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Journal of the Korean Academy of Rehabilitation Medicine 2000;24(2):311-317.
Diagnosis of Osteoporosis of the Foot in Patients with Diabetes Mellitus Using Bone Densitometry.
Park, Jeong Mee , Kang, Seok Jeong , Kim, Ki Wan , Park, Roh Wook , Kim, Jin Weon
Department of Rehabilitation Medicine, Yon-Sei University Wonju College of Medicine.
골밀도검사를 이용한 당뇨병 환자에서 족부 골다공증의 평가
박정미, 강석정, 김기완, 박노욱, 김진원
연세대학교 원주의과대학 재활의학교실

The purpose of this study was to evaluate the severity and frequency of osteoporosis of the foot in patients with diabetes mellitus using bone densitometry, and to determine whether plain radiologic evaluation can be used as a cheap and reliable screening of osteoporosis.

We studied plain X-ray including AP and lateral views of the feet of the patients. Bone densitometry studies were performed on the feet of both diabetic and age-matched control groups.

Forefoot bone densitometry scores were significantly lower in the male diabetic group compared to the control group (p<0.05). Furthermore, the female diabetics had significantly lower bone densitometry scores for forefoot and hindfoot than the control group (p<0.05). Bone densitometric evaluation of the diabetic patients' feet revealed scores significantly lower than those of the controls in cases which the radiologist interpreted as normal finding in plain roentgenogram alone (p<0.05).

Plain radiologic studies of the feet in patients with diabetes mellitus are not effective in identifying osteoporotic change; thus, they should not be used as the screening method of diabetic foot lesions.

Key Words: Diabetes mellitus, Osteoporosis, Plain roentgenogram, Bone densitometry


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