Physical examination signs for detecting osteoporosis or spinal fracture in postmenopausal women*

Signs for osteoporosisNumber of studies (n)SensitivitySpecificity+LR (95% CI)−LR (CI)
*Diagnostic terms defined in glossary.
Weight <51 kg1 (1873)22%97%7.3 (5.0 to 10.8)0.8 ((0.7 to 0.9)
Self reported humped back1 (2577)20.6%97%3.0 (2.2 to 4.1)0.85 (0.8 to 0.9)
Kyphosis1 (610)25%92%3.1 (1.8 to 5.3)0.8 (0.7 to 1.0)
<20 teeth1 (190)27%92%3.4 (1.4 to 8.0)0.8 (0.6 to 1.0)
Signs for spinal fracture
Wall-occiput distance >0 cm1 (216)60%87%4.6 (2.9 to 7.3)0.5 (0.3 to 0.6)
Rib-pelvis distance ⩽2 finger breadths1 (781)88%46%3.8 (2.9 to 5.1)0.6 (0.5 to 0.7)