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Erschienen in: Current Rheumatology Reports 11/2013

01.11.2013 | OSTEOPOROSIS AND METABOLIC BONE DISEASE (KG SAAG, SECTION EDITOR)

Measuring Bone Quality

verfasst von: Elisa Torres-del-Pliego, Laia Vilaplana, Roberto Güerri-Fernández, Adolfo Diez-Pérez

Erschienen in: Current Rheumatology Reports | Ausgabe 11/2013

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Abstract

Osteoporosis is defined as a reduction in bone mass and impairment of bone quality that lead to bone fragility and fracture risk. Bone quality includes a hierarchy of properties from macroscopic to nanoscale level. Several techniques have been developed in an attempt to measure these non-density properties. Densitometry, high-resolution images (radiography, CT scan), and MRI can measure the geometry and microarchitecture of bone. Tissue mineralization and composition can be assessed by use of microradiography, Fourier-transform infrared spectroscopy, or Raman microspectroscopy. Finite-element analysis is an image-based method that enables calculation of bone strength. More recently, microindentation has enabled direct estimation of bone material strength, measured in the cortical bone of the tibia. Most of these techniques are of limited use to clinics, although finite-element analysis and microindentation have high potential for clinical use and can enable more comprehensive and accurate evaluation of bone fragility and fracture susceptibility.
Literatur
1.
Zurück zum Zitat NIH Consensus Development Panel on Osteoporosis Prevention, Diagnosis, and Therapy. Osteoporosis prevention, diagnosis, and therapy. JAMA. 2001 Feb 14;285(6):785–95. NIH Consensus Development Panel on Osteoporosis Prevention, Diagnosis, and Therapy. Osteoporosis prevention, diagnosis, and therapy. JAMA. 2001 Feb 14;285(6):785–95.
2.
Zurück zum Zitat NIA workshop on aging and bone quality. Bethesda, September 3-4, 1992, Proceedings. Calcif Tissue Int. 1993;53 Suppl 1:S1–180. NIA workshop on aging and bone quality. Bethesda, September 3-4, 1992, Proceedings. Calcif Tissue Int. 1993;53 Suppl 1:S1–180.
3.
Zurück zum Zitat Cummings SR, Bates D, Black DM. Clinical use of bone densitometry: Scientific review. JAMA. 2002;288(15):1889–97.PubMedCrossRef Cummings SR, Bates D, Black DM. Clinical use of bone densitometry: Scientific review. JAMA. 2002;288(15):1889–97.PubMedCrossRef
4.
Zurück zum Zitat Maricic M, Gluck O. Densitometry in glucocorticoid-induced osteoporosis. J Clin Densitom. 2004;7(4):359–63.PubMedCrossRef Maricic M, Gluck O. Densitometry in glucocorticoid-induced osteoporosis. J Clin Densitom. 2004;7(4):359–63.PubMedCrossRef
5.
Zurück zum Zitat Watts NB, Geusens P, Barton IP, Felsenberg D. Relationship between changes in BMD and nonvertebral fracture incidence associated with risedronate: Reduction in risk of nonvertebral fracture is not related to change in BMD. J Bone Miner Res. 2005;20(12):2097–104.PubMedCrossRef Watts NB, Geusens P, Barton IP, Felsenberg D. Relationship between changes in BMD and nonvertebral fracture incidence associated with risedronate: Reduction in risk of nonvertebral fracture is not related to change in BMD. J Bone Miner Res. 2005;20(12):2097–104.PubMedCrossRef
6.
Zurück zum Zitat Ettinger B, Black DM, Mitlak BH, et al. Reduction of vertebral fracture risk in postmenopausal women with osteoporosis treated with raloxifene: Results from a 3-year randomized clinical trial. multiple outcomes of raloxifene evaluation (MORE) investigators. JAMA. 1999;282(7):637–45.PubMedCrossRef Ettinger B, Black DM, Mitlak BH, et al. Reduction of vertebral fracture risk in postmenopausal women with osteoporosis treated with raloxifene: Results from a 3-year randomized clinical trial. multiple outcomes of raloxifene evaluation (MORE) investigators. JAMA. 1999;282(7):637–45.PubMedCrossRef
7.
Zurück zum Zitat Delmas PD, Seeman E. Changes in bone mineral density explain little of the reduction in vertebral or nonvertebral fracture risk with anti-resorptive therapy. Bone. 2004;34(4):599–604.PubMedCrossRef Delmas PD, Seeman E. Changes in bone mineral density explain little of the reduction in vertebral or nonvertebral fracture risk with anti-resorptive therapy. Bone. 2004;34(4):599–604.PubMedCrossRef
8.
Zurück zum Zitat Chapurlat RD, Palermo L, Ramsay P, Cummings SR. Risk of fracture among women who lose bone density during treatment with alendronate. The fracture intervention trial. Osteoporos Int. 2005;16(7):842–8.PubMedCrossRef Chapurlat RD, Palermo L, Ramsay P, Cummings SR. Risk of fracture among women who lose bone density during treatment with alendronate. The fracture intervention trial. Osteoporos Int. 2005;16(7):842–8.PubMedCrossRef
9.
Zurück zum Zitat Cummings SR, Bates D, Black DM. Clinical use of bone densitometry: Scientific review. JAMA. 2002;288(15):1889–97.PubMedCrossRef Cummings SR, Bates D, Black DM. Clinical use of bone densitometry: Scientific review. JAMA. 2002;288(15):1889–97.PubMedCrossRef
10.
Zurück zum Zitat Black DM, Cummings SR, Karpf DB, et al. Randomized trial of effect of alendronate on risk of fracture in women with existing vertebral fractures. Fracture intervention trial research group. Lancet. 1996;348(9041):1535–41.PubMedCrossRef Black DM, Cummings SR, Karpf DB, et al. Randomized trial of effect of alendronate on risk of fracture in women with existing vertebral fractures. Fracture intervention trial research group. Lancet. 1996;348(9041):1535–41.PubMedCrossRef
11.
Zurück zum Zitat Austin M, Yang YC, Vittinghoff E, et al. FREEDOM Trial. Relationship between bone mineral density changes with denosumab treatment and risk reduction for vertebral and nonvertebral fractures. J Bone Miner Res. 2012;27(3):687–93.PubMedCrossRef Austin M, Yang YC, Vittinghoff E, et al. FREEDOM Trial. Relationship between bone mineral density changes with denosumab treatment and risk reduction for vertebral and nonvertebral fractures. J Bone Miner Res. 2012;27(3):687–93.PubMedCrossRef
12.
Zurück zum Zitat Felsenberg D, Boonen S. The bone quality framework: Determinants of bone strength and their interrelationships, and implications for osteoporosis management. Clin Ther. 2005;27(1):1–11.PubMedCrossRef Felsenberg D, Boonen S. The bone quality framework: Determinants of bone strength and their interrelationships, and implications for osteoporosis management. Clin Ther. 2005;27(1):1–11.PubMedCrossRef
13.
Zurück zum Zitat Bouxsein ML, Seeman E. Quantifying the material and structural determinants of bone strength. Best Pract Res Clin Rheumatol. 2009;23(6):741–53.PubMedCrossRef Bouxsein ML, Seeman E. Quantifying the material and structural determinants of bone strength. Best Pract Res Clin Rheumatol. 2009;23(6):741–53.PubMedCrossRef
14.
Zurück zum Zitat Ahlborg HG, Johnell O, Turner C, et al. Bone loss and bone size after menopause. N Engl J Med. 2003;349(4):327–34.PubMedCrossRef Ahlborg HG, Johnell O, Turner C, et al. Bone loss and bone size after menopause. N Engl J Med. 2003;349(4):327–34.PubMedCrossRef
15.
Zurück zum Zitat Kleerekoper M, Villanueva AR, Stanciu J, et al. The role of three-dimensional trabecular microstructure in the pathogenesis of vertebral compression fractures. Calcif Tissue Int. 1985;37(6):594–7.PubMedCrossRef Kleerekoper M, Villanueva AR, Stanciu J, et al. The role of three-dimensional trabecular microstructure in the pathogenesis of vertebral compression fractures. Calcif Tissue Int. 1985;37(6):594–7.PubMedCrossRef
16.
Zurück zum Zitat Slyfield CR, Tkachenko EV, Fischer SE, et al. Mechanical failure begins preferentially near resorption cavities in human vertebral cancellous bone under compression. Bone. 2012;50(6):1281–7.PubMedCrossRef Slyfield CR, Tkachenko EV, Fischer SE, et al. Mechanical failure begins preferentially near resorption cavities in human vertebral cancellous bone under compression. Bone. 2012;50(6):1281–7.PubMedCrossRef
17.
Zurück zum Zitat Silva MJ, Gibson LJ. Modeling the mechanical behavior of vertebral trabecular bone: Effects of age-related changes in microstructure. Bone. 1997;21(2):191–9.PubMedCrossRef Silva MJ, Gibson LJ. Modeling the mechanical behavior of vertebral trabecular bone: Effects of age-related changes in microstructure. Bone. 1997;21(2):191–9.PubMedCrossRef
18.
Zurück zum Zitat Weinstein RS, Hutson MS. Decreased trabecular width and increased trabecular spacing contribute to bone loss with aging. Bone. 1987;8(3):137–42.PubMedCrossRef Weinstein RS, Hutson MS. Decreased trabecular width and increased trabecular spacing contribute to bone loss with aging. Bone. 1987;8(3):137–42.PubMedCrossRef
19.
Zurück zum Zitat Macdonald HM, Nishiyama KK, Kang J, et al. Age-related patterns of trabecular and cortical bone loss differ between sexes and skeletal sites: A population-based HR-pQCT study. J Bone Miner Res. 2011;26(1):50–62.PubMedCrossRef Macdonald HM, Nishiyama KK, Kang J, et al. Age-related patterns of trabecular and cortical bone loss differ between sexes and skeletal sites: A population-based HR-pQCT study. J Bone Miner Res. 2011;26(1):50–62.PubMedCrossRef
20.
Zurück zum Zitat Bell KL, Loveridge N, Jordan GR, et al. A novel mechanism for induction of increased cortical porosity in cases of intracapsular hip fracture. Bone. 2000;27(2):297–304.PubMedCrossRef Bell KL, Loveridge N, Jordan GR, et al. A novel mechanism for induction of increased cortical porosity in cases of intracapsular hip fracture. Bone. 2000;27(2):297–304.PubMedCrossRef
21.
Zurück zum Zitat Ebacher V, Tang C, McKay H, et al. Strain redistribution and cracking behavior of human bone during bending. Bone. 2007;40(5):1265–75.PubMedCrossRef Ebacher V, Tang C, McKay H, et al. Strain redistribution and cracking behavior of human bone during bending. Bone. 2007;40(5):1265–75.PubMedCrossRef
22.
Zurück zum Zitat Koester KJ, Ager 3rd JW, Ritchie RO. The true toughness of human cortical bone measured with realistically short cracks. Nat Mater. 2008;7(8):672–7.PubMedCrossRef Koester KJ, Ager 3rd JW, Ritchie RO. The true toughness of human cortical bone measured with realistically short cracks. Nat Mater. 2008;7(8):672–7.PubMedCrossRef
23.
Zurück zum Zitat •• Zebaze RM, Ghasem-Zadeh A, Bohte A, et al. Intracortical remodelling and porosity in the distal radius and post-mortem femurs of women: A cross-sectional study. Lancet. 2010;375(9727):1729–36. Cortical bone is a key component of bone strength. The transition between cortical and trabecular compartments is difficult to establish due to the trabecularization of the inner side of the cortex. PubMedCrossRef •• Zebaze RM, Ghasem-Zadeh A, Bohte A, et al. Intracortical remodelling and porosity in the distal radius and post-mortem femurs of women: A cross-sectional study. Lancet. 2010;375(9727):1729–36. Cortical bone is a key component of bone strength. The transition between cortical and trabecular compartments is difficult to establish due to the trabecularization of the inner side of the cortex. PubMedCrossRef
24.
Zurück zum Zitat Follet H, Boivin G, Rumelhart C, Meunier PJ. The degree of mineralization is a determinant of bone strength: A study on human calcanei. Bone. 2004;34(5):783–9.PubMedCrossRef Follet H, Boivin G, Rumelhart C, Meunier PJ. The degree of mineralization is a determinant of bone strength: A study on human calcanei. Bone. 2004;34(5):783–9.PubMedCrossRef
25.
Zurück zum Zitat Viguet-Carrin S, Farlay D, Bala Y, et al. An in vitro model to test the contribution of advanced glycation end products to bone biomechanical properties. Bone. 2008;42(1):139–49.PubMedCrossRef Viguet-Carrin S, Farlay D, Bala Y, et al. An in vitro model to test the contribution of advanced glycation end products to bone biomechanical properties. Bone. 2008;42(1):139–49.PubMedCrossRef
26.
Zurück zum Zitat •• Saito M, Marumo K. Collagen cross-links as a determinant of bone quality: A possible explanation for bone fragility in aging, osteoporosis, and diabetes mellitus. Osteoporos Int. 2010;21(2):195–214. Collagen maturity is relevant for the mechanical properties of bone. Increased cross-linking is associated with older, less mechanically efficient bone. PubMedCrossRef •• Saito M, Marumo K. Collagen cross-links as a determinant of bone quality: A possible explanation for bone fragility in aging, osteoporosis, and diabetes mellitus. Osteoporos Int. 2010;21(2):195–214. Collagen maturity is relevant for the mechanical properties of bone. Increased cross-linking is associated with older, less mechanically efficient bone. PubMedCrossRef
27.
Zurück zum Zitat Boivin G, Bala Y, Doublier A, et al. The role of mineralization and organic matrix in the microhardness of bone tissue from controls and osteoporotic patients. Bone. 2008;43(3):532–8.PubMedCrossRef Boivin G, Bala Y, Doublier A, et al. The role of mineralization and organic matrix in the microhardness of bone tissue from controls and osteoporotic patients. Bone. 2008;43(3):532–8.PubMedCrossRef
28.
Zurück zum Zitat Currey JD, Brear K, Zioupos P. The effects of ageing and changes in mineral content in degrading the toughness of human femora. J Biomech. 1996;29(2):257–60.PubMedCrossRef Currey JD, Brear K, Zioupos P. The effects of ageing and changes in mineral content in degrading the toughness of human femora. J Biomech. 1996;29(2):257–60.PubMedCrossRef
29.
Zurück zum Zitat Burr DB, Forwood MR, Fyhrie DP, et al. Bone microdamage and skeletal fragility in osteoporotic and stress fractures. J Bone Miner Res. 1997;12(1):6–15.PubMedCrossRef Burr DB, Forwood MR, Fyhrie DP, et al. Bone microdamage and skeletal fragility in osteoporotic and stress fractures. J Bone Miner Res. 1997;12(1):6–15.PubMedCrossRef
31.
Zurück zum Zitat • Allen MR, Burr DB. Bisphosphonate effects on bone turnover, microdamage, and mechanical properties: What we think we know and what we know that we don’t know. Bone. 2011;49(1):56–65. Excellent review on the potential deleterious effects of this group of drugs on bone mechanical properties. PubMedCrossRef • Allen MR, Burr DB. Bisphosphonate effects on bone turnover, microdamage, and mechanical properties: What we think we know and what we know that we don’t know. Bone. 2011;49(1):56–65. Excellent review on the potential deleterious effects of this group of drugs on bone mechanical properties. PubMedCrossRef
32.
Zurück zum Zitat Currey JD. The effects of drying and re-wetting on some mechanical properties of cortical bone. J Biomech. 1988;21(5):439–41.PubMedCrossRef Currey JD. The effects of drying and re-wetting on some mechanical properties of cortical bone. J Biomech. 1988;21(5):439–41.PubMedCrossRef
33.
Zurück zum Zitat Seeman E, Delmas PD. Bone quality–the material and structural basis of bone strength and fragility. N Engl J Med. 2006;354(21):2250–61.PubMedCrossRef Seeman E, Delmas PD. Bone quality–the material and structural basis of bone strength and fragility. N Engl J Med. 2006;354(21):2250–61.PubMedCrossRef
34.
Zurück zum Zitat Marcott C, Reeder RC, Paschalis EP, et al. Infrared microspectroscopic imaging of biomineralized tissues using a mercury-cadmium-telluride focal-plane array detector. Cell Mol Biol (Noisy-le-grand). 1998;44(1):109–15. Marcott C, Reeder RC, Paschalis EP, et al. Infrared microspectroscopic imaging of biomineralized tissues using a mercury-cadmium-telluride focal-plane array detector. Cell Mol Biol (Noisy-le-grand). 1998;44(1):109–15.
35.
Zurück zum Zitat Gourion-Arsiquaud S, West PA, Boskey AL. Fourier transform-infrared microspectroscopy and microscopic imaging. Methods Mol Biol. 2008;455:293–303.PubMedCrossRef Gourion-Arsiquaud S, West PA, Boskey AL. Fourier transform-infrared microspectroscopy and microscopic imaging. Methods Mol Biol. 2008;455:293–303.PubMedCrossRef
36.
Zurück zum Zitat Tjhia CK, Odvina CV, Rao DS, et al. Mechanical property and tissue mineral density differences among severely suppressed bone turnover (SSBT) patients, osteoporotic patients, and normal subjects. Bone. 2011;49(6):1279–89.PubMedCrossRef Tjhia CK, Odvina CV, Rao DS, et al. Mechanical property and tissue mineral density differences among severely suppressed bone turnover (SSBT) patients, osteoporotic patients, and normal subjects. Bone. 2011;49(6):1279–89.PubMedCrossRef
37.
Zurück zum Zitat • Chappard D, Basle MF, Legrand E, Audran M. New laboratory tools in the assessment of bone quality. Osteoporos Int. 2011;22(8):2225–40. Comprehensive review of the available methods for the assessment of the BMD-independent elements of bone. PubMedCrossRef • Chappard D, Basle MF, Legrand E, Audran M. New laboratory tools in the assessment of bone quality. Osteoporos Int. 2011;22(8):2225–40. Comprehensive review of the available methods for the assessment of the BMD-independent elements of bone. PubMedCrossRef
38.
Zurück zum Zitat Burket J, Gourion-Arsiquaud S, Havill LM, et al. Microstructure and nanomechanical properties in osteons relate to tissue and animal age. J Biomech. 2011;44(2):277–84.PubMedCrossRef Burket J, Gourion-Arsiquaud S, Havill LM, et al. Microstructure and nanomechanical properties in osteons relate to tissue and animal age. J Biomech. 2011;44(2):277–84.PubMedCrossRef
39.
Zurück zum Zitat • Danielson ME, Beck TJ, Karlamangla AS, et al. A comparison of DXA and CT based methods for estimating the strength of the femoral neck in post-menopausal women. Osteoporos Int. 2013;24(4):1379–88. Study of the two methods commonly used for the calculations in finite element analyses. PubMedCrossRef • Danielson ME, Beck TJ, Karlamangla AS, et al. A comparison of DXA and CT based methods for estimating the strength of the femoral neck in post-menopausal women. Osteoporos Int. 2013;24(4):1379–88. Study of the two methods commonly used for the calculations in finite element analyses. PubMedCrossRef
40.
Zurück zum Zitat Thevenot J, Hirvasniemi J, Finnila M, et al. Trabecular homogeneity index derived from plain radiograph to evaluate bone quality. J Bone Miner Res. 2013 Thevenot J, Hirvasniemi J, Finnila M, et al. Trabecular homogeneity index derived from plain radiograph to evaluate bone quality. J Bone Miner Res. 2013
41.
Zurück zum Zitat Diez-Perez A, Olmos JM, Nogues X, et al. Risk factors for prediction of inadequate response to antiresorptives. J Bone Miner Res. 2012;27(4):817–24.PubMedCrossRef Diez-Perez A, Olmos JM, Nogues X, et al. Risk factors for prediction of inadequate response to antiresorptives. J Bone Miner Res. 2012;27(4):817–24.PubMedCrossRef
42.
Zurück zum Zitat Amin S, Kopperdhal DL, Melton 3rd LJ, et al. Association of hip strength estimates by finite-element analysis with fractures in women and men. J Bone Miner Res. 2011;26(7):1593–600.PubMedCrossRef Amin S, Kopperdhal DL, Melton 3rd LJ, et al. Association of hip strength estimates by finite-element analysis with fractures in women and men. J Bone Miner Res. 2011;26(7):1593–600.PubMedCrossRef
43.
Zurück zum Zitat Graeff C, Marin F, Petto H, et al. High resolution quantitative computed tomography-based assessment of trabecular microstructure and strength estimates by finite-element analysis of the spine, but not DXA, reflects vertebral fracture status in men with glucocorticoid-induced osteoporosis. Bone. 2013;52(2):568–77.PubMedCrossRef Graeff C, Marin F, Petto H, et al. High resolution quantitative computed tomography-based assessment of trabecular microstructure and strength estimates by finite-element analysis of the spine, but not DXA, reflects vertebral fracture status in men with glucocorticoid-induced osteoporosis. Bone. 2013;52(2):568–77.PubMedCrossRef
44.
Zurück zum Zitat Srinivasan B, Kopperdahl DL, Amin S, et al. Relationship of femoral neck areal bone mineral density to volumetric bone mineral density, bone size, and femoral strength in men and women. Osteoporos Int. 2012;23(1):155–62.PubMedCrossRef Srinivasan B, Kopperdahl DL, Amin S, et al. Relationship of femoral neck areal bone mineral density to volumetric bone mineral density, bone size, and femoral strength in men and women. Osteoporos Int. 2012;23(1):155–62.PubMedCrossRef
45.
Zurück zum Zitat •• Roux JP, Wegrzyn J, Arlot ME, et al. Contribution of trabecular and cortical components to biomechanical behavior of human vertebrae: An ex vivo study. J Bone Miner Res. 2010;25(2):356–61. Experimental research where the relative contribution of cortical and trabecular bone is studied. Fracture propensity is mainly driven by the cortical bone. PubMedCrossRef •• Roux JP, Wegrzyn J, Arlot ME, et al. Contribution of trabecular and cortical components to biomechanical behavior of human vertebrae: An ex vivo study. J Bone Miner Res. 2010;25(2):356–61. Experimental research where the relative contribution of cortical and trabecular bone is studied. Fracture propensity is mainly driven by the cortical bone. PubMedCrossRef
46.
Zurück zum Zitat Zioupos P, Hansen U, Currey JD. Microcracking damage and the fracture process in relation to strain rate in human cortical bone tensile failure. J Biomech. 2008;41(14):2932–9.PubMedCrossRef Zioupos P, Hansen U, Currey JD. Microcracking damage and the fracture process in relation to strain rate in human cortical bone tensile failure. J Biomech. 2008;41(14):2932–9.PubMedCrossRef
47.
Zurück zum Zitat Hvid I, Christensen P, Soondergaard J, Christensen PB, Larsen CG. Compressive strength of tibial cancellous bone. instron and osteopenetrometer measurements in an autopsy material. Acta Orthop Scand. 1983;54(6):819–25.PubMedCrossRef Hvid I, Christensen P, Soondergaard J, Christensen PB, Larsen CG. Compressive strength of tibial cancellous bone. instron and osteopenetrometer measurements in an autopsy material. Acta Orthop Scand. 1983;54(6):819–25.PubMedCrossRef
48.
Zurück zum Zitat Imbeni V, Kruzic JJ, Marshall GW, et al. The dentin-enamel junction and the fracture of human teeth. Nat Mater. 2005;4(3):229–32.PubMedCrossRef Imbeni V, Kruzic JJ, Marshall GW, et al. The dentin-enamel junction and the fracture of human teeth. Nat Mater. 2005;4(3):229–32.PubMedCrossRef
49.
Zurück zum Zitat Hansma P, Turner P, Drake B, et al. The bone diagnostic instrument II: Indentation distance increase. Rev Sci Instrum. 2008;79(6):064303.PubMedCrossRef Hansma P, Turner P, Drake B, et al. The bone diagnostic instrument II: Indentation distance increase. Rev Sci Instrum. 2008;79(6):064303.PubMedCrossRef
50.
Zurück zum Zitat Hansma P, Yu H, Schultz D, et al. The tissue diagnostic instrument. Rev Sci Instrum. 2009;80(5):054303.PubMedCrossRef Hansma P, Yu H, Schultz D, et al. The tissue diagnostic instrument. Rev Sci Instrum. 2009;80(5):054303.PubMedCrossRef
51.
Zurück zum Zitat •• Diez-Perez A, Guerri R, Nogues X, et al. Microindentation for in vivo measurement of bone tissue mechanical properties in humans. J Bone Miner Res. 2010;25(8):1877–85. First publication on microindentation with the validation and basic methodology. The technique discriminates between fracture and non-fracture cases. PubMedCrossRef •• Diez-Perez A, Guerri R, Nogues X, et al. Microindentation for in vivo measurement of bone tissue mechanical properties in humans. J Bone Miner Res. 2010;25(8):1877–85. First publication on microindentation with the validation and basic methodology. The technique discriminates between fracture and non-fracture cases. PubMedCrossRef
52.
Zurück zum Zitat •• Guerri-Fernandez RC, Nogues X, Quesada Gomez JM, et al. Microindentation for in vivo measurement of bone tissue material properties in atypical femoral fracture patients and controls. J Bone Miner Res. 2013;28(1):162–8. Second publication in humans analyzing a paradigm of bone quality deterioration, atypical femoral fractures. In spite of preserved bone density, mechanical properties of bone tissue are deeply deteriorated. PubMedCrossRef •• Guerri-Fernandez RC, Nogues X, Quesada Gomez JM, et al. Microindentation for in vivo measurement of bone tissue material properties in atypical femoral fracture patients and controls. J Bone Miner Res. 2013;28(1):162–8. Second publication in humans analyzing a paradigm of bone quality deterioration, atypical femoral fractures. In spite of preserved bone density, mechanical properties of bone tissue are deeply deteriorated. PubMedCrossRef
53.
Zurück zum Zitat Dall’Ara E, Schmidt R, Zysset P. Microindentation can discriminate between damaged and intact human bone tissue. Bone. 2012;50(4):925–9.PubMedCrossRef Dall’Ara E, Schmidt R, Zysset P. Microindentation can discriminate between damaged and intact human bone tissue. Bone. 2012;50(4):925–9.PubMedCrossRef
54.
Zurück zum Zitat •• Gallant MA, Brown DM, Organ JM, et al. Reference-point indentation correlates with bone toughness assessed using whole-bone traditional mechanical testing. Bone. 2013;53(1):301–5. Animal study of microindentation correlating the obtained variables of the technique with the classical mechanical tests in the laboratory. PubMedCrossRef •• Gallant MA, Brown DM, Organ JM, et al. Reference-point indentation correlates with bone toughness assessed using whole-bone traditional mechanical testing. Bone. 2013;53(1):301–5. Animal study of microindentation correlating the obtained variables of the technique with the classical mechanical tests in the laboratory. PubMedCrossRef
55.
Zurück zum Zitat Fantner GE, Hassenkam T, Kindt JH, et al. Sacrificial bonds and hidden length dissipate energy as mineralized fibrils separate during bone fracture. Nat Mater. 2005;4(8):612–6.PubMedCrossRef Fantner GE, Hassenkam T, Kindt JH, et al. Sacrificial bonds and hidden length dissipate energy as mineralized fibrils separate during bone fracture. Nat Mater. 2005;4(8):612–6.PubMedCrossRef
Metadaten
Titel
Measuring Bone Quality
verfasst von
Elisa Torres-del-Pliego
Laia Vilaplana
Roberto Güerri-Fernández
Adolfo Diez-Pérez
Publikationsdatum
01.11.2013
Verlag
Springer US
Erschienen in
Current Rheumatology Reports / Ausgabe 11/2013
Print ISSN: 1523-3774
Elektronische ISSN: 1534-6307
DOI
https://doi.org/10.1007/s11926-013-0373-8

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