Indian Journal of Orthopaedics Surgery

Simple analysis of osteoporosis with Singh’s Index – Can it help in predicting the type of fracture?

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Article Type : Research Article

Author Details: Sandeep Krishna Avulapati*,Munirathnam T,Jagadeesh Gudaru,Karthick Gudaru

Volume : 5

Issue : 3

Online ISSN : 2395-1362

Print ISSN : 2395-1354

Article First Page : 176

Article End Page : 181


Introduction: Much of osteoporosis in India remains Undiagnosed. Forgetting about mortality and morbidity, proximal femur fracture can become an economic and social burden in ageing population in our country. Singh’s Index can be used along with digital X-Ray in evaluation of osteoporosis in proximal femur. This can aid in predicting the type of fracture in elderly individuals.
Aim: To evaluate osteoporosis and fracture pattern with Singh’s Index in proximal femur fracture.
Null hypothesis: There exists no relationship between grade of osteoporosis (Singh’s Index) and type of fracture in proximal femur fractures.
Materials and Methods: A retrospective study was carried out March 2017 to July 2019 in BIRRD (T) Hospital. Patients admitted with proximal femur fractures were evaluated radiological after fulfilling inclusion and exclusion criteria. They were graded with Singh’s Index for osteoporosis and fracture type in proximal femur.
Results: A total of 263 patients were included into the study. There were 161 Intertrochanteric fractures, 86 fracture neck of femur and 16 Subtrochanteric fractures in all. There were five grades of Singh’s Index were found from Grade I to V, where Grade VI and VII were not found in the study.
Conclusion: Null hypothesis remains rejected.

Keywords: Osteoporosis, Singh’s Index, Intertrochanteric fracture, Fracture neck of femur, Subtrochanteric fracture, Proximal femur fractures, Fracture patterns.

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