The Future of Fracture Risk Assessment in the Management of Osteoporosis

Baim, Sanford

doi:10.1016/j.jocd.2017.06.015

Cited by 10 publications

(13 citation statements)

References 23 publications

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“…About 40% of persons over 60 and 50% of healthy people aged over 80 suffer from a fall at least once a year. Falls are a direct cause of 100% of radial bone fractures, 90% of neck of femur fractures and 25% of spinal cord fractures [10,12,13]. The risk of osteoporotic fractures is higher in the case of women -46.4% for 50-yearold women and 22.4% for 50-year-old men.…”

Section: Introductionmentioning

confidence: 99%

“…The 25% of women aged over 50,suffer from spinal cord fractures, 60% of which is asymptomatic. Fractures of the end of a thigh bone occur in case of 0.25% of women (from 0.02% of 35-year-old women to 3% of 85-year-old women) [12,14].…”

Section: Introductionmentioning

confidence: 99%

“…back rounding, the so-called "widow's hump" [16]. The diagnosis of osteoporotic fractures should include, apart from anamnesis, conventional X-ray examination [12]. The treatment of fractures is most often conservative and sometimes operational.…”

Section: Introductionmentioning

confidence: 99%

“…Long-term jacket wearing is harmful and causes the risk of amiotrophy and further osteoporosis. Plaster jackets are not recommended in cases of osteoporotic fractures [12], multiple bodies fractures, for bedridden patients, and patients with respiratory disorders. During the period just after an injury, intensified pain is often observed and it is suggested that patients shoiuld be hospitalised for a period of three to five days, analgesic treatment applied with non steroid antiinflammatory medicines and opioids.…”

Section: Introductionmentioning

confidence: 99%

“…In the case of trans-and intertrochanteric fractures, it is suggested to anastomose bones in such way that the limb can be loaded as fast as possible. If the fractures cannot be operated on, using direct traction is suggested [12].…”

Section: Introductionmentioning

confidence: 99%

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Public health impact of osteoporosis in older age

Pawłowski¹,

Goniewicz²,

Goniewicz³

et al. 2018

J Pre Clin Clin Res.

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The population of elderly people (over 65 years of age) is constantly growing in the majority of western societies. This is due to the advances in medicine and the increasing awareness of healthier lifestyles during the last several decades. It is predicted that by the year 2030 there will be 70.2 million people aged 65 or older. Osteoporosis is the most common type of bone disease. The leading causes of osteoporosis are a drop in estrogen in women at the time of menopause, and a drop in testosterone in men. Women aged over 50 and men aged over 70 have a higher risk for osteoporosis. Osteoporotic fractures are one of the most common causes of disabilities, and are a very costly bureden on the budgets of health care systems in many regions of the world. The fractures are caused especially following low-energy trauma (injury from a small force, e.g. after falling from a height). The most common osteoporotic fractures are: vertebral fractures, fractures of the forearm, proximal end of the femur fractures, and the proximal end of the humerus. Research on the basis of domestic and foreign literature and the results of their observations are presented, and the principles of epidemiology for the identification and treatment of osteoporotic fractures. Consciousness of serious risks related with osteoporotic fractures should lead to implementation and propagating more active preventive activity for patients of old age. According to the WHO, IOF and EFORT, a doctor admitting a patient with an osteoporotic fracture should not only treat the fracture itself, but also implement preventive procedures.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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