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Updated: Aug 6, 2026
07:56
Scanning Skeletal Remains for Bone Mineral Density in Forensic Contexts
Published on: January 29, 2018
Side-to-side differences in hip bone mineral density and associated morphological factors
Keisuke Uemura1, Yoshito Otake2, Mazen Soufi2
1Department of Orthopaedic Medical Engineering, Osaka University Graduate School of Medicine, Suita, Osaka, Japan. surmountjp@gmail.com.
Summary
Significant hip bone mineral density (BMD) asymmetry exists in older adults, linked to gluteal muscle and femoral anteversion differences. Bilateral hip assessment using quantitative computed tomography (QCT) can improve osteoporosis detection.
Area of Science:
- Orthopedics
- Radiology
- Gerontology
Background:
- Side-to-side differences in hip bone mineral density (BMD) are observed but not well understood.
- Morphological factors contributing to hip BMD asymmetry require clarification.
Purpose of the Study:
- Quantify hip BMD differences between right and left hips.
- Identify morphological factors associated with BMD asymmetry using quantitative computed tomography (QCT).
Main Methods:
- Analyzed QCT data from 82 adults (median age 75).
- Calculated bilateral hip BMD and side-to-side percentage differences.
- Assessed gluteal muscle volume and femoral anteversion for association with BMD differences.
Main Results:
- Median BMD difference was 3.0%; 26% exceeded 5%.
- Greater gluteal muscle volume and femoral anteversion asymmetry correlated with larger BMD differences.
- Lower BMD was observed on the side with smaller gluteal muscle volume and greater femoral anteversion.
Conclusions:
- Clinically significant hip BMD asymmetry is common in older adults.
- Unilateral measurements may underestimate osteoporosis risk.
- Bilateral hip assessment, especially with QCT, is recommended for accurate osteoporosis screening.
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