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Differences in Bone Mineral Density between the Right and Left Flips in Postmenopausal Women

Authors
Hwang, Hyun JungPark, Si YoungLee, Soon HyuckHan, Seung BumRo, Kyung Han
Issue Date
6월-2012
Publisher
KOREAN ACAD MEDICAL SCIENCES
Keywords
Osteoporosis; Diagnosis; Bone Mineral Density; Hip
Citation
JOURNAL OF KOREAN MEDICAL SCIENCE, v.27, no.6, pp.686 - 690
Indexed
SCIE
SCOPUS
KCI
Journal Title
JOURNAL OF KOREAN MEDICAL SCIENCE
Volume
27
Number
6
Start Page
686
End Page
690
URI
https://scholar.korea.ac.kr/handle/2021.sw.korea/108277
DOI
10.3346/jkms.2012.27.6.686
ISSN
1011-8934
Abstract
Bone mineral density (BMD) using dual energy radiography absorptiometry are commonly used for the diagnosis of osteoporosis. It is usually measured at the spine and also at one hip joint. Controversy still exists regarding the use of bilateral hip scanning. We analyzed the difference of BMD at bilateral hips in 384 postmenopausal women, retrospectively. The concordance and discordance rates of the lowest T-score and BMD between both hips were evaluated. The BMDs of the femoral neck and trochanter were significantly different between both hips (P < 0.05). There were also discrepancies between the lowest T-scores of both hips (P < 0.05). The discordance rates were about 30%. Due to significant differences in BMD between both hips at the femoral neck and trochanter and high discordance rate, bilateral hip measurements using DEXA are recommended to avoid underestimating osteoporosis.
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