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

Myung-Rae Cho; Jae-Seok Ahn; Seung-Bum Chae; Sang-Wook Lee

doi:10.5371/jkhs.2012.24.1.53

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Cho, Ahn, Chae, and Lee: Coincidence of Diagnosis of Osteoporosis at the Site of the Proximal Femur, Lumbar Spine and Distal Radius

Original Article

The Journal of the Korean Hip Society

The Journal of the Korean Hip Society 2012; 24(1): 53-58.

Published online: 31 March 2012

DOI: https://doi.org/10.5371/jkhs.2012.24.1.53

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

Myung-Rae Cho, MD, Jae-Seok Ahn, MD, Seung-Bum Chae, MD, Sang-Wook Lee, MD

Department of Orthopaedic Surgery, Catholic University of Daegu School of Medicine, Daegu, Korea.

Address reprint request to Myung-Rae Cho, MD. Department of Orthopaedic Surgery, Catholic University of Daegu School of Medicine, Daemyung 1 dong, Nam-gu, Daegu 705-718, Korea. TEL: +82-53-650-4270, FAX: +82-53-626-4272, cmr0426@cu.ac.kr

Received 2 May 2011 Revised 27 December 2011 Accepted 15 March 2012

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.

Keywords: Coincidence, BMD, Osteoporosis

Figures and Tables

Table 1

The Numbers of Normal, Osteopenia, Osteoporosis according to Body Parts.

Table 2

The Concordance, Major & Minor Disconcordance and Disconcordance Rate (%) according to Body Parts (F-L: Femur-L Spine, F-D: Femur-Distal Radius, L-D: Femur-Distal Radius)

Table 3

The Concordance, Major & Minor Disconcordance and The Disconcordance Rate (%) according to Body Parts Except Wards Triangle. (F-L: Femur-L Spine, F-D: Femur-Distal Radius, L-D: Femur-Distal Radius)

Table 4

The Score in BMD according to Ages and Body Parts. (Troch: Trochanter, UD: Ultradistal)

Table 5

The Disconcordance Rate (%) according to Ages. (F-L: Femur-L Spine, F-D: Femur-Distal Radius, L-D: Femur-Distal Radius)

Table 6

The Pearson Correlation Coefficient between Body Parts. (Troch: Trochanter, DR: Distal Radius)

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