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© 1987 Oxford University Press

research-article

POSTURAL STABILITY AND COLLES' FRACTURE

RICHARD G. CRILLY, Assistant Professor1, L DELAQUERRIÈRE RICHARDSON, Research Associate2, JAMES H. ROTH, Clinical Assistant Professor3, ANTHONY A. VANDERVOORT, Assistant Professor4, KEITH C. HAYES, Associate Professor5 and ROBERT A. MACKENZIE, Clinical Assistant Professor6

1Department of Medicine, Chairman, Division of Geriatric Medicine, University of Western Ontario East London, Ontario, Canada N6C 5J1
2Division of Geriatric Medicine, University of Western Ontario East London, Ontario, Canada N6C 5J1
3Department of Surgery, University of Western Ontario East London, Ontario, Canada N6C 5J1
4Department of Physical Therapy, University of Western Ontario East London, Ontario, Canada N6C 5J1
5Department of Physical Medicine and Rehabilitation, University of Western Ontario East London, Ontario, Canada N6C 5J1
6Department of Nuclear Medicine, University of Western Ontario East London, Ontario, Canada N6C 5J1

We have tested the hypothesis that the Colles' fracture is due, not simply to bone loss at the menopause, but to postural instability in a subset of postmenopausal women such that they are rendered more liable to fall. We have measured bone mass by dual photon spinal densitometry and single photon wrist densitometry and measured postural sway in 19 postmenopausal women with a history of Colles' fracture. Our results show that not only do Colles' fracture subjects have a small reduction in bone mass but they have a significantly increased degree of postural sway, a finding which has previously been recognized to characterize older subjects with recurrent falls.

accepted in revised form October 9, 1986.


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