Title: March 2013 – Discrepancy between total hip and femoral neck BMD

65 year old postmenopausal African American female presents for an initial DXA scan.  BMI is 27.1 and there are no risk factors by FRAX.

com-march-totalcom-march-scan com-march-tscore

Questions:

  • What is your diagnosis from the hip DXA scan?
  • Why is there a discrepancy between BMD in the total hip and the femoral neck?
  • For an African-American female to which database is the patient compared for the T-score and the Z-score?
  • What would you recommend?

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