Krokowski E
Z Orthop Ihre Grenzgeb. 1976 Oct;114(5):785-92.
Dennert and Münzenberg recommend comparative examination of x-rays of the spine and coxal end of the femur both for the differentiation of physiological bone atrophy and pathological osteoporosis and for the gradual evaluation of osteoporosis. The systematic bone deterioration in the proximal section of the femur in physiological osteoporosis is absent in the pathological forms of osteoporosis where only the skleletal trunk is usually involved. Since quantitative examination procedures for the exact differenciation of osteoporosis are generally not available for the practice, the comparative examination represents an essential help for diagnosis and the gradual evaluation of osteoporosis. To support the interpretation of the findings from this procedure which is well suited for the practice, the chronological and local process of physiological and pathological osteoporoses (obtained by quantitative radiological measurements) are compared.
德内特和明岑贝格建议，对脊柱和股骨髋端进行X线对比检查，以鉴别生理性骨质萎缩和病理性骨质疏松，并对骨质疏松进行分级评估。生理性骨质疏松时股骨近端的系统性骨质恶化在病理性骨质疏松中并不存在，病理性骨质疏松通常仅累及骨骼主干。由于临床上一般没有用于准确鉴别骨质疏松的定量检查方法，对比检查对骨质疏松的诊断和分级评估至关重要。为辅助解读这种适用于临床的检查结果，对生理性和病理性骨质疏松的时间进程及局部变化过程（通过定量放射学测量获得）进行了比较。
