Topics:
Endocrinology • Bone and Calcium Disorders
Should peripheral T-scores alone be used as an indication to start osteoporosis treatment in otherwise healthy patients without secondary causes of osteoporosis such as hyperparathyroidism?
I am curious about the use of peripheral T-scores. The AACE guidelines state that you can use this site to diagnosis osteoporosis. However, BMD at peripheral sites are often much lower compared to the hip and spine. How do we incorporate this into our practice? Especially when the hip and spine only have osteopenia or mild osteoporosis, yet peripheral T-scores are -3.0 or worse.