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Updated: Jul 22, 2026

Proximal Cadaveric Femur Preparation for Fracture Strength Testing and Quantitative CT-based Finite Element Analysis
Published on: March 11, 2017
A simple method of computing hip axis length using fan-beam densitometry and anthropometric measurements
J T Young1, K Carter, M S Marion
1Division of Geriatrics, UCLA School of Medicine, 10833 Le Conte Avenue, Los Angeles, CA 90095-1687, USA. jyoung@mednet.ucla.edu
Hip axis length (HAL) measured by fan-beam DXA can be accurately estimated using a model combining manual HAL measurements with anthropometric data. This overcomes magnification errors in newer DXA systems, providing reliable hip fracture prediction.
Area of Science:
- Orthopedics
- Radiology
- Gerontology
Background:
- Hip axis length (HAL) is a predictor of hip fracture, independent of bone mineral density and age.
- Pencil-beam dual X-ray absorptiometry (DXA) provides accurate HAL measurements.
- Fan-beam DXA systems introduce magnification errors, leading to inaccurate automatic HAL calculations.
Purpose of the Study:
- To develop a model for accurately calculating HAL from fan-beam DXA scans.
- To use anthropometric measures combined with fan-beam HAL to predict pencil-beam HAL.
- To provide a reliable method for HAL estimation using contemporary DXA technology.
Main Methods:
- Proximal femur scans were performed using both pencil-beam and fan-beam DXA in 21 women (ages 24-60).
- Anthropometric data including height, weight, hip circumference, and manual HAL measurements were recorded.
- A linear model was developed using fan-beam HAL and anthropometric data to predict pencil-beam HAL.
Main Results:
- A simple linear model incorporating manual fan-beam HAL, height, weight, BMI, and hip circumference accurately predicted pencil-beam HAL (R² ≥ 0.96).
- Anthropometric measurements, except for greater trochanter height, were reproducible.
- The developed model provided nonbiased and accurate HAL estimates compared to the pencil-beam method.
Conclusions:
- A validated model enables accurate HAL calculation from fan-beam DXA scans.
- This method overcomes fan-beam DXA magnification errors, offering a reliable alternative to pencil-beam DXA.
- Researchers and clinicians can utilize this model for improved hip fracture risk assessment.
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