Osteoporosis from a traumatologist’s point of view
Journal Title: Postępy Nauk Medycznych - Year 2013, Vol 26, Issue 6
Abstract
According to contemporary definition osteoporosis is a condition characterized by reduced quality of bone tissue and resulting increase of fracture risk. Low-energy fractures are common in the population of patients over 50 years. Traumatologist typically meats patients with osteoporosis when treating fractures they already suffered. Apart from fracture treatment this is the time to perform fracture risk assessment. Osteoporotic bone fracture is a risk factor for another fracture. FRAX tool is useful for the purpose of identifying patients with elevated fracture risk requiring further diagnostics and treatment. Not only pharmacological treatment is needed. The risk of sustaining the fracture is further elevated by reduced concentration of vitamin D. Vitamin D insufficiency affects bone metabolism and quality of muscle tissue. Reduction of muscle strength in proximal myopathy leads to increase in the risk of falls and fractures. Risk of falling is also influenced by medication – including hypnotic drugs – and their use should be limited.
Authors and Affiliations
Andrzej Boszczyk, Stanisław Pomianowski
Keywords
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