Bone Densitometry in Growing Patients: Guidelines for by Aenor J. Sawyer

By Aenor J. Sawyer

Bone Densitometry in starting to be sufferers is the 1st source to be had for professional opinion at the use of twin power x-ray absorptiometry (DXA) for comparing bone density in teenagers and youngsters. Written by way of across the world well-known pediatric bone researchers and clinicians, this quantity is exclusive in its particular recognition to the myriad demanding situations of measuring and comparing bone density within the pediatric sufferer. there's enough technical aspect offered during this quantity to permit the institution of a pediatric DXA middle or the right kind usage of DXA experiment details in present scientific perform. the quantity opens with a quick creation to normal techniques when it comes to bone well-being in little ones and an outline of all at present to be had densitometry innovations utilized in comparing little ones. next chapters specialize in symptoms for DXA reviews in youngsters and the optimum tools for buying, studying, analyzing, and reporting those scans. present and destiny learn purposes of DXA and different modalities for learning pediatric bone well-being also are mentioned. an intensive appendix offers precious pediatric reference information, pattern kinds to be used in buying and reporting DXA information, listings of precious and proper pediatric bone web pages, and a finished bibliography. This quantity, that is the 1st pediatric DXA reference released, optimizes the exact and in charge use of DXA in young children as a device within the medical administration of bone fragility, and thereby paves the best way for the longer term improvement of acceptable intervention and therapy courses for this inhabitants.

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Osteoporosis. San Diego, CA: Academic Press, 1996,465–476. 63. Garn SM. The Earlier Gain and the Later Loss of Cortical Bone. C. Thomas, 1970. 64. Rubin CT, Lanyon LE. Regulation of bone formation by applied dynamic loads. J Bone Joint Surg 1984;66:397–402. 65. Rubin CT, Lanyon LE. Regulation of bone mass by mechanical strain magnitude. Calcif Tissue Int 1985;37:41–47. 66. Slemenda CW, Miller JZ, Hui SL, Reister TK, Johnston CC Jr. Role of physical activity in the development of skeletal mass in children.

Chapter 2 / Measuring Bone in Children and Adolescents 27 28 Ward et al. these sites and impede the ultrasound wave signal. The most commonly measured site is the calcaneus because it is rich in metabolically active trabecular bone, has little surrounding soft tissue, and reflects the effects of weight bearing on the skeleton (9,59,60,89). Ultrasound has been applied in children and neonates, measuring the properties of the cortical bone in the tibia, the radius, and the phalanges (63,90–92). QUS does not involve ionizing radiation, an obvious advantage in the assessment of bone status in children.

26. Adams JE, Shaw N, eds. A practical guide to bone densitometry in children. Bath: National Osteoporosis Society, 2004 (position statement). 27. Carter D, Bouxsein M, Marcus R. New approaches for interpreting projected bone densitometry data. J Bone Miner Res 1992;7:137–145. 28. Crabtree NJ, Kibirige MS, Fordham JN, et al. The relationship between lean body mass and bone mineral content in paediatric health and disease. Bone 2004;35:965–972. 29. Hogler W, Briody J, Woodhead HJ, Chan A, Cowell CT.

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