The Utility of DXA Assessment at the Forearm, Proximal Femur, and Lateral Distal Femur, and Vertebral Fracture Assessment in the Pediatric Population: The 2019 Official Pediatric Positions of the ISCD

David R. Weber, Alison Boyce, Catherine Gordon, Wolfgang Hogler, Heidi H. Kecskemethy, Madhusmita Misra, Diana Swolin-Eide, Peter Tebben, Leanne M. Ward, Halley Wasserman, Christopher Shuhart, Babette S. Zemel

Research output: Contribution to journalReview article

4 Scopus citations


Dual-energy X-ray absorptiometry (DXA) is widely used in the evaluation of bone fragility in children. Previous recommendations emphasized total body less head and lumbar spine DXA scans for clinical bone health assessment. However, these scan sites may not be possible or optimal for all groups of children with conditions that threaten bone health. The utility of DXA scans of the proximal femur, forearm, and radius were evaluated for adequacy of reference data, precision, ability of predict fracture, and applicability to all, or select groups of children. In addition, the strengths and limitations of vertebral fracture assessment by DXA were evaluated. The new Pediatric Positions provide guidelines on the use of these additional measures in the assessment of skeletal health in children.

Original languageEnglish (US)
JournalJournal of Clinical Densitometry
StateAccepted/In press - Jan 1 2019



  • Children
  • DXA
  • Forearm
  • lateral distal femur
  • proximal femur
  • vertebral fracture assessment

ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism
  • Orthopedics and Sports Medicine
  • Radiology Nuclear Medicine and imaging

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