A Comparative Estimation of the Combined Cortical Thickness of Various Bone Sites

Overview

Journal Skeletal Radiol

Specialties Orthopedics
Radiology

Date 1980 Jan 1

PMID 7209568

Citations 15

Authors

R A BLOOM

Affiliations

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Abstract

Measurement of the cortical thickness of long bones is the best method of quantitatively diagnosing osteoporosis. Combined cortical thickness (CCT) is as good as, or better than more complicated indices. In osteoporosis studies, the problem lies in finding a physiologically consistent bone site . The CCT of the lower shaft of the humerus showed the lowest coefficient of variation in this homogeneous female population and the addition of both CCT values further reduced the variability. It is suggested that the humeral site is significantly superior to the metacarpal sites and that the variability is small enough to give clinically useful information in the diagnosis of osteoporosis.

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References

MEEMA H, BUNKER M, MEEMA S . LOSS OF COMPACT BONE DUE TO MENOPAUSE. Obstet Gynecol. 1965; 26:333-43. View

MORGAN D, SPIERS F, PULVERTAFT C, FOURMAN P . The amount of bone in the metacarpal and the phalanx according to age and sex. Clin Radiol. 1967; 18(1):101-8. DOI: 10.1016/s0009-9260(67)80137-5. View

Barnett E, Nordin B . The radiological diagnosis of osteoporosis: a new approach. Clin Radiol. 1960; 11:166-74. DOI: 10.1016/s0009-9260(60)80012-8. View

Dequeker J, Franssens R, Borremans A . Relationship between peripheral and axial osteoporosis and osteoarthrosis. Clin Radiol. 1971; 22(1):74-7. DOI: 10.1016/s0009-9260(71)80015-6. View

Shapiro J, MOORE W, Jorgensen H, Reid J, Epps C, Whedon D . Osteoporosis; evaluation of diagnosis and therapy. Arch Intern Med. 1975; 135(4):563-7. DOI: 10.1001/archinte.135.4.563. View

MEEMA H, MEEMA S . MEASURABLE ROENTGENOLOGIC CHANGES IN SOME PERIPHERAL BONES IN SENILE OSTEOPOROSIS. J Am Geriatr Soc. 1963; 11:1170-82. DOI: 10.1111/j.1532-5415.1963.tb02689.x. View

SMITH Jr R, Rizek J . Epidemiologic studies of osteoporosis in Women of Puerto Rico and southeastern Michigan with special reference to age, race, national origin and to other related or associated findings. Clin Orthop Relat Res. 1966; 45:31-48. View

NAOR E, Di Segni V, ROBIN G, Makin M, Menczel J . Intra-observer variability in the determination of the metacarpal cortical index. Br J Radiol. 1972; 45(531):213-7. DOI: 10.1259/0007-1285-45-531-213. View

Smith D, JOHNSTON Jr C, Yu P . In vivo measurement of bone mass. Its use in demineralized states such as osteoporosis. JAMA. 1972; 219(3):325-9. View

10.

Elsasser U, Ruegsegger P . Proceedings: Bone densitometry with the aid of computerized transaxial tomography. AJR Am J Roentgenol. 1976; 126(6):1275-7. DOI: 10.2214/ajr.126.6.1275. View

11.

Cameron J, Sorenson J . MEASUREMENT OF BONE MINERAL IN VIVO: AN IMPROVED METHOD. Science. 1963; 142(3589):230-2. DOI: 10.1126/science.142.3589.230. View

12.

Dequeker J . Quantitative radiology: radiogrammetry of cortical bone. Br J Radiol. 1976; 49(587):912-20. DOI: 10.1259/0007-1285-49-587-912. View

13.

MEEMA H, Harris C, PORRETT R . A METHOD FOR DETERMINATION OF BONE-SALT CONTENT OF CORTICAL BONE. Radiology. 1964; 82:986-97. DOI: 10.1148/82.6.986. View

14.

MEEMA H . Cortical bone atrophy and osteoporosis as a manifestation of aging. Am J Roentgenol Radium Ther Nucl Med. 1963; 89:1287-95. View

15.

MORGAN D . The metacarpal bone: a comparison of the various indices for the assessment of the amount of bone and for the detection of loss of bone. Clin Radiol. 1973; 24(1):77-82. DOI: 10.1016/s0009-9260(73)80121-7. View

16.

Adams P, Davies G, Sweetnam P . Observer error and measurements of the metacarpal. Br J Radiol. 1969; 42(495):192-7. DOI: 10.1259/0007-1285-42-495-192. View

17.

BLOOM R, LAWS J . Humeral cortical thickness as an index of osteoporosis in women. Br J Radiol. 1970; 43(512):522-7. DOI: 10.1259/0007-1285-43-512-522. View

18.

Hansson T, Roos B . Proceedings: Effect of combined therapy with sodium fluoride, calcium, and vitamin D on the lumbar spine in osteoporosis. AJR Am J Roentgenol. 1976; 126(6):1294. DOI: 10.2214/ajr.126.6.1294. View