ABSTRACT Objective: To analyze whether association between bone fragility and risk of fracture depends on the trauma level.Method: All participants along with their mothers underwent DXA scan Speaker brackets and body measurements.The subjects answered a self-report questionnaire about their physical activities and the precipitating causes.
The questionnaire results were associated with DXA performed at the baseline visit.Results: A total 374 children with available DXA scan and complete follow-up of 5 years were included in the final analysis.Of the 374 children, 53 (14.
2%) had one fracture, and 11 (20.7%) had more than one fracture.Based on the modified Landin classification, the trauma level was determined.
Of the 53 (14.2%) children who had one fracture, 39 (73.6%) were classified, namely 19 (48.
7%) with mild trauma, 16 (41%) with moderate trauma and four (10.2%) with severe trauma.Trauma level could not be assigned to 14 (26.
4%) children due to limited information.Children without fractures had significantly higher values in all bone parameters compared to those with fractures ARTHRI-PLUS CREME caused by mild trauma.Conclusion: Subjects with mild trauma fractures had an inversely proportional ratio between bone fragility parameters and fracture risk compared with subjects without fractures.
Level of Evidence IV, Case Series.