Fractures of the femoral neck are not simply due to insufficient bone density. Also significant is their nanostructure – the orientation of the collagen fibres that make up bones. This is suggested by research conducted by scientists at the Paul Scherrer Institute PSI using a new X-ray technique.
When people fracture their hip in a fall, it is very often in the femoral neck – the narrow section of bone directly below the hip joint. This often happens with advanced age, when the bone has lost density. Most often, the femoral neck fractures from the top side, where it is generally much more porous than on the underside.
However, this correlation is not always present: sometimes a femoral neck fractures even though it is not porous. Researchers at PSI have now discovered the possible cause, through special X-ray analyses using the Swiss Light Source SLS at PSI and measurements at the Swedish synchrotron MAX IV: an altered nanostructure of the bone.
New X-ray technique offers detailed insights
The team, led by Marianne Liebi, a scientist in the PSI Center for Photon Science, used a new imaging technique to examine two bone samples each from 78 different femoral necks. In each case one sample was taken from the top and one from the underside of the same femoral neck. The team obtained the samples from the University of Bern, whose experts participated in the analysis as part of a joint research project. The method is called small-angle X-ray scattering tensor tomography, or SAXS-TT for short. It combines the analysis of so-called small-angle scattering signals from a high-resolution X-ray image with 3-D tomography, that is, imaging from different angles. This method has been developed at PSI over the last ten years and tested for the analysis of various materials, including bone.
Read more on the PSI website
Image: Torne Tänzer and Marianne Liebi at the Swiss Light Source SLS at PSI. Here, they were able to visualise the nanostructure of femoral neck bone material for the first time. This could help to understand why this part of the femur fractures relatively frequently.
Credit: © Paul Scherrer Institute PSI/Markus Fischer




