Bone Densitometry in Growing Patients.pdf

Bone Densitometry

in Growing Patients

Guidelines for Clinical

Practice

Edited by

A ENOR J. S AWYER , MD

L AURA K. B ACHRACH , MD

E LLEN B. F UNG , P h D , RD

Bone Densitometry

in Growing Patients

C U R R E N T ◊ C L I N I C A L ◊ P R A C T I C E

N EIL S. S KOLNIK , MD • S ERIES E DITOR

Bone Densitometry in Growing Patients: Guidelines for Clinical Practice,

A ENOR J. S AWYER , L AURA K. B ACHRACH , AND E LLEN B. F UNG , 2007

The Handbook of Contraception: A Guide for Practical Management,

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and Treatment, V ICTORIA H ENDRICK , 2006

Disorders of the Respiratory Tract: Common Challenges in Primary Care,

M ATTHEW L. M INTZ , 2006

Dermatology Skills for Primary Care: An Illustrated Guide, D ANIEL J. T ROZAK ,

D AN J. T ENNENHOUSE , AND J OHN J. R USSELL , 2006

Sexually Transmitted Diseases: A Practical Guide for Primary Care,

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S TEVE H OLLENBERG , 2006

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Edition, edited by M. E RIC G ERSHWIN AND T IMOTHY E. A LBERTSON , 2006

Type 2 Diabetes, Pre-Diabetes, and the Metabolic Syndrome: The Primary Care

Guide to Diagnosis and Management, R ONALD A. C ODARIO , 2005

Thyroid Disease: A Case-Based and Practical Guide for Primary Care, E MANUEL

O. B RAMS , 2005

Chronic Pain: A Primary Care Guide to Practical Management, D AWN A. M ARCUS , 2005

Bone Densitometry in Clinical Practice: Application and Interpretation,

Second Edition, S YDNEY L OU B ONNICK , 2004

Cancer Screening: A Practical Guide for Physicians, edited by K HALID A ZIZ

AND G EORGE Y. W U , 2001

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AND J OHN A. A NDERSON , 2000

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Guidelines for the Practicing Physician , edited by C HARLES H. A DLER

AND J. E RIC A HLSKOG , 2000

Bone Densitometry

in Growing Patients

Guidelines for Clinical Practice

Edited by

Aenor J. Sawyer, MD

Pediatric Bone Health Consortium

and

Children’s Hospital & Research Center at Oakland

Oakland, CA

Laura K. Bachrach, MD

Stanford University School of Medicine

Stanford, CA

Ellen B. Fung, P h D , RD

Children’s Hospital & Research Center at Oakland

Oakland, CA

With a Foreword by

Sydney Lou Bonnick, MD , FACP

Clinical Research Center of North Texas, Denton, TX

999 Riverview Drive, Suite 208

Totowa, New Jersey 07512

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Due diligence has been taken by the publishers, editors, and authors of this book to assure the accuracy of the information

published and to describe generally accepted practices. The contributors herein have carefully checked to ensure that

the drug selections and dosages set forth in this text are accurate and in accord with the standards accepted at the time

of publication. Notwithstanding, as new research, changes in government regulations, and knowledge from clinical

experience relating to drug therapy and drug reactions constantly occurs, the reader is advised to check the product

information provided by the manufacturer of each drug for any change in dosages or for additional warnings and

contraindications. This is of utmost importance when the recommended drug herein is a new or infrequently used drug.

It is the responsibility of the treating physician to determine dosages and treatment strategies for individual patients.

Further it is the responsibility of the health care provider to ascertain the Food and Drug Administration status of each

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Production Editor: Robin B. Weisberg

Cover design: Patricia F. Cleary

Cover illustrations: Photo 1: Pablo Avila, healthy 8-year-old boy with forearm fracture. (Photo taken by Shooting Stars

Productions 2005; used with permission from child and parents.) Photo 2: Same child at 9 years old in a Hologic Discovery

DXA scanner. (Photo taken by Aenor J. Sawyer 2006; used with permission from child and parents.) Photo 3: Whole body

scan of a 12-year-old child with a history of low trauma fractures. (Image acquired on GE Lunar Prodigy by Nicola Crabtree

at Birmingham Children's Hospital.)

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Transactional Reporting Service is: [1-58829-634-2/07 $30.00].

Printed in the United States of America. 10 9 8 7 6 5 4 3 2 1

eISBN: 1-59745-211-4

Library of Congress Cataloging-in-Publication Data

Bone densitometry in growing patients : guidelines for clinical practice / edited by Aenor J. Sawyer,

Laura K. Bachrach, Ellen B. Fung.

p. ; cm. -- (Current clinical practice)

Includes bibliographical references and index.

ISBN 1-58829-634-2 (alk. paper)

1. Bone densitometry. 2. Bones--Growth. 3. Child development. I. Sawyer, Aenor J. II. Bachrach, Laura K.

III. Fung, Ellen B. IV. Series.

[DNLM: 1. Bone Diseases--radiography. 2. Adolescent. 3. Bone Density. 4. Child. 5. Densitometry--methods.

WS 270 B712 2007]

RC930.5.B66 2007

616.7'10757--dc22

2006017180

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