Day: April 25, 2023

Reference Intervals for Bone Impact Microindentation in Healthy Adults: A Multi-Centre International Study

Pamela Rufus-Membere 1 2, Kara L Holloway-Kew 3, Adolfo Diez-Perez 4, Natasha M Appelman-Dijkstra 5, Mary L Bouxsein 6, Erik F Eriksen 7, Joshua N Farr 8, Sundeep Khosla 8, Mark A Kotowicz 3 9 10, Xavier Nogues 11, Mishaela Rubin 12, Julie A Pasco 3 9 10 13PMID: 36729139PMCID: PMC9968254 DOI: 10.1007/s00223-022-01047-y Impact microindentation (IMI) is a novel technique for assessing bone material strength index (BMSi) in vivo, by measuring the depth of a micron-sized, spherical tip into cortical bone that is then indexed …

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Intraoperative use of impact microindentation to assess distal radius bone quality

Donald H Lee 1, Kaitlyn Reasoner 2, Sasidhar Uppuganti 1, Mihir J Desai 1, Jeffry S Nyman 1PMID: 35778010DOI: 10.1063/5.0082751 Impact microindentation is a new technique that measures the resistance of a patient’s bone to micro-indentation but has not yet been implemented in an intraoperative setting. To assess the technique’s safety and utility, we acquired microindentation measurements of bone material strength index (BMSi) using the …

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Human tibial cortical bone with high porosity in type 2 diabetes mellitus is accompanied by distinctive bone material properties

Eva M Wölfel 1, Imke A K Fiedler 2, Sofie Dragoun Kolibova 1, Johannes Krug 1, Mei-Chun Lin 1, Bashar Yazigi 1, Anna K Siebels 1, Herbert Mushumba 3, Birgit Wulff 3, Benjamin Ondruschka 3, Klaus Püschel 3, Claus C Glüer 4, Katharina Jähn-Rickert 5, Björn Busse 6PMID: 36113843DOI: 10.1016/j.bone.2022.116546 Diabetes mellitus is a metabolic disease affecting bone tissue at different length-scales. Higher fracture risk in diabetic patients is difficult to detect with common clinical fracture risk assessment due to normal or high …

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Clinical description and genetic analysis of a novel familial skeletal dysplasia characterized by high bone mass and lucent bone lesions

Diana Ovejero 1, Natalia Garcia-Giralt 2, Núria Martínez-Gil 3, Raquel Rabionet 3, Susanna Balcells 3, Daniel Grinberg 3, Luis Alberto Pérez-Jurado 4, Xavier Nogués 2, Iñigo Etxebarria-Forondad 5PMID: 35623613DOI: 10.1016/j.bone.2022.116450 High bone mass (HBM) disorders are a clinically and genetically heterogeneous subgroup of rare skeletal dysplasias. Here we present a case of a previously unreported familial skeletal dysplasia characterized by HBM and lucent bone lesions that we aimed to clinically characterize and genetically …

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Bone-microarchitecture and bone-strength in a sample of adults with hypophosphatasia and a matched reference population assessed by HR-pQCT and impact microindentation

Nicola Hepp 1, Lars Folkestad 2, Simone Møllebæk 3, Anja Lisbeth Frederiksen 4, Morten Duno 5, Niklas Rye Jørgensen 6, Anne Pernille Hermann 3, Jens-Erik Beck Jensen 7PMID: 35421614DOI: 10.1016/j.bone.2022.116420 Background: Hypophosphatasia (HPP) is an autosomal recessive or dominate disease affecting bone mineralization, and adults with HPP are in risk to develop metatarsal stress fractures and femoral pseudofractures. Given to the scarce data on the bone quality and its association to the …

Bone-microarchitecture and bone-strength in a sample of adults with hypophosphatasia and a matched reference population assessed by HR-pQCT and impact microindentation Read More »

Bone material strength index as measured by in vivo impact microindentation is normal in subjects with high-energy trauma fractures

M Schoeb 1, E M Winter 1, F Malgo 1, I B Schipper 2, R J P van der Wal 3, S E Papapoulos 1, N M Appelman-Dijkstra 4PMID: 35307747PMCID: PMC9187533DOI: 10.1007/s00198-022-06368-0 Bone material properties were assessed using impact microindentation in patients with high-energy trauma fractures. Compared to patients with low-energy trauma fractures, bone material strength index was significantly higher in patients with high-energy trauma fractures, and did not …

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Associations between bone material strength index and FRAX scores

Rufus-Membere P, Anderson KA, Holloway-Kew KL, Kotowicz MA, Diez-Perez A, Pasco JA Preprint from Research Square, 18 Oct 2022DOI: 10.21203/rs.3.rs-2114758/v1 PPR: PPR559565  Impact microindentation (IMI) measures bone material strength index (BMSi) in vivo. However, its ability to predict fractures is still uncertain. This study aimed to determine the association between BMSi and 10-year fracture probability, as calculated by the …

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Update on the pathogenesis and treatment of skeletal fragility in type 2 diabetes mellitus

Sundeep Khosla 1, Parinya Samakkarnthai 2 3, David G Monroe 2, Joshua N Farr 2PMID: 34518671PMCID: PMC8605611DOI: 10.1038/s41574-021-00555-5  Fracture risk is increased in patients with type 2 diabetes mellitus (T2DM). In addition, these patients sustain fractures despite having higher levels of areal bone mineral density, as measured by dual-energy X-ray absorptiometry, than individuals without T2DM. Thus, additional factors such as alterations in bone quality …

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Impact microindentation in men with impaired fasting glucose and type 2 diabetes

Kara L Holloway-Kew 1, Amelia Betson 2, Pamela G Rufus-Membere 2, James Gaston 2, Adolfo Diez-Perez 3, Mark A Kotowicz 4, Julie A Pasco 5PMID: 33049369DOI: 10.1016/j.bone.2020.115685 Background: Individuals with type 2 diabetes (T2DM) are at increased fracture risk, with bone mineral density (BMD) measurements underestimating risk. Impact microindentation (IMI), a technique that measures bone microindentation distances, expressed as bone material strength index (BMSi), may improve fracture risk estimation in …

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Evidence of impaired bone quality in men with type 1 diabetes: a cross-sectional study

Unni Syversen 1 2, Mats Peder Mosti 1 3, Ida Maria Mynarek 1, Trude Seselie Jahr Vedal 1, Kristin Aasarød 1 4, Trude Basso 5, Janne E Reseland 6, Per Medbøe Thorsby 7, Bjorn O Asvold 2 8, Erik Fink Eriksen 6, Astrid Kamilla Stunes 1 3PMID: 34289447PMCID: PMC8428087DOI: 10.1530/EC-21-0193 Objective: Type 1 diabetes (T1D) is associated with substantial fracture risk. Bone mineral density (BMD) is, however, only modestly reduced, suggesting impaired bone microarchitecture and/or bone material properties. Yet, the skeletal abnormalities …

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