ArticleOrthopadie (Heidelberg, Germany)2026
[Trabecular bone density measurement in Hounsfield units in the proximal femur for osteoporosis assessment and fracture risk determination].
Article in Orthopadie (Heidelberg, Germany), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
3 citing papers in PubMed.
- Regional femoral head Hounsfield units mirror acetabular undercoverage in acetabular dysplasia.Journal of experimental orthopaedics · 2026Article
- BMI-stratified performance of native CT hounsfield units in the proximal femur for osteoporosis detection and fracture association.BMC musculoskeletal disorders · 2026Article
- Diagnostic Value of Opportunistic CT-Based Bone Density Assessment in Patients with and Without Sacral Insufficiency Fractures.Diagnostics (Basel, Switzerland) · 2025Article
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Authors and funding
3 authors.
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Abstract
backgroundOsteoporosis leads to fractures, especially in older patients after minor trauma. Hip fractures are frequent. RESEARCH QUESTION: The study investigated whether bone mineral density (BMD) and T‑scores can be calculated based on trabecular density in Hounsfield units (HU) in the proximal femur, and whether the presence of osteoporosis and fracture risk can be assessed. PATIENTS AND
methods370 patients (Ø 69.4 years, 53 men/317 women) were examined using CTXA hip (DEXA equivalent). In addition, HU measurements were taken in the CT cross-section of the caput femoris and proximal femur. Fractures were recorded using supplementary imaging.
resultsTrabecular bone density decreased significantly with increasing age and decreasing BMI. There was a strong correlation between HU values and BMD (R DISCUSSION: HU measurement in native CT cross-sectional images allows a reliable assessment of osteoporosis and fracture risk. Opportunistic HU evaluation alone is, therefore, practicable and sufficient.
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