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    Are Women with Thicker Cortices in the Femoral Shaft at Higher Risk of Subtrochanteric/Diaphyseal Fractures? The Study of Osteoporotic Fractures.

    Thickening of the femoral shaft cortical bone has been mentioned in reports of atypical subtrochanteric and diaphyseal (S/D) femur fractures.  These authors examine the relationship of cortical thickness to S/D fracture risk in a large cohort of older women.  However they found no evidence that thick femoral cortices placed women at higher risk for low-energy S/D femur fractures; in fact, the opposite was true. Women with thin cortices were at a higher risk for femoral neck and intertrochanteric fractures.

    http://www.ncbi.nlm.nih.gov/pubmed/22547423

    Napoli N, Jin J, Peters K, Wustrack R, Burch S, Chau A, et al

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