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The trabecular bone score is a measure of bone texture correlated with bone microarchitecture and a marker for the risk of osteoporosis. Introduced in 2008, [ 1 ] its main projected use is alongside measures of bone density in better predicting fracture risk in people with metabolic bone problems.
The neck is flattened from before backward, contracted in the middle, and broader laterally than medially. The vertical diameter of the lateral half is increased by the obliquity of the lower edge, which slopes downward to join the body at the level of the lesser trochanter , so that it measures one-third more than the antero-posterior diameter.
DEXA assessment of bone mineral density of the femoral neck (A) and the lumbar spine (B): T scores of - 4.2 and - 4.3 were found at the hip (A) and lumbar spine (B), respectively in a 53-year-old male patient affected with Fabry disease. The World Health Organization has defined the following categories based on bone density in white women:
In educational assessment, T-score is a standard score Z shifted and scaled to have a mean of 50 and a standard deviation of 10. [ 14 ] [ 15 ] [ 16 ] In bone density measurements, the T-score is the standard score of the measurement compared to the population of healthy 30-year-old adults, and has the usual mean of 0 and standard deviation of 1.
The US National Osteoporosis Foundation recommends pharmacologic treatment for patients with hip or spine fracture thought to be related to osteoporosis, those with BMD 2.5 SD or more below the young normal mean (T-score -2.5 or below), and those with BMD between 1 and 2.5 SD below normal mean whose 10-year risk, using FRAX, for hip fracture is ...
Common sizes of femoral heads are 28 mm (1.1 in), 32 mm (1.3 in) and 36 mm (1.4 in). While 22.25 mm ( 7 ⁄ 8 in) was common in the first modern prostheses, now even larger sizes are available from 38 to over 54 mm. Larger-diameter heads lead to increased stability and range of motion whilst lowering the risk of dislocation.
Propensity scores are used to reduce confounding by equating groups based on these covariates. Suppose that we have a binary treatment indicator Z, a response variable r, and background observed covariates X. The propensity score is defined as the conditional probability of treatment given background variables:
However, BME cannot be detected by X-ray or computerized tomography (CT) scans directly, [2] [5] but they are helpful in differential diagnosis. [5] [9] Minor cases are usually treated through proper resting and taking non-steroidal anti-inflammatory drugs (NSAIDs), while steroid therapy or even surgery may be needed for more serious ones. [10 ...