Sex differences in trabecular bone microarchitecture are not detected in pre and early pubertal children using magnetic resonance imaging

► We assessed sex differences in MRI-based measures of trabecular bone microarchitecture at the distal femur of children. ► There were no sex differences in any measure of trabecular bone microarchitecture of pre and early pubertal children. ► Measures of trabecular bone microarchitecture from MRI were related to areal bone mineral density and bone mineral content from DXA.