Detection of osteoporosis by dual energy X-ray absorptiometry

An early detection of osteoporosis through DEXA procedure will not only improve the disease management practices but also would help in impeding national productivity losses by mass screening and awareness. Our objective was to measure efficacy of DEXA procedure in early detection of osteoporosis and prevention of its complications. This case series observational study was designed to confirm the bone mineral density by dual energy x-ray absorptiometery [DEXA]. The duration of study was three years from November 2010 to October 2013. Subjects aged between 30 [when the risk of osteoporosis is low] to 60 [when osteoporosis is almost sure to be found]. Three hundred thirty patients were evaluated. There were 23 [6.96%] male and 307 [93.03%] female. Normal male were 09 [39.10%], osteopenia 11 [47.80%] and osteoporosis 3 [13%]. Normal females were 72 [23.50%], osteopenia 140 [45.60%] and osteoporosis 95 [30.90%]. P-value was more then 0.005 and not significant. Mean age was 48.73, minimum 30, maximum 60 and SD 7.247. Population category distribution was 243 [76.6%] from urban and 87 [26.4%] rural. In urban areas normal were 56 [23%], osteopenia 113 [46.50%] and osteoporosis 74 [30.50%]. In rural areas normal 25 [28.70%], osteopenia 38 [43.70%] and osteoporosis 24 [27.60%]. P-value was 0.567. Out of 330 there were 81 [24.54%] normal, 98 [29.69%] osteoporosis and 151 [45.75%] osteopenia. Osteopenia was the most common diagnosis mostly in younger age group and early diagnosis of this problem can help prevent osteoporosis

role of radionuclide imaging and computerized axial tomography to reveal equivocal fractures in medicolegal practice

Four hundred sixty-six medicolegal cases were re-examined during the period of 3-years from 1998 to 2000 for correctness or otherwise of the challenged medicolegal certificates issued by the first examining medicolegal officer, and referred by the Health Authorities. Out of 466 cases, 190 [40.77%] cases were decided. 15 [7.89%] cases which were initially wrongly interpreted by the concerned medicolegal officer regarding the presence of nondisplaced fractures, were reviewed by the panel of experts, and keeping in view the persistent pain following trauma where the conservative radiograph failed to reveal fracture, specialized techniques in radiology i.e., Computerized Axial Tomography and Radionuclide Imaging, were utilized which showed 100% result by revealing fractures