Journal
JOURNAL OF CLINICAL DENSITOMETRY
Volume 22, Issue 4, Pages 567-589Publisher
ELSEVIER SCIENCE INC
DOI: 10.1016/j.jocd.2019.07.002
Keywords
Children; DXA; Forearm; lateral distal femur; proximal femur; vertebral fracture assessment
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Funding
- National Institutes of Health [K23 DK114477]
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Dual-energy X-ray absorptiometry (DXA) is widely used in the evaluation of bone fragility in children. Previous recommendations emphasized total body less head and lumbar spine DXA scans for clinical bone health assessment. However, these scan sites may not be possible or optimal for all groups of children with conditions that threaten bone health. The utility of DXA scans of the proximal femur, forearm, and radius were evaluated for adequacy of reference data, precision, ability of predict fracture, and applicability to all, or select groups of children. In addition, the strengths and limitations of vertebral fracture assessment by DXA were evaluated. The new Pediatric Positions provide guidelines on the use of these additional measures in the assessment of skeletal health in children.
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