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Bone density in women: A modified procedure for measurement of distal radial density

✍ Scribed by B. J. Awbrey; P. C. Jacobson; S. A. Grubb; W. H. McCartney; L. M. Vincent; Dr. R. V. Talmage


Publisher
Elsevier Science
Year
1984
Tongue
English
Weight
630 KB
Volume
2
Category
Article
ISSN
0736-0266

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✦ Synopsis


This is a cross-sectional study of bone densitometry in >700 normal healthy white women ranging in age from 18 to 98 years. A modified procedure for single-photon bone density analysis of the distal radius is described and compared with dual-photon densitometric measurements of the second through fourth lumbar vertebrae. The distal radial site measured was separated from the ulna by 5 mm. This "5 mm" site was characterized according to trabecular and cortical bone content, measurement reproducibility, positioning precision, and the effects of wrist pronation or supination. The radial site demonstrated a bone density loss of <O. l%/year for normal women 25-50 years of age, increasing to 0.7%/year after 50 years of age. In contrast to the variability and inconsistency obtained by us and others utilizing the standard "9/10" site, bone loss with age at the new "5 mm" site correlated closely with generalized bone mineral loss of the axial skeleton. We suggest that there is a unique role for single-beam densitometric measurements of the radius, permitting the rapid and relatively inexpensive evaluation of large populations of women without requiring a visit to a medical center. Such a process can select those requiring further evaluation or medical attention.


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