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Bone Disorders01:29

Bone Disorders

4.8K
Aging and its effect on bone remodeling is the most common cause of bone disorders. In young and healthy people, bone deposition and resorption happen at an equal rate to maintain optimal bone health.
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
4.8K
Bone Remodeling01:40

Bone Remodeling

39.4K
Bone remodeling is a continuous and balanced process of bone resorption by osteoclasts and bone formation by osteoblasts. In adults, it helps maintain bone mass and calcium homeostasis. While mechanical stress can stimulate turnover as part of the normal maintenance and reparative process, several hormones also regulate bone remodeling.
39.4K
Osteoclasts in Bone Remodeling01:31

Osteoclasts in Bone Remodeling

3.5K
Osteoclasts are cells responsible for bone resorption and remodeling. They originate from hematopoietic progenitor cells present in the bone marrow. Numerous progenitor cells fuse to form multinucleated cells, each with 10-20 nuclei. A single osteoclast has a diameter of 150 to 200 µM. These cells have ruffled borders that break down the underlying bone tissue and release minerals such as calcium into the blood in bone resorption. Osteoclasts cling to bones with their ruffled edges during...
3.5K
Hormones and Bone Tissue01:17

Hormones and Bone Tissue

3.3K
The endocrine system produces and secretes hormones, which interact with the skeletal system. These hormones control bone growth, maintain bone once it is formed, and remodel it.
Hormones That Influence Osteoblasts and/or Maintain the Matrix
Several hormones are necessary for controlling bone growth and maintaining the bone matrix. The pituitary gland secretes growth hormone (GH), which, as its name implies, controls bone growth. This happens in several ways: first, it triggers chondrocyte...
3.3K
Role of Vitamins in Maintaining Bone Health01:25

Role of Vitamins in Maintaining Bone Health

4.5K
The growth and maintenance of bone are regulated by a combination of nutritional factors, including vitamins, such as vitamin A, B12, C, D, and K.
Vitamin A
Vitamin A is involved in the process of bone remodeling. Retinoic acid, the active metabolite of Vitamin A, has nuclear receptors in osteoblasts and osteoclasts, which are involved in bone remodeling.
Vitamin B12
Vitamin B12 acts as a cofactor during the formation of osteoblast-related proteins, such as osteocalcin. Vitamin B12 plays a role...
4.5K
Atherosclerosis II: Clinical Manifestations and Diagnostic Tests01:27

Atherosclerosis II: Clinical Manifestations and Diagnostic Tests

150
Atherosclerosis is a progressive disorder that leads to the thickening and narrowing of arterial walls due to plaque buildup. This condition can cause various symptoms depending on the arteries affected:Coronary Artery Disease (CAD): This condition affects the coronary arteries and may lead to chest pain (angina), shortness of breath (dyspnea), heart attacks, and other heart disease symptoms.Cerebrovascular Disease: This affects blood flow to the brain, causing transient ischemic attacks (TIAs)...
150

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Related Experiment Video

Updated: Nov 12, 2025

Cortical Bone Assessment Using Ultrasonic Guided Waves: A Reproducibility Study in a Healthy Population
09:02

Cortical Bone Assessment Using Ultrasonic Guided Waves: A Reproducibility Study in a Healthy Population

Published on: January 31, 2025

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[Osteoporosis diagnosis and screening].

Patrice Fardellone1

  • 1Service de rhumatologie, université Picardie-Jules-Verne, CHU d'Amiens, Amiens, France.

La Revue Du Praticien
|March 19, 2021
PubMed
Summary

Diagnosing osteoporosis involves various definitions, from bone biopsy histology to dual-energy X-ray absorptiometry (DXA) T-score thresholds. The FRAX tool aids fracture risk assessment for treatment decisions.

Area of Science:

  • Endocrinology
  • Orthopedics
  • Geriatrics

Background:

  • Osteoporosis is a skeletal disease characterized by bone loss and microarchitectural deterioration.
  • Multiple definitions exist, evolving with technological advancements and clinical needs.

Purpose of the Study:

  • To review current definitions of osteoporosis.
  • To highlight the limitations of existing definitions in guiding treatment.
  • To emphasize the role of fracture risk assessment in clinical practice.

Main Methods:

  • Review of established osteoporosis definitions.
  • Discussion of diagnostic criteria including bone biopsy and dual-energy X-ray absorptiometry (DXA).
  • Introduction of the FRAX tool for fracture risk assessment.
Keywords:
Osteoporosis

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Main Results:

  • Histological definitions focus on bone structure.
  • DXA T-score of -2.5 or lower is a common diagnostic threshold.
  • The National Institutes of Health (NIH) defines osteoporosis based on bone loss and microarchitectural defects.

Conclusions:

  • Current definitions, while useful, do not always directly inform treatment initiation.
  • Fracture risk assessment, incorporating bone mineral density (BMD) and clinical risk factors via tools like FRAX, is crucial for managing osteoporosis.
  • A high fracture risk, evidenced by prior fractures, warrants diagnosis and consideration for treatment.