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Related Concept Videos

Fractures: Bone Repair01:27

Fractures: Bone Repair

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Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
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Secondary Healthcare System01:11

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Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
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Flail Chest-II01:26

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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.
Assessment:
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History:
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Restorative Care01:19

Restorative Care

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Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
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Bone Disorders01:29

Bone Disorders

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Aging and its effect on bone remodeling is the most common cause of bone disorders. In young and healthy people, bone deposition and resorption happen at an equal rate to maintain optimal bone health.
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Levels of Health Promotion and Illness Prevention01:26

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Health promotion allows a person to control the determinants of health, resulting in an improved health status. It enhances the quality of life and reduces premature deaths. Health promotion and illness prevention programs help people make beneficial choices to reduce the risk of disease and disabilities. There are three health promotion and illness prevention levels: primary, secondary, and tertiary prevention.
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Updated: May 13, 2025

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
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Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device

Published on: November 8, 2024

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Clinical progress note: Secondary fracture prevention.

Emily E Waner1,2, David Saxon3,4, Heather E Nye5,6

  • 1Division of Hospital Medicine, University of Colorado School of Medicine, Aurora, Colorado, USA.

Journal of Hospital Medicine
|April 14, 2025
PubMed
Summary
This summary is machine-generated.

Osteoporosis is often missed after fragility fractures. Hospitalists can improve care by risk stratifying patients and initiating appropriate treatments, including bisphosphonates or anabolic therapy, alongside fall prevention strategies.

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Area of Science:

  • Gerontology
  • Orthopedics
  • Internal Medicine

Background:

  • Osteoporosis diagnosis and treatment are frequently inadequate following fragility fractures.
  • A significant gap exists in managing osteoporosis, particularly in high-risk patient populations.
  • Hospitalists play a crucial role in identifying and managing osteoporosis in hospitalized patients.

Purpose of the Study:

  • To emphasize the importance of osteoporosis risk stratification by hospitalists.
  • To guide treatment decisions for osteoporosis based on fracture risk.
  • To highlight the role of hospitalists in addressing osteoporosis care gaps.

Main Methods:

  • Review of current osteoporosis treatment guidelines.
  • Assessment of the role of hospitalists in post-fracture care.
  • Evaluation of pharmacological and non-pharmacological interventions for osteoporosis.

Main Results:

  • Bisphosphonates are the primary treatment for osteoporosis.
  • Anabolic therapy may be beneficial for patients at highest risk before bisphosphonate initiation.
  • Behavioral and environmental fall prevention are critical for reducing future fractures.

Conclusions:

  • Hospitalists are well-positioned to manage osteoporosis in patients with fragility fractures.
  • Comprehensive osteoporosis management includes risk stratification, appropriate pharmacotherapy, and fall prevention.
  • Addressing undertreatment of osteoporosis is essential to reduce subsequent fractures.