The Utility of DXA Assessment at the Forearm, Proximal Femur, and Lateral Distal Femur, and Vertebral Fracture Assessment in the Pediatric Population: The 2019 Official Pediatric Positions of the ISCD.
Publication Title
Journal of clinical densitometry : the official journal of the International Society for Clinical Densitometry
Document Type
Article
Publication Date
7-10-2019
Abstract
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.
Area of Special Interest
Women & Children
Area of Special Interest
Orthopedics & Sports Medicine
Specialty/Research Institute
Pediatrics
Specialty/Research Institute
Orthopedics
Specialty/Research Institute
Dentistry
