Osteoporosis
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osteoporosis .. lecture in Arabic for Arabic speaking world
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Osteoporosis
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- 10. Vertebral fractures: grading ofVertebral fractures: grading of severityseverity Adapted from Genant HK et al. J Bone Miner Res 1993; 8:1137-1148 MiddleAnterior Posterior Fracture Grade 0- Normal 1- Mild (20-25%*) 2- Moderate (26-40%*) 3- Severe (>40%*)
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- 20. Physical examinationPhysical examination Measurement of bone mineral densityMeasurement of bone mineral density (BMD):(BMD): Dual X-ray absorptiometry (DXA)Dual X-ray absorptiometry (DXA) Ultrasonic measurement of boneUltrasonic measurement of bone CT scanCT scan RadiographyRadiography
- 21. Dual X-ray absorptiometryDual X-ray absorptiometry (DEXA)(DEXA) 2-dimensional study2-dimensional study BMD = Amount of mineralBMD = Amount of mineral AreaArea Accuracy atAccuracy at hiphip > 90%> 90% Low radiation exposureLow radiation exposure Error inError in OsteomalaciaOsteomalacia OsteoarthritisOsteoarthritis PreviousPrevious fracturefracture
- 23. Ultrasonic measurementUltrasonic measurement Broad-band ultrasoundBroad-band ultrasound attenuation or ultrasoundattenuation or ultrasound velocityvelocity No radiation exposureNo radiation exposure Cannot be used for diagnosisCannot be used for diagnosis Preferred use in assessmentPreferred use in assessment of fracture riskof fracture risk
- 24. CT scanCT scan True volumetric studyTrue volumetric study Most useful inMost useful in cancellous bonecancellous bone assessmentassessment Avoid effect of degenerativeAvoid effect of degenerative diseasedisease DrawbackDrawback High costHigh cost HighHigh radiation exposureradiation exposure DifficultDifficult quality controlquality control
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- 68. ~Khoula hosp Osteoporosis Awareness Program Support your bones. They support you! WITH MY BEST WISHES , DR/AHMED ASHOUR , ORTHOPAEDIC SURGERON , KHUOLA HOSP.