Diagnosis of osteopenia of prematurityDDiagnosis of osteopenia of prematurityDiagnosis of osteopenia of prematurityEnglishNeonatology;Orthopaedics/MusculoskeletalPremature;Newborn (0-28 days);Baby (1-12 months)NASkeletal systemNAPrenatal Adult (19+)NA2009-10-31T04:00:00ZAndrew James, BSc, MBChB, FRACP, FRCPCAideen Moore, MD, FRCPC, MRCPI, MHSc12.000000000000043.0000000000000284.000000000000Flat ContentHealth A-Z<p>Learn about diagnosing osteopenia of prematurity. Osteopenia may be detected through X-rays or through observations of limb trouble and pain. </p><p>Osteopenia is a decrease in bone density and ultimately bone strength. It may be diagnosed with X-rays or through observations of limb trouble and pain.</p><h2>Key points</h2> <ul><li>Generally, diagnosis of osteopenia will focus on the cause, which will determine the proper course of treatment.</li> <li>Osteopenia may be seen as a thinning of the bones or a fracture on an X-ray, or may be detected because the baby appears to be in pain or has trouble moving one of their limbs.</li> <li>Blood tests will be ordered to determine which minerals are lacking and by how much.</li></ul>
Diagnostic d’ostéopénie de la prématuritéDDiagnostic d’ostéopénie de la prématuritéDiagnosis of osteopenia of prematurityFrenchNeonatology;Orthopaedics/MusculoskeletalPremature;Newborn (0-28 days);Baby (1-12 months)NASkeletal systemNAPrenatal Adult (19+)NA2009-10-31T04:00:00ZAndrew James, BSc, MBChB, FRACP, FRCPCAideen Moore, MD, FRCPC, MRCPI, MHSc12.000000000000043.0000000000000284.000000000000Flat ContentHealth A-Z<p>Renseignez-vous sur le diagnostic de l’ostéopénie de la prématurité. Il est possible de détecter l’ostéopénie à l’aide de rayons X ou par l’observation des membres problématiques ou douloureux.</p><p>L’ostéopénie est une diminution de la densité osseuse et donc de la force des os. Il est possible de constater l’ostéopénie par un rayon X, ou on peut la détecter lorsque le bébé semble souffrir.</p><h2>À retenir</h2> <ul><li>En général, le diagnostic se concentrera sur la cause de l’ostéopénie, ce qui déterminera la série de traitements appropriée.</li> <li>La présence d’ostéopénie peut se révéler par un amincissement des os ou une fracture sur une radiographie. Elle peut aussi être détectée lorsque le bébé semble souffrir ou qu’il éprouve de la difficulté à bouger l’un de ses membres.</li> <li>On demandera des analyses sanguines afin de déterminer quels minéraux sont manquants et en quelle quantité.</li></ul>

 

 

Diagnosis of osteopenia of prematurity1818.00000000000Diagnosis of osteopenia of prematurityDiagnosis of osteopenia of prematurityDEnglishNeonatology;Orthopaedics/MusculoskeletalPremature;Newborn (0-28 days);Baby (1-12 months)NASkeletal systemNAPrenatal Adult (19+)NA2009-10-31T04:00:00ZAndrew James, BSc, MBChB, FRACP, FRCPCAideen Moore, MD, FRCPC, MRCPI, MHSc12.000000000000043.0000000000000284.000000000000Flat ContentHealth A-Z<p>Learn about diagnosing osteopenia of prematurity. Osteopenia may be detected through X-rays or through observations of limb trouble and pain. </p><p>Osteopenia is a decrease in bone density and ultimately bone strength. It may be diagnosed with X-rays or through observations of limb trouble and pain.</p><h2>Key points</h2> <ul><li>Generally, diagnosis of osteopenia will focus on the cause, which will determine the proper course of treatment.</li> <li>Osteopenia may be seen as a thinning of the bones or a fracture on an X-ray, or may be detected because the baby appears to be in pain or has trouble moving one of their limbs.</li> <li>Blood tests will be ordered to determine which minerals are lacking and by how much.</li></ul><p>Some degree of osteopenia is common in lower birth weight babies. The condition puts premature babies at risk for fractures. Sometimes osteopenia is accompanied by rickets, a further weakening of the bones due to a lack of calcification. This can be caused by a lack of vitamin D in the baby’s system, an inability to metabolize vitamin D, or a lack of minerals such as calcium. In most cases the condition is not serious and will not develop into further problems as the child grows. In general, diagnosis will focus on the cause of osteopenia, which will determine the proper course of treatment.</p><p>As with most conditions associated with prematurity, the more premature a child is and the lower the birth weight of the child, the more likely they are to develop osteopenia.</p><h2>How osteopenia is diagnosed</h2><p>Osteopenia may be seen as a thinning of the bones or a fracture on X-ray, or may be detected because the baby appears to be in pain or has trouble moving one of their limbs. In extreme cases, there may be a swelling or enlargement of some of some bone cartilage, which is called ricketary rosary.</p><p>Blood tests will be ordered to determine which minerals are lacking and by how much. Calcium, phosphate, and alkaline phosphatase levels will be measured. If the doctor suspects that the condition is caused by a genetically determined metabolic bone disease, a measurement of vitamin D levels will be taken.</p> <figure> <span class="asset-image-title">Osteopenia of Prematurity X-ray</span> <img src="https://assets.aboutkidshealth.ca/akhassets/Osteopenia_XRAY_MEDIMG_PHO_EN.png" alt="" /> <figcaption class="asset-image-caption">Normal vertebrae are dense and appear white on the X-ray. In the osteopenia X-ray, only the outer edges of vertebrae appear white. The inside of the vertebrae appears darker because it is less dense. The X-ray shows demineralization of the bone due to loss of calcium and phosphate from the bone.</figcaption> </figure> <h3>Related:</h3> <a href="/Article?contentid=1781&language=English">Osteopenia of prematurity</a> <a href="/Article?contentid=1847&language=English">Treatment of osteopenia of prematurity</a>https://assets.aboutkidshealth.ca/akhassets/Osteopenia_XRAY_MEDIMG_PHO_EN.pngDiagnosis of osteopenia of prematurity

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