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Normal bone architecture. Early osteoporotic changes. Loss of trabeculation Increased lacunar space. INVESTIGATIONS. Rule out other reasons ( Normal chemical parameters) Only investigation available to measure bone mass is Bone Mineral Density (BMD). PREVENTIVE AND THERAPEUTIC MEASURES.
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Loss of trabeculation • Increased lacunar space
Rule out other reasons ( Normal chemical parameters) • Only investigation available to measure bone mass is Bone Mineral Density (BMD)
Increase bone mass at childhood • Avoid obesity • Exposure to sunlight • Encourage exercises • Calcium intake • Avoid certain medications
Daily Calcium Requirement • Children 600mg/day • Adolescents (growth spurt) 750mg/day • Adults 1g/day • Pregnant women, postmenopausal and patients with fractures 1.5g/day • Breast-feeding women 2g/day
How to prevent fractures • Avoid high strenuous activities • Walking aids • Slippery floors • Healthy bending habits