) was calculated from pelvic anteroposterior X-rays, proximal femoral density was quantified by CT in Hounsfield Units (HU), and T- and Z-scores were obtained from DEXA. Statistical relationships between demographic variables and bone parameters were analyzed with Pearson correlation, and interhip variability was explored. CTI, HU values, and DEXA-derived scores showed significant positive correlations, confirming consistency among the methods. Lower CTI and HU values were linked with advancing age and decreased bone mineral density (BMD). Age showed a negative correlation with CT mean, CTI, and total T-scores. Height was inversely correlated with Z-scores, while weight demonstrated negative associations with multiple parameters including T-scores, Z-scores, and CTI. Strong positive correlations were identified between CTI, CT mean, and densitometric scores. CTI derived from routine pelvic X-rays and HU values from CT scans can act as practical and widely available indicators of bone quality. When combined with or used in place of DEXA, these imaging parameters may improve preoperative planning, fracture risk stratification, and early osteoporosis recognition, particularly in centers where DEXA is limited or delayed. 
dc.identifier.doi10.5455/medscience.2025.04.102
dc.identifier.endpage1084
dc.identifier.issn2147-0634
dc.identifier.issue4
dc.identifier.startpage1079
dc.identifier.trdizinid1369806
dc.identifier.urihttps://doi.org/10.5455/medscience.2025.04.102
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay/1369806
dc.identifier.urihttps://hdl.handle.net/11486/7837
dc.identifier.volume14
dc.indekslendigikaynakTR-Dizin
dc.language.isoen
dc.relation.ispartofMedicine Science
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_TR_20260420
dc.subjectRadyoloji
dc.subjectNükleer Tıp
dc.subjectTıbbi Görüntüleme
dc.subjectOrtopedi
dc.titleInnovative imaging approaches in intertrochanteric hip fractures: A retrospective analysis of density assessment using CT, X-ray and DEXA
dc.typeArticle

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