Osteoporosis, bone & mineral

Buds of new bone formation within the Femoral Head of Hip Fracture Patients Coincide with Zones of Low Osteocyte Sclerostin

J Bone Miner ResPublished Mechanistic study

Authors' conclusion

These results demonstrate modeling-based bone formation in femoral trabeculae from patients with hip fracture as a potential therapeutic target to enhance bone structure.

Study context

Population
Patients with hip fracture; trabecular cores from different parts of the femoral head
Comparison
Femoral head zones: superomedial vs superolateral and inferomedial
Outcome
FMiS density (N.FMiS/T.Ar)
Methodological detailsTrabecular bone structure measured with high-resolution imaging
  • Trabecular bone structure measured with high-resolution imaging

Main finding

As reported in the abstract

  • Fewer sclerostin expressing osteocytes close to or within FMiS
  • Superomedial vs Superolateral: P < 0.05
  • Superomedial vs Inferomedial: P < 0.001

Further findings

Correlation of FMiS density with trabecular structure

BV/TV, r
0.65, p < 0.0001
BS/TV, r
0.47, p < 0.01
Tb.Th, r
0.55, p < 0.001
Tb.N, r
0.47, p < 0.01
Conn.D, r
0.40, p < 0.05
Tb.Sp, r
−0.56, p < 0.001

Original publication

Buds of new bone formation within the Femoral Head of Hip Fracture Patients Coincide with Zones of Low Osteocyte Sclerostin. J Bone Miner Res. Published 29 September 2023. doi:10.1002/jbmr.4898

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