Pressure-induced pain on the tibia: an indicator of low bone mineral density?

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dc.authoridtuna, hakan/0000-0002-5980-8413
dc.authoridTuna, Filiz/0000-0002-9563-8028
dc.authorwosidtuna, filiz/ABD-4110-2020
dc.contributor.authorBirtane, M
dc.contributor.authorTuna, H
dc.contributor.authorEkuklu, G
dc.contributor.authorDemirbag, D
dc.contributor.authorTuna, F
dc.contributor.authorKokino, S
dc.date.accessioned2024-06-12T11:07:52Z
dc.date.available2024-06-12T11:07:52Z
dc.date.issued2004
dc.departmentTrakya Üniversitesien_US
dc.description.abstractPrevious literature investigating bone pain in osteoporosis has prominently focused on painful conditions following osteoporotic fractures. Is osteoporosis really a silent disease without bone pain and tenderness unless a fracture occurs? Our aim in this study was to answer the question by assessing the questionable tenderness on tibia bones of fracture-free patients with low bone density and to compare the findings with a normal population. One-hundred-thirty-three consecutive postmenopausal female patients with the mean age of 56 years admitted to our clinic for bone mass measurement were included in the study. Bone mineral density (BMD) values of lumbar spine (L2-L4) and right proximal femur (neck, trochanter, Ward's triangle) were measured by dual-energy X-ray absorptiometry (DXA). Patients with T scores lower than -1 formed the osteopenic-osteoporotic group of patients (low BMD group) whereas those with T scores higher than -1 constituted the normal BMD group according to the osteoporosis definition regarding T score for DXA. Mechanical pressure was applied by a hand algometer on the middle points of three equally divided sections on the anterior part of tibia, and the pressure levels starting the pain sensation (POPL) were recorded. Although the patients in the normal BMD group reported consistently high POPL at all regions of tibia for all BMD measurement sites, this difference reached to a statistical significance level only for the femur neck region. Only mean POPL for the whole tibia had independent association with only femur neck BMD by multiple linear regression analysis. These results are encouraging for assessing the significance of pressure-induced tibial pain as an indicator of low BMD in the future.en_US
dc.identifier.doi10.1007/s00774-004-0507-1
dc.identifier.endpage461en_US
dc.identifier.issn0914-8779
dc.identifier.issue5en_US
dc.identifier.pmid15316866en_US
dc.identifier.scopus2-s2.0-4544272544en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage456en_US
dc.identifier.urihttps://doi.org/10.1007/s00774-004-0507-1
dc.identifier.urihttps://hdl.handle.net/20.500.14551/22201
dc.identifier.volume22en_US
dc.identifier.wosWOS:000223352300007en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSpringer Tokyoen_US
dc.relation.ispartofJournal Of Bone And Mineral Metabolismen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectLow Bone Mineral Densityen_US
dc.subjectTibiaen_US
dc.subjectPressure Painen_US
dc.subjectBack Painen_US
dc.subjectOsteoporosisen_US
dc.subjectFracturesen_US
dc.titlePressure-induced pain on the tibia: an indicator of low bone mineral density?en_US
dc.typeArticleen_US

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