{"id":3806,"date":"2025-02-27T14:42:13","date_gmt":"2025-02-27T13:42:13","guid":{"rendered":"https:\/\/frohberger.de\/preventing-osteoporosis-dxa-bone-density-measurement-at-the-orthopaedist-in-muenster\/"},"modified":"2025-03-13T13:40:13","modified_gmt":"2025-03-13T12:40:13","slug":"preventing-osteoporosis-dxa-bone-density-measurement-at-the-orthopaedist-in-muenster","status":"publish","type":"post","link":"https:\/\/frohberger.de\/en\/preventing-osteoporosis-dxa-bone-density-measurement-at-the-orthopaedist-in-muenster\/","title":{"rendered":"Preventing osteoporosis \u2013 DXA bone density measurement at the orthopaedist in M\u00fcnster"},"content":{"rendered":"

Osteoporosis is one of the most common and yet greatly underestimated diseases of old age. It develops insidiously and goes unnoticed for a long time \u2013 until a fracture occurs. Osteoporosis-related fractures \u2013 especially femoral neck and vertebral body fractures \u2013 are associated with impaired quality of life and increased mortality and determine the high level of suffering of those affected. But it doesn’t have to be that way!<\/p>\n

With modern diagnostic methods such as DXA bone density measurement, we can identify your risk at an early stage and then initiate targeted preventive measures. At the Z.O.R. \u2013 the Center for Orthopedics & Regenerative Medicine in M\u00fcnster, orthopedist and osteologist Dr. Ulrich Frohberger<\/a> relies on this precise, low-radiation technology to optimally protect your bone health as well. Find out in this article why early examination is so important and what advantages DXA technology offers.<\/p>\n<\/div>

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Overview:<\/p>\n<\/div>

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What is osteoporosis and why measure bone density?<\/span><\/h3>\n

Osteoporosis is a systemic disease characterized by a decrease in bone strength and structure. It often results in painful and serious fractures of vertebral bodies and femoral neck bones, significantly reducing quality of life and life expectancy. The causes can be genetic predispositions. However, in most cases, avoidable systemic metabolic disorders, eating habits and other lifestyle factors lead to osteoporosis. Particularly in regenerative medicine<\/a>, immunological laboratory and stool examinations and, not least, genetic tests are becoming increasingly important for determining individual risk. It is becoming more and more common to initiate a causal therapy.<\/p>\n

In Germany, an estimated 6 to 8 million people are affected by osteoporosis \u2013 women aged 50 and over and men aged 55 and over are the main focus. However, it is difficult to say exactly because the disease often goes undetected (Bone Evaluation Study 2013<\/a>). Risk factors such as age, gender, numerous medications and pre-existing conditions also increase the risk of fractures, which is why we at Z.O.R \u2013 a center of excellence for osteoporosis<\/a> \u2013 consider early bone density measurement to be essential and highly recommend it to our patients.<\/p>\n<\/div><\/div><\/div>

Bone density measurement \u2013 early diagnosis with DXA technology<\/span><\/h3>\n

Modern diagnostic techniques, in particular DXA technology, provide precise insights into bone health. Accurate diagnostics are a necessary prerequisite for preventive measures and individual therapy proposals, as we initiate them for you as an orthopaedic in M\u00fcnster<\/a>. With innovative approaches and a personal consultation approach, Dr. Frohberger offers DXA bone density measurement to provide his patients with the best possible support and to help them overcome their fear of possible fractures.<\/p>\n<\/div><\/div><\/div>

What does a DXA bone density measurement cost for patients with statutory health insurance?<\/p>\n<\/div>

Read more<\/span><\/a><\/div><\/div><\/div><\/div><\/div>
\"DXA<\/span><\/div><\/div><\/div><\/div><\/div>

Was ist eigentlich die Knochendichte?<\/span><\/h3>\n

Dichte ist ein physikalischer Begriff und beschreibt, wie viel Masse eines Materials in einem bestimmten Volumen vorhanden ist. Die Knochendichte gibt an, wie viel mineralische Substanz sich in einer bestimmten Knochenmenge befindet. Analog zur Dichte von Wasser oder Metall l\u00e4sst sich die Knochendichte als Masse pro Volumen definieren. Doch w\u00e4hrend eine h\u00f6here Dichte oft mit Stabilit\u00e4t gleichgesetzt wird, ist dies beim Knochen nur ein Teil der Wahrheit. Denn nicht nur die Menge an Knochensubstanz ist entscheidend, sondern auch deren Struktur.<\/p>\n

Auf die Knochenstruktur kommt es an!<\/strong><\/p>\n

W\u00e4hrend Wasser eine homogene Struktur besitzt, ist Knochen ein hochkomplexes, dreidimensionales Gewebe aus fein vernetzten Knochenb\u00e4lkchen und Hohlr\u00e4umen. Die Stabilit\u00e4t des Knochens h\u00e4ngt nicht nur von der reinen Masse ab, sondern auch davon, wie diese Struktur aufgebaut ist. Ein dichter, aber unregelm\u00e4\u00dfig angeordneter Knochen kann weniger stabil sein als ein feingliedrig strukturierter Knochen mit gleichm\u00e4\u00dfig verteilten Knochenelementen. Daher definiert sich Osteoporose nicht nur \u00fcber eine verringerte Knochendichte, sondern auch \u00fcber eine gest\u00f6rte Mikroarchitektur des Knochens. Studien zeigen, dass insbesondere diese strukturellen Ver\u00e4nderungen zu einer erh\u00f6hten Br\u00fcchigkeit des Knochens f\u00fchren.<\/p>\n

Die Rolle der Knochendichtemessung<\/span><\/h3>\n

Die DXA – Knochendichtemessung dient der \u00dcberpr\u00fcfung, ob eine niedrige Knochendichte vorliegt und damit die Kriterien einer Osteoporose und der belegten Wirksamkeit einer spezifischen medikament\u00f6sen Therapie erf\u00fcllt werden. Weiter dient sie der Erfassung des Ausma\u00dfes der Knochendichteerniedrigung. Dies ist wiederum wichtig f\u00fcr die Absch\u00e4tzung des individuellen absoluten Frakturrisikos und der damit verbundenen Empfehlungen der therapeutischen Ma\u00dfnahmen.<\/p>\n<\/div><\/div><\/div>

<\/i><\/i><\/span>The new version of the guidelines 2023<\/span><\/a><\/h4><\/div>
The new version of the guidelines from 2023 recommends using the minimal TOTAL HIP T-score for both hips in addition to the lumbar spine to determine the therapy threshold. For the lumbar spine, the mean T-score of those vertebrae from L1-L4 is determined using quantitative digital radiography DXA, for which a prognostically evaluable measurement is possible. At least two vertebrae must be evaluable.
\nEvaluation is impeded, for example, by spondylophytes, vertebral fractures, degenerative changes > of grade 2 according to Kellgren, significant scoliosis and torsion scoliosis.<\/div><\/div><\/div><\/div><\/div><\/div><\/div>

When is basic diagnostics necessary?<\/h3><\/div>

<\/i><\/i><\/span>Case Finding Strategy<\/span><\/a><\/h4><\/div>
Basic diagnostics should be recommended as a case-finding strategy for postmenopausal women and men aged 50 and over with a risk constellation for fractures considered relevant by a physician. Taking into account the absolute risk of fracture.<\/div><\/div><\/div>

<\/i><\/i><\/span>For fractures in people aged 50 and over<\/span><\/a><\/h4><\/div>
For all fractures occurring after the age of 50, especially if there is evidence of a fragility fracture. This also applies to postmenopausal women and men under the age of 50 and when planning treatment with glucocorticoids with a prednisolone equivalent of over 7.5 mg\/day for > 3 months.<\/div><\/div><\/div>

<\/i><\/i><\/span>Generally from the age of 70<\/span><\/a><\/h4><\/div>
It should be offered to everyone turning 70.<\/div><\/div><\/div>

<\/i><\/i><\/span>Under 50 years of age with individual risk factors<\/span><\/a><\/h4><\/div>
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Depending on the individual risk factor profile, this may also apply to women and men under the age of 50 if there are immediate therapeutic or diagnostic consequences and if the risk is current or has been present for less than 1-2 years.<\/p>\n<\/div><\/div><\/div>

<\/i><\/i><\/span>Scope of basic diagnostics<\/span><\/a><\/h4><\/div>
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A basic osteoporosis<\/em> diagnosis includes several examinations, depending on the initial examination findings. A specific diagnosis is made if there are indications of secondary osteoporosis, a nutritional anamnesis, examination of the overall function of the musculoskeletal system including muscular function, indication of gait instability, dysfunction, etc.<\/p>\n

To clarify an increased risk of falling, assess muscle strength and coordination, especially after previous falls, in patients aged 70 and over or with indications of impairment, carry out \u201cgeriatric assessment examinations\u201d (Timed Up-and Go-, Chair-Rising-Test, etc.).<\/p>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div>

\"IHHT<\/span><\/div><\/div><\/div>

Excellent diagnostics in the Z.O.R.<\/span><\/h3>\n

In order to detect osteoporosis at an early stage or to determine a possible risk, we offer a much more comprehensive, additional diagnostic examination at the Z.O.R. M\u00fcnster. This includes:<\/p>\n