{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T18:42:25Z","timestamp":1785523345005,"version":"3.56.0"},"reference-count":16,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2020,3,12]],"date-time":"2020-03-12T00:00:00Z","timestamp":1583971200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2020,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Following wrist fracture, it is desirable to identify patients with osteoporosis. A smartphone\u2010based application (BoneGauge) that uses second metacarpal cortical thickness ratio (2MCP) measured on X\u2010ray has been proposed. This study aims to validate this application using dual\u2010energy X\u2010ray absorptiometry scan in a cohort of patients with distal radius fractures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Thirty subjects aged 50 and over who sustained low\u2010energy fractures of the radius were recruited and measurements were completed by two independent observers using the application.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The interrater reliability as a screening tool was insufficient (<jats:italic>\u03ba<\/jats:italic> = 0.61). Using the 2MCP threshold of 60% for detection of osteopaenia or osteoporosis, we found insufficient correlation between the dual\u2010energy X\u2010ray absorptiometry scan and the two sets of readings using the application (<jats:italic>\u03ba<\/jats:italic> =\u20090.28 and 0.35, respectively).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>On the basis of these results, 2MCP of 60% is not sensitive enough to be used as a screening tool via a smartphone application for assessment of osteoporosis risk.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.15819","type":"journal-article","created":{"date-parts":[[2020,3,12]],"date-time":"2020-03-12T11:58:59Z","timestamp":1584014339000},"page":"1067-1069","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Utility of an index metacarpal cortical thickness application as an osteoporosis screen in distal radius fracture patients aged over 50"],"prefix":"10.1111","volume":"90","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7250-1451","authenticated-orcid":false,"given":"Isobel","family":"Hymer","sequence":"first","affiliation":[{"name":"Department of Orthopaedics Gold Coast University Hospital  Gold Coast Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brahman","family":"Sivakumar","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics Gold Coast University Hospital  Gold Coast Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Randipsingh","family":"Bindra","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics Gold Coast University Hospital  Gold Coast Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1983-9688","authenticated-orcid":false,"given":"Wasim","family":"Awal","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics Gold Coast University Hospital  Gold Coast Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ann","family":"Robinson","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics Gold Coast University Hospital  Gold Coast Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,3,12]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.5152\/eurjrheum.2016.048"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.4065\/mcp.2010.0082"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-2197.2012.06201.x"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/jbmr.3640"},{"key":"e_1_2_7_6_1","unstructured":"World Health Organization. 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Summary Meeting Report Brussels Belgium 5\u20137 May 2004 2004."},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1155\/2012\/234381"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/1748-5908-5-80"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/8756-3282(94)90292-5"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2017.01.012"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02207242"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.2307\/2529310"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.11613\/BM.2012.031"},{"key":"e_1_2_7_14_1","first-page":"1","article-title":"A simplified guide to determination of sample size requirements for estimating the value of intraclass correlation coefficient: a review","volume":"12","author":"Bujang M","year":"2017","journal-title":"Arch. Orofac. 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