J Korean Hip Soc.  2012 Mar;24(1):53-58. 10.5371/jkhs.2012.24.1.53.

Coincidence of Diagnosis of Osteoporosis at the Site of the Proximal Femur, Lumbar Spine and Distal Radius

• Cho MR
• Ahn JS
• Chae SB
• Lee SW

• KMID: 2014898
• DOI: http://doi.org/10.5371/jkhs.2012.24.1.53

Abstract

PURPOSE
The purpose of this study is to evaluate correlation according to sites measured from women diagnosed with osteoporosis without other factors influencing osteoporosis.
MATERIALS AND METHODS
Two hundred patients diagnosed with osteoporosis using dual-energy X-ray absorptiometry from January 2006 to January 2007 were evaluated. All patients were measured at the hip joint (Femur neck, Ward triangle, and great trochanter), lumbar spine body (L1-4), and distal radius. Results of measurements were then evaluated for determination of coincidence.
RESULTS
Mean bone mineral density was lowest at Ward's triangle(-2.93+/-0.95) and radius midshaft(-2.95+/-1.21). The rate of disconcordance between hip joint and lumbar spine was 37%, between hip joint and distal radius, 34%, and, between the lumbar spine and distal radius, 38%. With increase in age, a greater decrease in bone mineral density was observed, and markedly decreased bone mineral density was observed between the ages of 60 and 70-years.
CONCLUSION
Rate of disconcordance of bone mineral density among hip joint, lumbar spine, and distal radius was significant. To prevent further fracture, all sites (hip joint, lumbar spine, and distal radius) must inevitably be measured.

Keyword

Coincidence; BMD; Osteoporosis

MeSH Terms

Absorptiometry, Photon
Bone Density
Female
Femur
Hip Joint
Humans
Joints
Neck
Osteoporosis
Radius
Spine

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