{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T20:02:44Z","timestamp":1763496164099,"version":"3.45.0"},"reference-count":35,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"5","license":[{"start":{"date-parts":[[2020,2,7]],"date-time":"2020-02-07T00:00:00Z","timestamp":1581033600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2016,8,19]],"date-time":"2016-08-19T00:00:00Z","timestamp":1471564800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["AOTT"],"abstract":"<jats:p>Objectives: The aim of this caseecontrol study was to compare the discriminatory ability of bone mineral density (BMD) measurements and calcaneal quantitative ultrasound (QUS) parameters for fractures and to determine fracture thresholds for each variable in men with hip or distal forearm fractures.\n\nPatients and methods: A total of 20 men with hip and 18 men with distal forearm fractures and 38 agematched controls were included in this study. Dual-energy X-ray absorptiometry (DXA) BMD (spine and hip) and calcaneal QUS measurements were made. Area under the curves (AUCs) were calculated to assess fracture discriminatory power of DXA and QUS variables.\n\nResults: Quantitative Ultrasound Index (QUI) T-score and Speed of Sound (SOS) were found to be the best parameters for the identification of hip and distal forearm fractures, respectively, with AUCs greater than those of DXA BMD and other QUS parameters. While a QUI T-score of 1.18 could identify and rule out hip fracture cases with approximately 80% sensitivity and specificity, a SOS value of 1529.75 reached to almost 90% for ruling in and out distal forearm fractures.\n\nConclusion: The discriminatory performance of calcaneal QUS variables between fractured and nonfractured men was as good as those of the DXA BMD and even better. Since men appear to sustain fractures at closer QUS variable levels than those of the DXA BMD regardless of the fracture type, it may be speculated that calcaneal QUS may be more helpful in predicting the risk of fractures when BMD alone does not demonstrate impaired bones.\n\nLevel of Evidence: Level III, Study of Diagnostic Tes<\/jats:p>","DOI":"10.1016\/j.aott.2016.08.006","type":"journal-article","created":{"date-parts":[[2016,9,25]],"date-time":"2016-09-25T07:34:20Z","timestamp":1474788860000},"page":"548-553","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":4,"title":["Discriminative ability of calcaneal quantitative ultrasound compared with dual-energy X-ray absorptiometry in men with hip or distal forearm fractures"],"prefix":"10.5152","volume":"50","author":[{"given":"Fatih","family":"Cesme","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sina","family":"Esmaeilzadeh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aydan","family":"Oral","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3111","published-online":{"date-parts":[[2020,2,7]]},"reference":[{"key":"10.1016\/j.aott.2016.08.006_bib1","doi-asserted-by":"crossref","first-page":"1761","DOI":"10.1016\/S0140-6736(02)08657-9","article-title":"Epidemiology and outcomes of osteoporotic fractures","volume":"359","author":"Cummings","year":"2002","journal-title":"Lancet"},{"key":"10.1016\/j.aott.2016.08.006_bib2","doi-asserted-by":"crossref","first-page":"989","DOI":"10.1007\/s001980170006","article-title":"Ten year probabilities of osteoporotic fractures according to BMD and diagnostic thresholds","volume":"12","author":"Kanis","year":"2001","journal-title":"Osteoporos Int"},{"key":"10.1016\/j.aott.2016.08.006_bib3","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1007\/s00198-003-1490-4","article-title":"Mortality after osteoporotic fractures","volume":"15","author":"Johnell","year":"2004","journal-title":"Osteoporos Int"},{"key":"10.1016\/j.aott.2016.08.006_bib4","doi-asserted-by":"crossref","first-page":"415","DOI":"10.1210\/jc.2013-3461","article-title":"The impact of nonhip nonvertebral fractures in elderly women and men","volume":"99","author":"Bliuc","year":"2014","journal-title":"J\u00a0Clin Endocrinol Metab"},{"key":"10.1016\/j.aott.2016.08.006_bib5","first-page":"565","article-title":"The role of physical and rehabilitation medicine physicians. The European perspective based on the best evidence. A paper by the UEMS-PRM Section Professional Practice Committee","volume":"49","author":"Oral","year":"2013","journal-title":"Eur J Phys Rehabil Med"},{"year":"2013","series-title":"Clinician's Guide to Prevention and Treatment of Osteoporosis","author":"National Osteoporosis Foundation","key":"10.1016\/j.aott.2016.08.006_bib6"},{"key":"10.1016\/j.aott.2016.08.006_bib7","doi-asserted-by":"crossref","first-page":"1185","DOI":"10.1359\/JBMR.050304","article-title":"Predictive value of BMD for hip and other fractures","volume":"20","author":"Johnell","year":"2005","journal-title":"J\u00a0Bone Miner Res"},{"key":"10.1016\/j.aott.2016.08.006_bib8","doi-asserted-by":"crossref","first-page":"1126","DOI":"10.1359\/jbmr.060417","article-title":"Relationship between bone quantitative ultrasound and fractures: a meta-analysis","volume":"21","author":"Mar\u00edn","year":"2006","journal-title":"J\u00a0Bone Miner Res"},{"key":"10.1016\/j.aott.2016.08.006_bib9","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1007\/s00198-011-1817-5","article-title":"Quantitative ultrasound of the heel and fracture risk assessment: an updated meta-analysis","volume":"23","author":"Moayyeri","year":"2012","journal-title":"Osteoporos Int"},{"key":"10.1016\/j.aott.2016.08.006_bib10","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1007\/s001980050193","article-title":"Ultrasound measurements at the calcaneus in men: differences between healthy and fractured persons and the influence of age and anthropometric features on ultrasound parameters","volume":"10","author":"Pluskiewicz","year":"1999","journal-title":"Osteoporos Int"},{"key":"10.1016\/j.aott.2016.08.006_bib11","doi-asserted-by":"crossref","first-page":"963","DOI":"10.1007\/s00198-004-1771-6","article-title":"Quantitative ultrasound and dual-energy X-ray absorptiometry in the prediction of fragility fracture in men","volume":"16","author":"Gonnelli","year":"2005","journal-title":"Osteoporos Int"},{"key":"10.1016\/j.aott.2016.08.006_bib12","doi-asserted-by":"crossref","first-page":"1749","DOI":"10.1007\/s00198-005-1914-4","article-title":"Association of quantitative heel ultrasound with history of osteoporotic fractures in elderly men: the ESOPO study","volume":"16","author":"Varenna","year":"2005","journal-title":"Osteoporos Int"},{"key":"10.1016\/j.aott.2016.08.006_bib13","doi-asserted-by":"crossref","first-page":"237","DOI":"10.1007\/s00198-005-1985-2","article-title":"Quantitative heel ultrasound in a population-based study in Italy and its relationship with fracture history: the ESOPO study","volume":"17","author":"Maggi","year":"2006","journal-title":"Osteoporos Int"},{"key":"10.1016\/j.aott.2016.08.006_bib14","doi-asserted-by":"crossref","first-page":"1083","DOI":"10.7863\/jum.2010.29.7.1083","article-title":"Use of quantitative ultrasound for identifying low bone density in older people","volume":"29","author":"Lee","year":"2010","journal-title":"J\u00a0Ultrasound Med"},{"key":"10.1016\/j.aott.2016.08.006_bib15","doi-asserted-by":"crossref","first-page":"877","DOI":"10.7863\/jum.2011.30.7.877","article-title":"Fracture status in men assessed by quantitative ultrasound measurements at the calcaneus","volume":"30","author":"Pluskiewicz","year":"2011","journal-title":"J\u00a0Ultrasound Med"},{"key":"10.1016\/j.aott.2016.08.006_bib16","doi-asserted-by":"crossref","first-page":"800","DOI":"10.1210\/jc.2011-1654","article-title":"A\u00a0population-based study examining calcaneus quantitative ultrasound and its optimal cut-points to discriminate osteoporotic fractures among 9352 Chinese women and men","volume":"97","author":"Liu","year":"2012","journal-title":"J\u00a0Clin Endocrinol Metab"},{"year":"1994","series-title":"Assessment of Fracture Risk and its Application to Screening for Postmenopausal Osteoporosis","author":"World Health Organisation","key":"10.1016\/j.aott.2016.08.006_bib17"},{"key":"10.1016\/j.aott.2016.08.006_bib18","doi-asserted-by":"crossref","first-page":"455","DOI":"10.1016\/j.jocd.2013.08.004","article-title":"Executive summary of the 2013 International Society for Clinical Densitometry Position Development Conference on bone densitometry","volume":"16","author":"Schousboe","year":"2013","journal-title":"J\u00a0Clin Densitom"},{"key":"10.1016\/j.aott.2016.08.006_bib19","doi-asserted-by":"crossref","first-page":"1427","DOI":"10.1007\/s00330-004-2273-9","article-title":"Differences between the right and the left foot in calcaneal quantitative ultrasound measurements","volume":"14","author":"Oral","year":"2004","journal-title":"Eur Radiol"},{"key":"10.1016\/j.aott.2016.08.006_bib20","doi-asserted-by":"crossref","first-page":"262","DOI":"10.1007\/BF01774016","article-title":"Accurate assessment of precision errors: how to measure the reproducibility of bone densitometry techniques","volume":"5","author":"Gl\u00fcer","year":"1995","journal-title":"Osteoporos Int"},{"key":"10.1016\/j.aott.2016.08.006_bib21","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1385\/JCD:5:1:079","article-title":"Dual X-ray absorptiometry of hip, heel ultrasound, and densitometry of fingers can discriminate male patients with hip fracture from control subjects: a comparison of four different methods","volume":"5","author":"Ekman","year":"2002","journal-title":"J\u00a0Clin Densitom"},{"key":"10.1016\/j.aott.2016.08.006_bib22","doi-asserted-by":"crossref","first-page":"771","DOI":"10.1007\/s00198-006-0317-5","article-title":"Osteoporotic Fractures in Men (MrOS) Research Group. Quantitative ultrasound predicts hip and non-spine fracture in men: the MrOS study","volume":"18","author":"Bauer","year":"2007","journal-title":"Osteoporos Int"},{"key":"10.1016\/j.aott.2016.08.006_bib23","doi-asserted-by":"crossref","first-page":"388","DOI":"10.1007\/s001980200044","article-title":"Quantitative ultrasound of bone in male osteoporosis","volume":"13","author":"Mulleman","year":"2002","journal-title":"Osteoporos Int"},{"key":"10.1016\/j.aott.2016.08.006_bib24","doi-asserted-by":"crossref","first-page":"1001","DOI":"10.1007\/s00198-011-1634-x","article-title":"Predictive values of calcaneal quantitative ultrasound and dual energy X ray absorptiometry for non-vertebral fracture in older men: results from the MrOS study (Hong Kong)","volume":"23","author":"Kwok","year":"2012","journal-title":"Osteoporos Int"},{"key":"10.1016\/j.aott.2016.08.006_bib25","doi-asserted-by":"crossref","first-page":"1550","DOI":"10.1359\/jbmr.060708","article-title":"Osteoporotic Fractures in Men (MrOS) Research Groups; Study of Osteoporotic Fractures Research Groups. BMD and risk of hip and nonvertebral fractures in older men: a prospective study and comparison with older women","volume":"21","author":"Cummings","year":"2006","journal-title":"J\u00a0Bone Min Res"},{"key":"10.1016\/j.aott.2016.08.006_bib26","doi-asserted-by":"crossref","first-page":"471","DOI":"10.1007\/s00198-005-0009-6","article-title":"The long-term predictive value of bone mineral density measurements for fracture risk is independent of the site of measurement and the age at diagnosis: results from the Prospective Epidemiological Risk Factors study","volume":"17","author":"Bagger","year":"2006","journal-title":"Osteoporos Int"},{"key":"10.1016\/j.aott.2016.08.006_bib27","doi-asserted-by":"crossref","first-page":"1184","DOI":"10.1007\/s00198-005-1970-9","article-title":"Bone mineral density predicts osteoporotic fractures in elderly men: the MINOS study","volume":"16","author":"Szulc","year":"2005","journal-title":"Osteoporos Int"},{"key":"10.1016\/j.aott.2016.08.006_bib28","doi-asserted-by":"crossref","first-page":"587","DOI":"10.1093\/aje\/153.6.587","article-title":"Risk factors for proximal humerus, forearm, and wrist fractures in elderly men and women: the Dubbo Osteoporosis Epidemiology Study","volume":"153","author":"Nguyen","year":"2001","journal-title":"Am J Epidemiol"},{"key":"10.1016\/j.aott.2016.08.006_bib29","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1016\/S0140-6736(03)15325-1","article-title":"Prediction of total and hip fracture risk in men and women by quantitative ultrasound of the calcaneus: EPIC-Norfolk prospective population study","volume":"363","author":"Khaw","year":"2004","journal-title":"Lancet"},{"key":"10.1016\/j.aott.2016.08.006_bib30","doi-asserted-by":"crossref","first-page":"1051","DOI":"10.1007\/s001980070027","article-title":"Comparison of six calcaneal quantitative ultrasound devices: precision and hip fracture discrimination","volume":"11","author":"Njeh","year":"2000","journal-title":"Osteoporos Int"},{"key":"10.1016\/j.aott.2016.08.006_bib31","doi-asserted-by":"crossref","first-page":"2115","DOI":"10.1007\/s00198-010-1188-3","article-title":"Osteoporotic Fractures in Men (MrOS) Research Group. Osteoporotic Fractures in Men (MrOS) Research Group. Race\/ethnic differences in bone mineral densities in older men","volume":"21","author":"Nam","year":"2010","journal-title":"Osteoporos Int"},{"key":"10.1016\/j.aott.2016.08.006_bib32","doi-asserted-by":"crossref","first-page":"571","DOI":"10.1016\/S8756-3282(03)00058-9","article-title":"Performance of quantitative ultrasound in the discrimination of prevalent osteoporotic fractures in a bone metabolic unit","volume":"32","author":"Lopez-Rodriguez","year":"2003","journal-title":"Bone"},{"key":"10.1016\/j.aott.2016.08.006_bib33","doi-asserted-by":"crossref","first-page":"449","DOI":"10.1007\/s001980050090","article-title":"The influence of physical activity and fractures on ultrasound parameters in elderly people","volume":"8","author":"Graafmans","year":"1998","journal-title":"Osteoporos Int"},{"key":"10.1016\/j.aott.2016.08.006_bib34","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1007\/s001980050003","article-title":"Loss of bone density and lean body mass after hip fracture","volume":"11","author":"Fox","year":"2000","journal-title":"Osteoporos Int"},{"key":"10.1016\/j.aott.2016.08.006_bib35","doi-asserted-by":"crossref","first-page":"2663","DOI":"10.1007\/s00198-014-2797-z","article-title":"The relationship between BPAQ-derived physical activity and bone density of middle-aged and older men","volume":"25","author":"Bolam","year":"2014","journal-title":"Osteoporos Int"}],"container-title":["Acta Orthopaedica et Traumatologica Turcica"],"original-title":[],"link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1017995X16301134?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1017995X16301134?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.aott.org.tr\/index.php\/pub\/article\/download\/3177\/3127","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T19:58:07Z","timestamp":1763495887000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.aott.org.tr\/index.php\/pub\/article\/view\/3177"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,7]]},"references-count":35,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2016,1,5]]}},"URL":"https:\/\/doi.org\/10.1016\/j.aott.2016.08.006","relation":{},"ISSN":["2589-1294","1017-995X"],"issn-type":[{"type":"electronic","value":"2589-1294"},{"type":"print","value":"1017-995X"}],"subject":[],"published":{"date-parts":[[2020,2,7]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Discriminative ability of calcaneal quantitative ultrasound compared with dual-energy X-ray absorptiometry in men with hip or distal forearm fractures","name":"articletitle","label":"Article Title"},{"value":"Acta Orthopaedica et Traumatologica Turcica","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.aott.2016.08.006","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2016 Turkish Association of Orthopaedics and Traumatology. Publishing services by Elsevier B.V.","name":"copyright","label":"Copyright"}]}}