Osteoporosis on DEXA

Case contributed by Dr Henry Knipe

Presentation

Bilateral wrist fractures.

Patient Data

Age: 53 years
Gender: Female
X-ray

PA Spine

  • BMD for L2-L4 is 0.89 g/cm2
  • T-score: -2.5 Age Matched
  • Z-score: -1.7

Left Proximal femur

  • BMD for the total hip site is 0.70 g/cm2
  • T-score: -2.6
  • Age Matched Z-score: -1.6 

Case Discussion

With the T-score of - 2.6 in the proximal left femoral neck, this patient is considered osteoporotic according to World Health Organisation criteria. Z- score of - 1.7 is low for someone of this age and gender. Fracture risk is high.

Case courtesy of Dr Patsy Robertson, The Royal Melbourne Hospital. 

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Case information

rID: 45997
Case created: 16th Jun 2016
Last edited: 16th Jun 2016
Inclusion in quiz mode: Included

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