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Osteoporos Sarcopenia. 2016 Mar;2(1):20-24. doi: 10.1016/j.afos.2016.02.001. Epub 2016 Mar 3.

Type 2 diabetes mellitus and bone fragility: Special focus on bone imaging.

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Department of Endocrinology and Metabolism, Ajou University School of Medicine, Suwon, South Korea.


Fragility fracture rate is increased in type 2 diabetes patients despite of higher bone mineral density than non-diabetes control subjects. Vertebral fractures are usually asymptomatic; therefore, morphometric radiologic evaluation should be considered especially for diabetes patients. Bone quality may more contribute to the increased risk of osteoporotic fractures in patients with type 2 diabetes than bone mass. Hip geometry, cortical porosity, and trabecular bone score have been studied as bone quality parameters by imaging in type 2 diabetes mellitus.


Cortical porosity; Hip geometry; Trabecular bone score; Vertebral fracture assessment

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