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The Usefulness of Hip to Thigh Ratio as an Anthropometric Indicator for the Incidence of Hip Fracture
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Jin Park, Kyu Hyun Yang, Seong Hwan Moon
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J Korean Fract Soc 2009;22(1):1-5. Published online January 31, 2009
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DOI: https://doi.org/10.12671/jkfs.2009.22.1.1
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 Abstract
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- PURPOSE
To compare anthropometric indicators around the hip between osteoporotic fracture group and control group.
MATERIALS AND METHODS
Thirty patients for osteoporotic hip fracture and the same number of patients for spine fracture who admitted our institute from November 2006 to March 2007 were matched with control patients without osteoporotic fracture. The waist circumference (WC), hip circumference (HC), thigh circumference (TC), and height were measured. From these measurements, waist to hip ratio (WHR), waist to thigh ratio (WTR), hip to thigh ratio (HTR), waist to height ratio (WHtR), hip to height ratio (HHtR), and thigh to height ratio (THtR) were calculated. All these indicators were compared between hip fracture and control group, and between spine fracture and control group.
RESULTS
Comparison between spine fracture and control group showed that the WC, WHR, WHtR were statistically significant, but all indicators failed to show accuracy in the ROC analysis. Comparison between hip fracture and control group demonstrated the TC, WTR, HTR, WHtR, HHtR, THtR were statistically significant. However, only the HTR showed fair accuracy in the ROC analysis. The area under the curve (AUC) of the HTR was 0.75 (95% confidence interval, 0.62 to 0.87) (p=0.001).
CONCLUSION
The HTR was fairly accurate in predicting the incidence of hip fracture compared with any other anthropometric indicators. Therefore, we can consider that the HTR has clinical usefulness.
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Differential diagnosis and its treatment of gas forming infections
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Soo Bong Hahn, Ho Jung Kang, Jin Park
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J Korean Soc Fract 2002;15(4):607-613. Published online October 31, 2002
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DOI: https://doi.org/10.12671/jksf.2002.15.4.607
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Abstract
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- PURPOSE
To establish the guidelines for the differential diagnosis and proper initial treatment of the gas forming infections through the review of literature and our clinical experiences.
MATERIALS AND METHODS
The radiological findings, clinical course, gram stain, bacterial culture, predisposing factors and treatment of four cases of gas forming infections from January 1994 to August 2001, were retrospectively analyzed.
RESULTS
Three cases diagnosed presumptively as gas gangrene were improved through amputation or disarticulation and intravenous antibiotics. One case diagnosed presumptively as non-clostridial infection was expired due to sepsis in spite of incision, drainage and intravenous antibiotics. In the bacterial culture, two cases were non-clostridial infection, one case was not able to diagnose and one case was clostridial myonecrosis(gas gangrene) CONCLUSION: The gas forming infections are rare but life-threatening. When the proper initial treatment is delayed, the fatal complications may result. So, the presumptive diagnosis through gram stain, clinical course, radiological findings should be made as soon as possible, and according to which, the appropriate initial treatment, such as, surgical debridement, amputation, intravenous antibiotics must be started. The following treatments should be corrected by definitive diagnosis through the bacterial culture.
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Citations
Citations to this article as recorded by  - Salmonella gas-forming pyomyositis in an immunocompetent patient: a case report and review
Jee Young Lee, Gyu Min Kong
Journal of International Medical Research.2025;[Epub] CrossRef - Type I, II Acute Necrotizing Fasciitis of the Low Extremity
Sang-Jun Song, In Seok Lee, Ju Hwan Chung
The Journal of the Korean Orthopaedic Association.2007; 42(5): 636. CrossRef
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