The Utility of DXA Assessment at the Forearm, Proximal Femur, and Lateral Distal Femur, and Vertebral Fracture Assessment in the Pediatric Population: 2019 ISCD Official Position

David R. Weber; Alison Boyce; Catherine Gordon; Wolfgang Högler; Heidi H. Kecskemethy; Madhusmita Misra; Diana Swolin-Eide; Peter Tebben; Leanne M. Ward; Halley Wasserman; Christopher Shuhart; Babette S. Zemel

doi:10.1016/j.jocd.2019.07.002

The Utility of DXA Assessment at the Forearm, Proximal Femur, and Lateral Distal Femur, and Vertebral Fracture Assessment in the Pediatric Population: 2019 ISCD Official Position

David R. Weber, Alison Boyce, Catherine Gordon, Wolfgang Högler, Heidi H. Kecskemethy, Madhusmita Misra, Diana Swolin-Eide, Peter Tebben, Leanne M. Ward, Halley Wasserman, Christopher Shuhart, Babette S. Zemel

Pediatric and Adolescent Medicine

Research output: Contribution to journal › Review article › peer-review

19 Scopus citations

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.

Original language	English (US)
Pages (from-to)	567-589
Number of pages	23
Journal	Journal of Clinical Densitometry
Volume	22
Issue number	4
DOIs	https://doi.org/10.1016/j.jocd.2019.07.002
State	Published - Oct 1 2019

Keywords

Children
DXA
Forearm
lateral distal femur
proximal femur
vertebral fracture assessment

ASJC Scopus subject areas

Endocrinology, Diabetes and Metabolism
Orthopedics and Sports Medicine
Radiology Nuclear Medicine and imaging

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10.1016/j.jocd.2019.07.002

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Weber, D. R., Boyce, A., Gordon, C., Högler, W., Kecskemethy, H. H., Misra, M., Swolin-Eide, D., Tebben, P., Ward, L. M., Wasserman, H., Shuhart, C., & Zemel, B. S. (2019). The Utility of DXA Assessment at the Forearm, Proximal Femur, and Lateral Distal Femur, and Vertebral Fracture Assessment in the Pediatric Population: 2019 ISCD Official Position. Journal of Clinical Densitometry, 22(4), 567-589. https://doi.org/10.1016/j.jocd.2019.07.002

The Utility of DXA Assessment at the Forearm, Proximal Femur, and Lateral Distal Femur, and Vertebral Fracture Assessment in the Pediatric Population: 2019 ISCD Official Position. / Weber, David R.; Boyce, Alison; Gordon, Catherine et al.
In: Journal of Clinical Densitometry, Vol. 22, No. 4, 01.10.2019, p. 567-589.

Research output: Contribution to journal › Review article › peer-review

Weber, DR, Boyce, A, Gordon, C, Högler, W, Kecskemethy, HH, Misra, M, Swolin-Eide, D, Tebben, P, Ward, LM, Wasserman, H, Shuhart, C & Zemel, BS 2019, 'The Utility of DXA Assessment at the Forearm, Proximal Femur, and Lateral Distal Femur, and Vertebral Fracture Assessment in the Pediatric Population: 2019 ISCD Official Position', Journal of Clinical Densitometry, vol. 22, no. 4, pp. 567-589. https://doi.org/10.1016/j.jocd.2019.07.002

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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.",

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The Utility of DXA Assessment at the Forearm, Proximal Femur, and Lateral Distal Femur, and Vertebral Fracture Assessment in the Pediatric Population: 2019 ISCD Official Position

Abstract

Keywords

ASJC Scopus subject areas

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