Shankar Veena Vidya, Jayanthi V, Srinath M G, Kulkarni Roopa
Assistant Professor, Department of Anatomy.
J Clin Diagn Res. 2013 Jan;7(1):6-10. doi: 10.7860/JCDR/2012/4777.2658. Epub 2013 Jan 1.
Anatomically, the upper end of the femur is a common site for osteoporosis. Therefore, The trabecular pattern in the upper end of femur is analyzed on the basis of the presence or absence, the relative number and density of the trabeculae, trabecular group and also by the grading of trabeculae. The present study was undertaken to identify the trabecular pattern in the upper end of the femur radiographically in postmenopausal women and to establish that the changes in the trabecular pattern can be used for the diagnosis and the grading of osteoporosis. While osteoporosis is observed in both elderly men and women, its prevalence is much higher in post-menopausal women. The validated data from this study will be of use to all the clinicians to recognize the trabecular patterns and it will possibly help them in detecting osteoporosis and in limiting its progress in its early stages.
Two hundred frontal projection pelvis radiographs of women who were between 18-100 years of age were studied during 2006-2007. In this study, an attempt was made to test the presence, pattern and the grading of the trabecular pattern in pre and post-menopausal females and to find out the influence of the post menopausal age on the trabecular patterns. All the readings were tabulated and subjected to analysis.
The distribution of the grading of the trabecular pattern in the upper end of the femur on the left and right sides for the severity of osteoporosis showed that as the number of years increased after menopause, the grading progressed from Grade N (Normal) to Grade A to Grade B to Grade C.
This study will be useful for anatomists, radiologists and clinicians for recognizing the trabecular pattern and it will possibly help them in detecting osteoporosis and in limiting its progress in its early stages.
从解剖学角度来看，股骨上端是骨质疏松的常见部位。因此，基于骨小梁的有无、相对数量和密度、骨小梁组以及骨小梁分级来分析股骨上端的骨小梁模式。本研究旨在通过X线摄影确定绝经后女性股骨上端的骨小梁模式，并证实骨小梁模式的变化可用于骨质疏松的诊断和分级。虽然老年男性和女性均会出现骨质疏松，但绝经后女性的患病率要高得多。本研究的有效数据将有助于所有临床医生识别骨小梁模式，并可能帮助他们在早期检测骨质疏松并限制其进展。
对2006年至2007年间200例年龄在18至100岁之间女性的骨盆正位X线片进行研究。在本研究中，试图检测绝经前和绝经后女性骨小梁模式的存在、模式和分级，并找出绝经年龄对骨小梁模式的影响。所有读数均制成表格并进行分析。
根据骨质疏松的严重程度，股骨上端骨小梁模式分级在左右两侧的分布显示，绝经后的年数增加时，分级从N级（正常）进展到A级、B级和C级。
本研究将有助于解剖学家、放射科医生和临床医生识别骨小梁模式，并可能帮助他们在早期检测骨质疏松并限制其进展。
