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Introduction : Osteoporosis is a silent and invisible disease of bone, great presence and is considered to suffer from osteoporosis at least 200 million women worldwide. The goal of this paper is to show average age of postmenopausal respondents, values of anthropometric parameters (weight, height, BMI), anamnestic data on clinical symptoms, fractures of women in menopause, analysis of heel ultrasound screening results, analysis of lumbar spine DXA results, analysis of left hip DXA results. Methods : In retrospective study 61 respondents were involved, 33 to 79 years old, treated in u Center for Physical Medicine and Acupuncture “AD” in Sarajevo during the period from 01.01.2008 till 31.12.2009. All date are shown numerically and percentage account with calculation of mean value, expressed in the form of tables and charts. Results : Finding of heel ultrosound screening compared to T values of postmenopausal respondents indicates on osteoporosis in case of 17 (27,87%), in case of 44 (72,13%) respondents osteopenia, while normal values were not found. T value with lumbar spine DXA method in postmenopausal female respondents correspond to 43 (70,5%) respondents, in 15 respondents (24,6%) finding corresponded to osteopenia, while 3 re - spondents (4,9%) had physiological finding. Left hip DXA finding shows 36 (59%) respondents corresponded osteoporosis, 19 (31,2%) respondents corresponded osteopenia, while physiological finding was found in 6 respondents (9,8%). T value of lumbar spine DXA finding was - 2,71 ± 1,16; DXA finding of left hip -2,35 ± 1,36; heel ultrasound screening -2,19 ± 0,54. Conclusion : Research results indicate that DXA finding in relation to the heel ultrasound screening confirms gold standard in diagnosing osteoporosis.


Introduction
Osteoporosis is a disease characterized by a decrease in bone mass and disturbed micro architectures of bone beds, the resulting bone fragility and an increase risk of fractures (1).Osteoporosis is a common disease characterized by reduction of bone mass, which can harm integrity of its structure and favor the fracture, although initially without symptoms, micro fractures and distortion of the skeleton eventually cause pain and disability (2).However, "too little" of the bones which remains with normal structure (for example, has a normal ratio of protein matrix and minerals).This condition can occur under different clinical circumstances, but it is mostly related to aging, especially with menopause.Late menarche may be associated with low bone mass maximum.Late menarche may be associated with low bone mass maximum.Early menopause, especially if the surgically induced before the 45th year of life is a strong determiner of bone density and increased risk of fracture (3).The frequent occurrence of osteoporosis in postmenopausal women explains the ratio of women toward men from 2:1 to 3:1.About 25% of women get fractures around age 65 and 50% around the age of 90 years of life (2).The most common fractures are compression fractures of the spine, fracture of femoral neck and distal forearm.Hip fracture in old age is accompanied by increased mortality and half of survivors cannot move without assistance, which represents a growing public health problem in the developed world (4).An important factor for the occurrence of fractures is the tendency of elderly falls and the result is poor coordination of movements and slow reflexes (1).Identification of women with reduced bone mineral density is an important strategy to reduce incidence of osteoporosis fractures.The definition of risk profile based on clinical assessment is an important step in the detection of women at increased risk of osteoporosis.Optimal clinical assessment of the risk of osteoporosis in postmenopausal women to determine measures for the prevention, diagnosis and treatment of disease to avoid complications associated with significant morbidity, mortality, material costs of treatment and rehabilitation as well as lowering the quality of life.The diagnostic evaluation of patients related to osteoporosis, must begin a detailed history, clinical examination, inspection of all diseases and conditions that may be a risk factor based on which doubt arises and conduct other diagnostic procedures.The diagnostic procedures include: physical examination, laboratory test, skiagram of thoracic and lumbar spine, ultrasound, DXA, bone biopsy, bone scintigraphy (5).Ultrasonic measurement of the bone mineral density agrees with the results of DXA, there is no X-ray, but it is not suitable for monitoring treatment effects in clinical work with patients because of the oscillation results, and this is a reason while is more used in epidemiological research.The gold standard for diagnosing osteoporosis is a densitometry.Densitometry as a diagnostic tool due to the significant sensitivity and specificity for predicting the risk of bon fractures.The goals of research include analysis of following parameters: average age of postmenopausal respondents, values of anthropometric parameters (weight, height, BMI), anamnestic data on clinical symptoms, fractures of women in menopause, analysis of heel ultrasound screening results, analysis of lumbar spine DXA results, analysis of left hip DXA results.

Methods
Retrospective study was done in sample of 61 respondents, which involved target analysis in the Center for Physical Medicine and Acupuncture "AD".All date are shown numerically and percentage account with calculation of mean value, expressed in the form of tables and charts.

Table 1 .
the average age of postmenopausal women

Table 2 .
overview of respondents compared to the average values of anthropometric parameters and Bmi FIGURe 2. the main clinical symptoms in patientsFIGURe 1. the presence of clinical symptoms of patients

Table 3 .
localization of the fracture in relation to the average age of postmenopausal women

Table 5 .
Analysis of results dXA lumbar spine compared to the t values gained of postmenopausal women (n=61)

Table 6 .
Analysis of results dXA of left hip compared to the t value gained of postmenopausal women

Table 7
Average T value of left hip DXA was -2.49 ± 1.42, while average T value heel US screening in sample of 61 postmenopausal women was -2.30 ± 0.55.