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Osteoporosis is defined as âa skeletal disorder characterized by compromised bone strength leading to an increased risk of fractureâ . This definition underscores the role of bone strength and implies that understanding bone strength is the key to understanding fracture risk.he ability of a bone to resist fracture depends on the amount of bone, the spatial distribution of the bone mass, and the intrinsic properties of the materials that form the bone. Bone strength reflects the integration of two main features: bone density and bone quality.
Hence sub-optimal bone growth in childhood and adolescence is as important as bone loss to the development of osteoporosis. Currently there is no accurate measure of overall bone strength. Bone mineral density (BMD) is frequently used as a proxy measure and accounts for approximately 70 percent of bone strength.