我们是否应该将脚骨折视为骨质疏松性骨折?
Steffi S I Falk1, Thomas Mittlmeier2
1Clinic of Trauma, Hand and Reconstructive Surgery, University of Rostock, Schillingallee 35, 18057, Rostock, Germany. steffi.falk@med.uni-rostock.de.
概括
45岁以上患者的脚骨折需要骨质疏松症查,因为许多人需要治疗. 将查整合到骨折管理中可以帮助缩小严重的骨质疏松症治疗缺口.
科学领域:
- 整形外科和运动医学
- 老年医学 老年医学
- 放射学和成像学 放射学和成像学
背景情况:
- 脚骨折是常见的下肢损伤,特别是在老年人中.
- 区分骨质疏松和非骨质疏松的脚骨折是具有挑战性的,因为缺乏特定的年龄峰值.
- 目前的指导方针 (德国骨科协会,2017年) 主要针对骨质疏松性骨折的例外情况,包括脚骨折.
研究的目的:
- 调查与骨质疏松症相关的脚骨折的比例.
- 评估脚骨折作为骨质疏松症查指标的有用性.
- 通过脚骨折查来确定识别骨质疏松症病例的潜力.
主要方法:
- 一项为期24个月的研究包括45岁及以上的患有脚骨折的患者.
- 参与者填写了关于骨质疏松风险因素的问卷.
- 骨折风险评估工具 (Fracture Risk Assessment Tool®) 用于评估治疗资格,并根据DVO指南标准确定诊断测试或治疗的指示.
主要成果:
- 招募了131名患者 (平均年龄65岁);61%需要骨质疏松症查.
- 85%的60岁以上的患者被推进行查.
- 55%的61岁以上患者接受治疗,观察到97%的治疗差距.
结论:
- 常规的骨质疏松症查应纳入关节骨折的管理,因为大量的患者需要它.
- 骨骨折为识别未诊断的骨质疏松症提供了机会,并可能减少德国现有的治疗差距 (78-80%).
更多相关视频
07:24Autologous Microfractured and Purified Adipose Tissue for Arthroscopic Management of Osteochondral Lesions of the Talus
Published on: January 23, 2018
10.7K
07:35Creating Rigidly Stabilized Fractures for Assessing Intramembranous Ossification, Distraction Osteogenesis, or Healing of Critical Sized Defects
Published on: April 11, 2012
18.8K
相关概念视频
01:27Fractures: Bone Repair
5.1K
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...
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...
5.1K
01:29Bone Disorders
5.1K
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.
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
5.1K
01:10Ankle Joint
2.8K
The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...
2.8K
01:10Bones of the Lower Limb: Tibia and Fibula
8.9K
The tibia is the main weight-bearing bone of the lower leg. It is larger than the fibula with which it is paired. The tibia is also the second longest bone in the body and is located right below the skin. The proximal end of the tibia forms the medial and the lateral condyle, which articulates with the condyles of the femur to form the knee joint. Between the articulating surfaces is the irregular elevated area known as the intercondylar eminence that serves as the inferior attachment point for...
8.9K
01:31Osteoclasts in Bone Remodeling
3.9K
Osteoclasts are cells responsible for bone resorption and remodeling. They originate from hematopoietic progenitor cells present in the bone marrow. Numerous progenitor cells fuse to form multinucleated cells, each with 10-20 nuclei. A single osteoclast has a diameter of 150 to 200 µM. These cells have ruffled borders that break down the underlying bone tissue and release minerals such as calcium into the blood in bone resorption. Osteoclasts cling to bones with their ruffled edges during...
3.9K
01:09Changes in the Appendicular Skeleton with Age
3.4K
The upper and lower limb initially develops as a small bulge called a limb bud, which appears on the lateral side of the early embryo. The upper limb bud appears near the end of the fourth week of development, with the lower limb bud appearing shortly after.
Initially, the limb buds consist of a core of mesenchyme covered by a layer of ectoderm. The ectoderm at the end of the limb bud thickens to form a narrow crest called the apical ectodermal ridge. This ridge stimulates the underlying...
Initially, the limb buds consist of a core of mesenchyme covered by a layer of ectoderm. The ectoderm at the end of the limb bud thickens to form a narrow crest called the apical ectodermal ridge. This ridge stimulates the underlying...
3.4K