Radiology of Osteoporotic Fracture

  • Adrian J. Splitthoff
  • Jan E. Vandevenne
  • Carl S. Winalski
  • Philipp K. Lang


Osteoporosis is characterized by a decrease in bone mineral density of structurally normal bone; the dynamic equilibrium between bone resorption and bone formation is perturbed in favor of bone resorption, resulting in osteopenia. Decreased bone mineral density undermines the structural integrity of bone. Quantitative bone densitometry may predict fracture risk [1]. The elastic range of osteopenic bone is decreased, and deformative stress on thees bones more readily results in microfractures. Continued and progressive stress on osteoporotic bone may lead to structural failure [2,3]. For this reason, insufficiency fractures as well as fractures after mjnor trauma occur more frequently in the osteopenic skeleton of the patient suffering from osteoporosis. Osteoporotic fractures are seen mainly in older white women, but osteoporosis induced by any other condition, eg hyperparathyroidism, cortisone treatment, and pregnancy, can lead to fractures [4]. Healing of osteoporotic fractures may be slow and difficult, and nonunion of fractures can result.


Femoral Neck Femoral Head Vertebral Body Osteoporotic Fracture Compression Fracture 
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© Springer Science+Business Media New York 2003

Authors and Affiliations

  • Adrian J. Splitthoff
  • Jan E. Vandevenne
  • Carl S. Winalski
  • Philipp K. Lang

There are no affiliations available

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