Summary
The diagnostic approach to osteoporosis usually involves an ample risk assessment, a physical examination, a radiograph of the thoracic and lumbar spine, a bone densitometry using dual X-ray absorptiometry, and a basic blood test. The aim of this approach is to assign a person to one of the WHO-based diagnostic categories, and to estimate the ten-year fracture risk of this individual. In countries where available, the individual ten-year fracture risk can now easily be calculated for men and women of forty years of age and above, by using a computer-driven calculation tool, called FRAX™, which has been developed by WHO recently.
Zusammenfassung
Das diagnostische Vorgehen bei Verdacht auf Osteoporose besteht üblicherweise aus einer sorgfältigen Risikoerfassung, einer klinischen Untersuchung, einem konventionellen Röntgen der Brust- und Lendenwirbelsäule, einer Knochendichtemessung mittels DXA-Methode sowie einer Laboruntersuchung. Ziel dieses Vorgehens ist einerseits die Zuordnung zu einer der WHO-konformen diagnostischen Kategorien, und andererseits die Ermittlung des individuellen Zehnjahres-Frakturrisikos. Letzteres kann in einigen wenigen Ländern seit kurzem unter Verwendung eines von der WHO entwickelten, webbasierten Werkzeuges, dem sog. FRAX™-Tool, für Männer und Frauen jenseits des vierzigsten Lebensjahres ermittelt werden.
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Peter Dimai, H. Diagnostik der Osteoporose. Wien Med Wochenschr 159, 241–246 (2009). https://doi.org/10.1007/s10354-009-0657-9
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DOI: https://doi.org/10.1007/s10354-009-0657-9