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Singh Index for Osteoporosis

- See: Osteoporosis and Hip Fractures - Bony Trabeculae of the Proximal Femur: Ward's Triangle - Greater Trochanteric Group - Secondary Compressive Group - Secondary Tensile Group - Principal Tensile Group - Principal Compressive Group Changes in trabecular pattern of the upper end of the femur as an index of osteoporosis. - Grade VI: - all normal trabecular groups are visible - upper end of femur seems to be completely occupied by cancellous bone; - Grade V: - principal tensile & principal compressive trabeculae is accentuated; - Ward's triangle appears prominent; - Grade IV: - principal tensile trabeculae are markedly reduced but can still be traced from lateral cortex to upper part of the femoral neck; - ref: The influence of osteoporosis in femoral fracture healing time - Grade III: - there is a break in the continuity of the principal tensile trabeculae opposite the greater trochanter; - this grade indicates definite osteoporosis; - Grade II: - only principal compressive trabeculae stand out prominently; - remaining trabeculae have been essentially absorbed; - Grade I: - principal compressive trabeculae are markedly reduced in number and are no longer prominent

Indeks Singh atau dalam Bahasa Inggris dikenal Singh index adalah salah satu penilaian osteoporosis yaitu dengan melihat trabekula pada proksimal tulang paha. Nilai Indeks Singh memiliki beberapa tingkatan atau grade dari I - VII.

Grade VII : Semua komponen trabekulasi terlihat mengaburkan kelompok trabekula utama Grade VI : Sama dengan VII, tetapi trabekula pada segitiga Wards berkurang dibanding area sekitarnya dan pola trabekula utama tampak lebih jelas Grade V : Pengurangan banyaknya trabekula di dalam segitiga Wards

Grade IV : Penipisan korteks femur dan pengurangan dari trabekulatrabekula kompressif sekunder Grade III : Ketiadaan trabekula tensil sekunder dan gangguan awal pada trabekula tensil utama Grade II : Kerusakan lanjut trabekula tensil utama Grade I : Penipisan trabekula kompressif utama

Indeks Singh V, VI ,VII menandakan normal, sedangkan Indeks Singh I, II, III, IV menandakan osteoporosis [1]

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