Appendicular fractures: A significant problem among institutionalized adults with developmental disabilities

K. M. Ryder, J. Williams, C. Womack, N. G. Nayak, S. Nasef, A. Bush, F. A. Tylavsky, L. Carbone

Research output: Contribution to journalArticlepeer-review

19 Scopus citations


A high incidence of nontraumatic fracture in adults with developmental disabilities living in a state-run facility was described. Risk factors for fracture, including bone mineral density (BMD), were investigated to determine whether people at highest risk for fracture could be prospectively identified. There was a 7.3% incidence of fracture among 391 adults. Risk factors were examined for 23 residents with fracture and 23 age-, race-, and gender-matched controls. There was a trend for antiepileptic medication usage to be associated with fractures. Estimated BMD by heel ultrasound did not predict fracture; however, values were much lower than those for the general population. Fractures and low BMD are significant problems among institutionalized adults with severe developmental disabilities. Further studies to identify therapies to prevent fractures are warranted.

Original languageEnglish (US)
Pages (from-to)340-346+364
JournalAmerican Journal on Mental Retardation
Issue number5
StatePublished - Sep 2003
Externally publishedYes

ASJC Scopus subject areas

  • Education
  • Rehabilitation
  • Developmental and Educational Psychology
  • General Health Professions


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