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Complementary medical treatment for Colles' fracture: a comparative, randomized, longitudinal study.

Abstract
In 45 women with Colles' fracture, two types of complementary medical treatment (calcitonin with calcium [SCT+Ca] and calcium alone [Ca]) were compared with placebo. Consecutive patients were assigned randomly to one of the three study groups at the time of inclusion in the study: 15 women (68.6 +/- 5.7 years) were given 100 IU/day I.M. of SCT plus 1200 mg of elemental Ca for 10 successive days each month; 15 women (71.7 +/- 6.1 years) were given only 1200 mg of elemental Ca for 10 days each month; and 15 women (66.9 +/- 7. 9 years) were treated with placebo. Biochemical and radiogrammetric studies were made at baseline and after 1 year of treatment. In the SCT+Ca group tartrate-resistant acid phosphatase decreased (Wilcoxon test, P = 0.014) and the metacarpal index and the cortical and total area (CA/TA) ratio increased (both P = 0.001). In the group treated with Ca alone, no changes were observed. In the placebo group, the metacarpal index and CA/TA decreased (P = 0.015 and P = 0.007, respectively). Ca alone, at the dosage used here, inhibited bone loss after Colles' fracture. The addition of SCT to Ca administration not only impeded bone loss but significantly increased cortical bone mass.
AuthorsR Crespo, M Revilla, E Crespo, L F Villa, H Rico
JournalCalcified tissue international (Calcif Tissue Int) Vol. 60 Issue 6 Pg. 567-70 (Jun 1997) ISSN: 0171-967X [Print] United States
PMID9164833 (Publication Type: Clinical Trial, Journal Article, Randomized Controlled Trial)
Chemical References
  • Biomarkers
  • Calcitonin
  • Calcium
Topics
  • Aged
  • Aged, 80 and over
  • Aging (metabolism, pathology)
  • Analysis of Variance
  • Biomarkers (blood)
  • Bone Density (drug effects)
  • Calcitonin (administration & dosage, pharmacology, therapeutic use)
  • Calcium (administration & dosage, pharmacology, therapeutic use)
  • Colles' Fracture (drug therapy)
  • Drug Synergism
  • Female
  • Follow-Up Studies
  • Humans
  • Longitudinal Studies
  • Metacarpus (diagnostic imaging, drug effects)
  • Middle Aged
  • Osteoporosis, Postmenopausal (physiopathology)
  • Radiography
  • Radius (diagnostic imaging, drug effects)
  • Spain

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