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Educational
January 10, 2025

Do DEXA Scans Show Bone Fractures?

DEXA Scans can indicate the presence of a fracture, but are mainly designed to measure bone mineral density (BMD) and other body composition metrics.

Author
5 min read

DEXA scans are a highly effective tool for measuring bone mineral density (BMD) and assessing the risk of fractures, but they are not specifically designed to detect bone fractures themselves. However, in certain cases, a DEXA scan may indirectly indicate the presence of a fracture, especially if it affects bone density in the scanned area.

What Can a DEXA Scan Detect?

DEXA scans are primarily used to:

  • Measure Bone Mineral Density (BMD): Determine bone strength and the likelihood of future fractures.
  • Assess Bone Health: Identify conditions like osteoporosis or osteopenia, which increase fracture risk.

These capabilities make DEXA scans essential for preventing fractures, but they do not provide detailed imaging of bone structures like X-rays or CT scans.

Can a DEXA Scan Detect Bone Fractures?

While not intended for diagnosing fractures, DEXA scans might reveal:

  • Fracture Risk: Low bone mineral density detected by a DEXA scan strongly correlates with a higher likelihood of fractures.
  • Vertebral Fractures: Some advanced DEXA machines are equipped with a feature called Vertebral Fracture Assessment (VFA). This optional scan can identify certain spinal fractures, particularly in the thoracic and lumbar regions.

If a DEXA scan indicates low BMD or structural abnormalities, your doctor may recommend further imaging, such as X-rays or MRIs, to confirm the presence of a fracture.

When to Use a DEXA Scan vs. Other Imaging

  • DEXA Scan: Best for assessing bone density and long-term fracture risk. Ideal for osteoporosis screening and tracking bone health over time.
  • X-Rays: Ideal for detecting acute fractures and evaluating bone alignment or injuries.
  • CT or MRI Scans: Provide detailed images of complex fractures, soft tissues, or bone abnormalities.

Who Should Get a DEXA Scan?

DEXA scans are recommended for individuals at high risk of fractures, such as:

  • Postmenopausal women.
  • Older adults (men and women over 65).
  • People with a history of fractures or conditions like osteoporosis.

How to Protect Against Fractures

If your DEXA scan shows low bone density or other risk factors, you can take steps to reduce your fracture risk:

  • Calcium and Vitamin D: Ensure adequate intake through diet or supplements.
  • Exercise: Focus on weight-bearing and strength-building activities to support bone health.
  • Lifestyle Changes: Avoid smoking and excessive alcohol consumption, which weaken bones.
  • Medications: If needed, your doctor may prescribe treatments to improve bone density.

Conclusion

While DEXA scans are not designed to detect fractures, they play a vital role in identifying fracture risks and guiding preventive measures. If you suspect a fracture, additional imaging like X-rays will provide a definitive diagnosis.

Book Your DEXA Scan in San Francisco at KALOS Today

If you’re ready to take control of your health with the most accurate body composition analysis available, it’s time to book your DEXA scan at KALOS. Whether you’re looking to get lean, build muscle, improve performance, or optimize longevity, our advanced technology and expert guidance will help you get there. Schedule your scan today at KALOS—your journey to data-driven fitness starts now.

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