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TBS in rheumatology - rheumatoid arthritis RA

TBS in Rheumatology  – Did you know? Part 1 of 3 – Rheumatoid Arthritis

Patients with rheumatoid arthritis (RA) are especially prone to develop osteoporosis and fractures; however, most of them occur in patients with bone density above the osteoporotic threshold. This discrepancy may be related to alterations of bone which are not captured by BMD – that is, changes in bone quality.

TBS has been shown to be lower in patients with RA and an excellent predictor of vertebral fractures, especially in osteopenic patients having RA, or for those using glucocorticoids.

Feel free to share it with your endocrinologist colleagues, as it might be helpful in identifying more patients at risk for fracture. Reach out to us in the LinkedIn comments or write us at

Selected publications related to Trabecular Bone Score (TBS) in rheumatoid arthritis (RA):

  • Bréban, S. et al. Identification of rheumatoid arthritis patients with vertebral fractures using bone mineral density and trabecular bone score. J Clin Densitom 15, 260–266 (2012). Abstract:
  • Kim, D., Cho, S.-K., Kim, J. Y., Choi, Y. Y. & Sung, Y.-K. Association between trabecular bone score and risk factors for fractures in Korean female patients with rheumatoid arthritis. Mod Rheumatol 26, 540–545 (2016). Abstract:
  • Choi, Y. J., Chung, Y.-S., Suh, C.-H., Jung, J.-Y. & Kim, H.-A. Trabecular bone score as a supplementary tool for the discrimination of osteoporotic fractures in postmenopausal women with rheumatoid arthritis. Medicine 96, e8661 (2017). Abstract:

To learn more about TBS Osteo in Rheumatology – click here download document

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