“…Our own work has revealed that lacunar volume decreases in women, but not in men (Carter et al, 2013a), although another group observed an increase in women (Atkinson and Hallsworth, 1983). A decline in osteocyte lacunar density with age was found in human trabecular (Mori et al, 1997, Mullender et al, 1996, Qiu et al, 2002) and cortical bone (Carter et al, 2013a, Carter et al, 2013b, Vashishth et al, 2005). The relation between lacunar density and bone disease is currently unclear as both an increase (Mullender et al, 1996, Vashishth et al, 2005, Soicher et al, 2011) and a decrease (Mori et al, 1997, Mullender et al, 2005, Qiu et al, 2003) in lacunar density has been observed in osteoporotic individuals.…”