ORL Osteoporosis
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ORL Osteoporosis

Oxford Medicine Online
 

Chapter 3 Diagnosis of osteoporosis

Gavin Clunie

  • • Osteoporosis is currently conventionally diagnosed on the basis of lumbar spine or hip bone densitometry using dual X-ray absorptiometry (DXA).
  • • In post-menopausal women, osteoporosis can be diagnosed if lumbar spine, total hip, or femoral neck bone mineral density (BMD) is 2.5 or more standard deviations below the mean peak BMD of the reference population (T-score ≤-2.5).
  • • Portable peripheral skeletal DXA and heel ultrasound scanners may have a role in providing information about bone health and fracture risk if hip/spine DXA is not available.
  • • There are some simple radiographic, magnetic resonance (MR) and bone scintigraphic patterns of abnormality useful in pointing towards a diagnosis of osteoporosis (and osteoporotic fracture).






DOI: 10.1093/med/9780199234172.003.0003

This online reference on osteoporosis serves as a concise guide covering all aspects of the condition, including its causes, diagnosis and current up-to-date therapies. It also includes specific sections covering osteoporosis in certain at-risk patient groups.

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