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Related Concept Videos

Fractures: Bone Repair01:27

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Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
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Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
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Flail Chest-I01:24

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Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
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Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
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Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...
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Vertebral Fractures: Clinical Importance and Management.

D L Kendler1, D C Bauer2, K S Davison3

  • 1Department of Medicine, University of British Columbia, Vancouver, Canada.

The American Journal of Medicine
|November 3, 2015
PubMed
Summary

Vertebral fractures are common, often missed, and predict future bone breaks. Early identification and treatment are crucial for managing pain and improving patient outcomes.

Keywords:
DiagnosisFractureOsteoporosisTreatmentVertebral

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Area of Science:

  • Orthopedics
  • Radiology
  • Geriatrics

Background:

  • Vertebral fractures are prevalent, impacting quality of life and survival.
  • Many vertebral fractures remain undiagnosed, despite being strong predictors of subsequent fractures.
  • Accurate identification is essential for timely intervention and management.

Purpose of the Study:

  • To highlight the significance of identifying vertebral fractures.
  • To emphasize the importance of clear reporting in radiology for patient care.
  • To underscore the need for considering antifracture therapy and comprehensive management.

Main Methods:

  • Review of current understanding and clinical guidance on vertebral fractures.
  • Discussion of diagnostic modalities and reporting standards.
  • Outline of management strategies including antifracture therapy and pain control.

Main Results:

  • At least 1 in 5 individuals over 50 have vertebral fractures.
  • Radiology reports must clearly indicate fracture presence, number, recency, and severity.
  • Targeted spine imaging is recommended for high-risk individuals.

Conclusions:

  • Prompt diagnosis and clear reporting of vertebral fractures are critical.
  • Patients with vertebral fractures require consideration for antifracture therapies.
  • Multimodal care, including pain management and physical therapy, is vital for patients with vertebral fractures.