Dual photon absorptiometry of the proximal tibia

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Abstract
Bone mineral content (BMC) and bone mineral density (BMD) of the proximal tibia were determined by dual photon absorptiometry on 44 women, aged 23–87 years. The area of the tibia measured was a 2.01 cm region immediately distal to the medial and lateral tuberosities. Values of BMC ranged between 5.09 and 14.57 g and BMD between 0.380 and 1.180 g/cm2. Both tibial BMC and BMD declined with age and tibial BMD was significantly correlated with lumbar spine (r=0.70), femoral neck (r=0.73), and femoral trochanter (r=0.74). However, the large standard errors of estimate (SEE) (0.08–0.14 g/cm2) do not allow for reliable prediction in an individual of other skeletal sites by the tibia. Repeated measurements demonstrated that dual photon absorptiometry of the proximal tibia is a reliable measurement and may be a useful tool in the monitoring of therapeutic or intervention modalities in those individuals with skeletal diseases in whom measurement of the lumbar spine or proximal femur may not be possible.