Abstract:
OBJECTIVE:Osteoporosis is diagnosed based on the results of BMD assessment and/or fragility fractures. Vertebral fracture is the most common fragility fracture. Many vertebral fractures are asymptomatic and are not clinically recognized. Early detection of vertebral fracture may increase diagnosis of osteoporosis. In this study, we performed BMD measurement combined with vertebral fracture assessment (VFA) by DXA for the postmenopausal women receiving the first bone densitometry and studied the impact of VFA on the diagnosis of osteoporosis. METHODS:A total of 502 postmenopausal women were enrolled in our study. Patients' age was 66.7 ± 9.5 years. All patients had BMD assessment and VFA by dual-energy X-ray absorptiometry. Genant's semiquantitative assessment was used. The impact of VFA on the diagnosis of osteoporosis was studied. All parameters of groups were compared using the Chi-squared test. RESULTS:There were 257 patients with T-score ≤-2.5, 202 patients with a T-score between -1 and - 2.5, and 43 patients with BMD within the normal range. There were 162 patients with 345 fractured vertebrae identified by VFA, among which 84% of patients were previously unknown. Osteoporosis or severe osteoporosis was presented in 51.2% patients diagnosed by BMD alone, in 55.2% patients diagnosed by BMD plus fracture history, and in 62.4% of patients diagnosed by BMD plus fracture history and VFA. Severe osteoporosis significantly increased by 17.2% in patients receiving VFA. CONCLUSIONS:VFA combined with BMD can detect previously unknown vertebral fractures and increase clinical diagnosis of osteoporosis. It is plausible to speculate that this method should be considered in postmenopausal women for the first BMD assessment.
journal_name
Skeletal Radioljournal_title
Skeletal radiologyauthors
Cai S,Yu H,Li Y,He X,Yan L,Huang X,Wang Pdoi
10.1007/s00256-019-03280-3subject
Has Abstractpub_date
2020-02-01 00:00:00pages
273-280issue
2eissn
0364-2348issn
1432-2161pii
10.1007/s00256-019-03280-3journal_volume
49pub_type
杂志文章abstract::Calcific tendinitis is a common source of musculoskeletal pain in adults; however, it is rarely encountered in children. Calcific tendinitis is the most commonly encountered manifestation of hydroxyapatite deposition disease, in which calcium hydroxyapatite crystal deposition occurs in tendons. It may cause acute or c...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-014-1908-4
更新日期:2014-10-01 00:00:00
abstract::Pancreatitis, panniculitis, and polyarthritis (PPP) syndrome is extremely rare and presents as a triad of the three diseases. The patient usually presents with mild or absent abdominal symptoms. Here, we report on a case of a 66-year-old male who presented with pain and swelling in both legs and mild abdominal pain. H...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-016-2549-6
更新日期:2017-02-01 00:00:00
abstract::Osseous metastases to the hand and wrist are uncommon. Most cases represent the manifestation of known malignancy with disseminated disease. Less commonly, acrometastases are the initial presentation of malignancy. In both instances, diagnosis of malignancy is frequently not considered either clinically or radiographi...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/BF00198077
更新日期:1995-02-01 00:00:00
abstract:PURPOSE:The goal of our study was to determine the frequency of intra-articular calcifications on initial postoperative radiographs following arthroscopic ACL reconstruction, describe their appearance, hypothesize their etiology, and determine their significance. MATERIALS AND METHODS:Review of records and post-operat...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-013-1773-6
更新日期:2014-02-01 00:00:00
abstract::A 2-year-old child presenting with bone pain and bone lesions was found to have sinus histiocytosis with massive lymphadenopathy (SHML). SHML presenting with skeletal symptoms is unusual. Management has been conservative and the child has been symptom free for 30 months, although the bone lesions have not completely r...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s002560050349
更新日期:1998-02-01 00:00:00
abstract::Multiple hereditary osteochondromatosis is an uncommon autosomal dominant condition in which patients are predisposed to the development of chondrosarcoma. We report a case of a patient who developed a secondary low-grade chondrosarcoma in this setting. The tumor was associated with an unusual multinodular invasive gr...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s002560050560
更新日期:1999-09-01 00:00:00
abstract:OBJECTIVE:Post-operative shoulder patients are often difficult to image due to scar tissue, metallic artifact, and residual irregularity of anatomic structures. The purpose of this study was to assess MR versus MR arthrography versus CT arthrography in the post-operative shoulder. Also, we assessed whether injecting CT...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-018-2927-3
更新日期:2018-09-01 00:00:00
abstract:OBJECTIVE:To evaluate the anomalous insertion of the pectoralis minor tendon with absence of the coracohumeral ligament on MR arthrography and to demonstrate the associated findings seen with this anatomical variation. MATERIALS AND METHODS:We retrospectively reviewed the 335 MR arthrograms of the shoulder joint (mean...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-010-0926-0
更新日期:2010-12-01 00:00:00
abstract:OBJECTIVE:To present the prevalence, clinical relevance, and ultrasound (US) and magnetic resonance imaging (MRI) appearances of the accessory coracobrachialis (ACB) muscle. MATERIALS AND METHODS:We present an US prospective study of the ACB muscle over a 2-year period. Five of the eight patients with suspected ACB on...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-015-2153-1
更新日期:2015-09-01 00:00:00
abstract::Shoulder magnetic resonance (MR) imaging and MR arthrography are frequently utilized in the evaluation of shoulder pain and instability. The clinical scenario and imaging findings may be confusing to clinicians and radiologists and may present diagnostic challenges for those involved in evaluating and treating shoulde...
journal_title:Skeletal radiology
pub_type: 杂志文章,评审
doi:10.1007/s00256-002-0528-6
更新日期:2002-07-01 00:00:00
abstract:OBJECTIVE:To examine the efficacy of ultrasound (US)-guided injections for midfoot joint degenerative changes. MATERIALS AND METHODS:The US images and radiographs of 63 patients with midfoot joint degenerative changes were retrospectively reviewed. In those patients who had US-guided intra-articular steroid injection,...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-010-1094-y
更新日期:2011-08-01 00:00:00
abstract::We report on three boys suffering from achondroplasia concurrent with enchondromatosis-like metaphyseal changes. Two boys who were examined by molecular analysis harbored a mutation of FGFR3, which occurs in most achondroplastic individuals. Given the prevalence of achondroplasia and enchondromatosis, the metaphyseal ...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-006-0161-x
更新日期:2007-06-01 00:00:00
abstract::Prostaglandin E therapy in infants causes periosteal elevation. Although the changes usually take 30-40 days to become visible, we have seen them as early as nine days. In 15 infants who had prostaglandin E therapy for over six days, three developed periosteal elevation. Three other cases are described in greater deta...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/BF00361189
更新日期:1985-01-01 00:00:00
abstract::Scoliosis is defined as a lateral deviation of the spine from the normal plumb line. Commonly, there is a rotational component and deviation also in the sagittal plane (kyphosis or hyperlordosis). When scoliosis presents in adults, it is often painful. In contrast, back pain in a child is considered rare, and serious ...
journal_title:Skeletal radiology
pub_type: 杂志文章,评审
doi:10.1007/s00256-008-0517-5
更新日期:2009-03-01 00:00:00
abstract:BACKGROUND:To describe grayscale and color Doppler ultrasound features of subcutaneous intravascular papillary endothelial hyperplasia (IPEH). MATERIALS AND METHODS:The ultrasound appearances of ten histologically proven subcutaneous IPEH in ten patients (age range, 15-69 years; mean age, 38.2 years; six females, four...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-015-2281-7
更新日期:2016-02-01 00:00:00
abstract:OBJECTIVE:To describe the normal chronological radiographic appearances of the calcium sulphate-calcium phosphate (CaSO(4)/CaPO(4)) synthetic graft material following bone tumour resection during the processes of graft resorption and new bone incorporation into the post-resection defect. MATERIALS AND METHODS:Retrospe...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-010-1037-7
更新日期:2011-05-01 00:00:00
abstract::A thrombosed, leaking aneurysm of the popliteal artery, mimicking a soft tissue sarcoma both clinically and by MRI examination, is described. It may be difficult to separate a leaking, thrombosed aneurysm from an inflammatory response secondary to a sarcoma with intralesional hemorrhage. An aneurysm should, however, b...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/BF00243728
更新日期:1991-01-01 00:00:00
abstract:OBJECTIVE:Myxofibrosarcoma (MFS) is characterized by a high frequency of local recurrence after surgery because of infiltrative growth of the tumor cells. This infiltrative growth creates a characteristic 'tail-like' pattern on magnetic resonance imaging (MRI), and it has been reported that this pattern is especially o...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-014-1992-5
更新日期:2015-01-01 00:00:00
abstract:OBJECTIVE:To evaluate the evolution of the ultrasonographic pubo-femoral distance (PFD) before and after Pavlik harness treatment for developmental dysplasia of the hip (DDH) in newborns. PATIENTS AND METHODS:Twenty-five patients (16.7 ± 10.4 days; 19 females, six males) diagnosed with DDH and treated using the Pavlik...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-017-2668-8
更新日期:2017-09-01 00:00:00
abstract:OBJECTIVE:To clarify the phenotype in a bone dysplasia termed "spondyloepiphyseal dysplasia with accumulation of glycoprotein in the chondrocytes" by Stanescu et al. DESIGN AND PATIENTS:Subjects comprised two definitive cases of one family and one probable case of another family. Histologic examination in one patient ...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s002560050363
更新日期:1998-04-01 00:00:00
abstract::Injection of steroid and anesthetic into the greater trochanteric bursa is commonly performed for trochanteric bursitis, gluteus medius/minimus tendinopathy, or as a part of a barbotage procedure for gluteus medius or minimus calcific tendonosis. Trochanteric bursal injection is widely performed both with and without ...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-020-03411-1
更新日期:2020-07-01 00:00:00
abstract:OBJECTIVE:The aim of this work is to use quantitative magnetic resonance imaging (MRI) to identify patients at risk for symptomatic osteoarthritis (OA) progression. We hypothesized that classification of signal variation on T2 maps might predict symptomatic OA progression. METHODS:Patients were selected from the Osteo...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-016-2360-4
更新日期:2016-07-01 00:00:00
abstract::We report a case of liposarcoma in a 17-year-old boy in which both the radiographs and histology demonstrated multiple punctate calcifications. In addition, this unusual variant consisting of myxoid, round cell and well-differentiated liposarcoma behaved aggressively resulting in the death of the patient. ...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-002-0561-5
更新日期:2002-11-01 00:00:00
abstract::The ball-and-socket ankle joint is a malformation of the ankle in which the articular surface of the talus is hemispherical in both the anteroposterior and lateral projections and has a congruent, concave tibial articular surface. Fourteen patients with this condition were identified retrospectively. Thirteen patients...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/BF00350538
更新日期:1987-01-01 00:00:00
abstract:OBJECTIVE:Our study aims to compare the sensitivity and specificity between orthopaedic trainees and radiologists in diagnosing occult hip fractures from pelvic radiographs. METHODS:All patients undergoing computed tomography (CT) of the hip for a suspected occult hip fracture at our two centres between November 1, 20...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-012-1472-8
更新日期:2013-02-01 00:00:00
abstract:OBJECTIVE:To compare CR with CT (static and dynamic) to evaluate upper spine instability and to determine if CT in flexion adds value compared to MR imaging in neutral position to assess compression of the subarachnoid space and of the spinal cord. MATERIALS AND METHODS:Twenty-one consecutive patients with atlantoaxia...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-014-2000-9
更新日期:2015-02-01 00:00:00
abstract::Pseudotumours are well recognised as a complication of metal-on-metal hip arthroplasties and are thought to develop on the basis of an innate and adaptive immune response to cobalt-chrome (Co-Cr) wear particles. We report a case of a large pseudotumour that developed following a knee endoprosthetic replacement (EPR) u...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-017-2610-0
更新日期:2017-07-01 00:00:00
abstract::Inflammatory myopathies encompass a group of acquired muscle disorders caused by infectious agents (bacteria, viruses, fungi and parasitic agents) or autoimmune processes (polymyositis, dermatomyositis and other types). In suspected infection sonography, CT and MRI are all able to show edema and fluid collections in s...
journal_title:Skeletal radiology
pub_type: 杂志文章,评审
doi:10.1007/s002560000238
更新日期:2000-08-01 00:00:00
abstract:OBJECTIVE:To determine the incidence and MRI characteristics of the spectrum of posterolateral corner (PLC) injuries occurring in association with anterior cruciate ligament (ACL) rupture. MATERIALS AND METHODS:We carried out a level IV, retrospective case series study. All patients clinically diagnosed with an ACL ru...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-017-2649-y
更新日期:2017-08-01 00:00:00
abstract::Although lumbar spondylolysis is a widely known and easily recognizable condition in its typical presentation, there are some less well-known forms that may occasionally be challenging and/or demand special attention on imaging. Examples include: acute and/or incomplete lesions; unilateral defects; lesions at unusual ...
journal_title:Skeletal radiology
pub_type: 杂志文章,评审
doi:10.1007/s00256-015-2138-0
更新日期:2015-09-01 00:00:00