Abstract
Recent reports have shown the existence of subchondral insufficiency fracture in rapidly destructive arthrosis of the hip joint (RDA), and the findings suggest that osteopenia is related to the pathogenesis of the rapid progression of this disease. Therefore, we measured bone mineral density (BMD) in RDA patients. We measured BMD of the lumbar spine, radius, and calcaneus using dual-energy X-ray absorptiometry in 19 patients with RDA and 75 with osteoarthritis of the hip (OA) and compared BMD at different skeletal sites between RDA and OA patients. No significant differences were observed in BMD of the lumbar spine, ultradistal radius, mid-radius, and calcaneous between the RDA and OA groups. Our data suggest that RDA is not accompanied by generalized osteoporosis. Factors other than generalized bone status, for example, BMD around the affected hip joint before destruction, need to be analyzed to elucidate the pathophysiological mechanism of RDA.
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Acknowledgments
We thank our research assistants, Ms. Mieko Motoki, Ms. Mari Tahara, Mrs. Tomoko Maeda, and Ms. Rumi Inomata, for their invaluable efforts in making this study possible. We also appreciate Dr. Kenichi Mihara for advice on writing articles in English. There was no external funding for this study.
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None of the authors receives or has received commercial support or is financially involved with the device used in this study.
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Okano, K., Aoyagi, K., Enomoto, H. et al. Bone mineral density in patients with destructive arthrosis of the hip joint. J Bone Miner Metab 32, 312–316 (2014). https://doi.org/10.1007/s00774-013-0501-6
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DOI: https://doi.org/10.1007/s00774-013-0501-6