Publications by authors named "Vivian W Y Hung"

Introduction: Adolescent idiopathic scoliosis (AIS) is characterized by deranged bone and muscle qualities, which are important prognostic factors for curve progression. This retrospective case-control study aims to investigate whether the baseline muscle parameters, in addition to the bone parameters, could predict curve progression in AIS.

Methods: The study included a cohort of 126 female patients diagnosed with AIS who were between the ages of 12 and 14 years old at their initial clinical visit.

View Article and Find Full Text PDF

Introduction: A total of 0.1-0.8% of AIS patients progress to severe stages without clear mechanisms, and AIS girls are more prone to curve progression than boys.

View Article and Find Full Text PDF

Unlabelled: This HR-pQCT study was conducted to examine bone properties of the distal tibia post-stroke and to identify clinical outcomes that were associated with these properties at this site. It was found that spasticity and gait speed were independently associated with estimated failure load in individuals with chronic stroke.

Purpose: (1) To examine the influence of stroke on distal tibia bone properties and (2) the association between these properties and clinical outcomes in people with chronic stroke.

View Article and Find Full Text PDF

This study aimed to characterize global sagittal alignment in adolescent idiopathic scoliosis (AIS) with normal kyphosis (NTK, kyphosis > 10°) and with thoracic hypokyphosis (THK, kyphosis < 10°), before and after posterior spinal fusion, and compare them with asymptomatic controls. 27 AIS girls and young adults with right thoracic curves were included (seventeen with age ≤ 18 years, then age > 21). Biplanar radiographies were acquired at baseline, immediate post-operatively, 1-year and 2-year follow-up, and 3D reconstruction of the spine and pelvis was performed.

View Article and Find Full Text PDF

Bone health is often compromised after stroke and the distal radius is a common site of fragility fractures. The macro- and mircoproperties of bone tissue after stroke and their clinical correlates are understudied. The objectives of the study were to use High-Resolution peripheral Quantitative Computed Tomography (HR-pQCT) to investigate the bone properties at the distal radius, and to identify the correlates of estimated failure load for the distal radius in people with chronic stroke.

View Article and Find Full Text PDF

Objectives: Low bone mineral status has been reported in patients first presented with adolescent idiopathic scoliosis (AIS). We aimed to study whether low-normal bone mineral density (BMD) is persistent among AIS girls during puberty and at peak bone mass, and whether if such persistence is associated with curve severity and differed from healthy controls.

Method: This prospective longitudinal study comprised 550 AIS girls and 194 healthy control subjects followed from 1997 till 2016.

View Article and Find Full Text PDF

Unlabelled: Significant correlations for bone mineral density and bone microstructure between spinal and non-spinal skeletal sites (distal radius and proximal femur) in adolescent idiopathic scoliosis (AIS) patients were observed, indicating that proximal femoral DXA and distal radial HR-pQCT could provide valid clinical assessments in patients with AIS.

Purpose: Low bone mass is an important feature of adolescent idiopathic scoliosis (AIS), which is a complex 3D spinal deformity that affects girls during puberty. However, no clinical imaging modality is suitable for regular monitoring on their spinal bone qualities in rapid growth period.

View Article and Find Full Text PDF

Distal forearm fractures during growth are more common in males than females. Because metaphyseal cortical bone is formed by coalescence of trabeculae emerging from the periphery of the growth plate, we hypothesized that the later onset of puberty in males produces a longer delay in trabecular bone formation and coalescence, which leaves a transient phase of high cortical porosity, low matrix mineral density, and high trabecular density relative to females. We quantified the nondominant distal radial microstructure using high-resolution peripheral quantitative computed tomography in 214 healthy Chinese boys and 219 Chinese girls aged between 7 and 17 years living in Hong Kong.

View Article and Find Full Text PDF

Osteopenia has been found to occur in about 30% of Adolescent Idiopathic Scoliosis (AIS) patients. This study aimed to investigate its prognostic value on the risk of curve progression to surgical threshold. Newly diagnosed AIS girls (N = 513) with Cobb angle 10°-40° were recruited with follow-up till maturity.

View Article and Find Full Text PDF

We aimed to determine whether loss of volumetric bone mineral density (vBMD) and deterioration of microarchitecture imaged by high-resolution peripheral quantitative computed tomography at the distal radius/tibia provided additional information in fracture discrimination in postmenopausal women with recent hip fracture. This case-control study involved 24 postmenopausal Chinese women with unilateral femoral neck fracture (average [SD] age: 79.6[5.

View Article and Find Full Text PDF

Background: Adolescent idiopathic scoliosis (AIS) is associated with low bone mineral density (BMD). The underlying etiology and how it may relate to the development of osteopenia remains unknown. Leptin has been postulated as one of the etiologic factors of AIS because of its profound effects on bone metabolism and pubertal growth.

View Article and Find Full Text PDF

Adolescent idiopathic scoliosis (AIS) is prevalent among adolescents and can carry significant morbidities. We evaluated the use of quantitative ultrasound (QUS) for predicting curve progression in patients with AIS. We recruited 294 girls with AIS at a mean age of 13.

View Article and Find Full Text PDF

The purpose of this work was to investigate the volumetric bone mineral density (vBMD), bone microstructure, and mechanical indices of the distal radius in female patients with rheumatoid arthritis (RA). We report a cross-sectional study of 66 middle-aged female RA patients and 66 age-matched healthy females. Areal BMD (aBMD) of the hip, lumbar spine, and distal radius was measured by dual-energy X-ray absorptiometry (DXA).

View Article and Find Full Text PDF

We assessed the relationship of bone density and microarchitecture between hand, peripheral, and axial skeletal sites using high-resolution peripheral quantitative computed tomography (HR-pQCT) and dual-energy X-ray absorptiometry (DXA) in patients with rheumatoid arthritis (RA) and which factors influence these parameters. This was a cross-sectional study of 100 female patients (53.4 ± 9.

View Article and Find Full Text PDF

Study Design: A cross-sectional and prospective longitudinal study on the anthropometric parameters and growth pattern of girls with adolescent idiopathic scoliosis (AIS).

Objective: To investigate the growth pattern of girls with AIS with different severities, using cross-sectional and prospective longitudinal data set in comparison with age-matched healthy controls.

Summary Of Background Data: AIS occurs in children during their pubertal growth spurt.

View Article and Find Full Text PDF
Article Synopsis
  • Recent studies suggest that adolescent idiopathic scoliosis (AIS) has a multifactorial genetic basis, but the specific heritability has not been thoroughly researched.
  • A genetic epidemiology study involving 415 Chinese female patients and their first-degree relatives found a 17.7% recurrence risk of scoliosis among siblings, with higher rates for female siblings.
  • The study estimated the heritability of AIS to be 87.5%, reinforcing the idea of a strong genetic influence on the condition and marking a significant contribution to understanding its genetic factors in the Asian population.
View Article and Find Full Text PDF
Article Synopsis
  • The study is a case-control analysis that compares bone quality in girls with Adolescent Idiopathic Scoliosis (AIS) to age-matched normal controls using quantitative ultrasound (QUS) and traditional bone mineral density (BMD) measurements.
  • Results indicated that AIS subjects had significantly lower BMD, broadband ultrasound attenuation (BUA), velocity of sound (VOS), and stiffness index (SI) compared to controls, suggesting compromised bone quality in the AIS group.
  • The findings highlight that even after adjusting for factors like maturity and body measurements, AIS girls exhibited notable deficits in bone quality, confirming a potential risk for skeletal issues associated with AIS.
View Article and Find Full Text PDF

High-resolution peripheral quantitative computed tomography (HR-pQCT) is a new noninvasive bone imaging technology that generates high-resolution 3-D images for quantitatively analysis of the bone microarchitecture in human. To enable quantitative evaluation of bone changes, either bone gain or loss, accurate alignment between the baseline and follow-up scans of the same individual is necessary. The major difficulties in achieving efficient and automatic registration of the HR-pQCT data are the large data size, deformations in the nonskeletal structures, and the complexity of the trabecular bone geometry.

View Article and Find Full Text PDF

Peripheral quantitative CT (pQCT) is the main method of bone mineral density (BMD) measurement in small animals. However, pQCT is usually only available in specialized centers, while clinical multidetector computed tomography (MDCT) is much more widely available. This study investigated the feasibility of using clinical 64-slice MDCT for measuring the BMD of rat lumbar vertebrae.

View Article and Find Full Text PDF
Article Synopsis
  • The study investigates the connection between polymorphisms in the melatonin receptor 1B (MTNR1B) gene and the predisposition and severity of adolescent idiopathic scoliosis (AIS), using genetic variations identified from the International Hapmap project.
  • A two-stage case-control analysis was conducted, including an initial screening of 472 AIS cases and 304 controls, followed by a replication test with 342 cases and 347 controls, leading to a significant association between the rs4753426 SNP and AIS.
  • Findings indicate that certain MTNR1B gene polymorphisms are linked to AIS risk but do not appear to affect the severity of spinal curvature in affected individuals.
View Article and Find Full Text PDF