Osteopenia and Osteoporosis of Wrist and It`S Utility Instead of Other Region in Post Menopausal Women

Abstract

Background and Objectives: Osteoporosis is the most common disease of the bone and minerals metabolism which affect approximately 40% of women over the age of 50 years. Previous researches have showed that the densitometry of wrist was associated with densitometry of neck and trochanter of femur. We evaluated the frequency of osteoporosis of wrist with hip and lumbar spine. Materials and Methods: In a cross sectional descriptive analytic study we studied 100 post menopause women which achieved inclusion criteria. The densitometry was done for subdominant wrist, lumbar and femur for all the patients with x ray of lateral lumbosacral and vitamin D level checked for all patients. Results: The men age of the patients was 57±6.9 years which were in the range of 50 to 76 years. The t-score mean in the wrist area was -2.6±0.5 which was more than its number in lumbar and hip area. 59.6% of studied cases were found to be osteoporotic due to their densitometry. The correlation between vitamin D serum level with bone density of wrist was not statistically significant (P=0.19( Conclusion: With regard to the findings of the present study and with considering the false rise in lumbar T-score induces low frequency of the lumbar osteoporosis in comparison of other area. Also we can conclude that wrist T-score in detection of hip osteoporosis can be used because of lumbar DJD.

Keywords: osteoporosis, densitometry, menopause, wrist