Osteoporosis (Subscribe)

Categories

Female Athlete Triad Syndrome (0)
A condition of competitive female athletes in which there are interrelated problems of EATING DISORDERS; AMENORRHEA; and OSTEOPOROSIS.
MeSH Search Term "Female Athlete Triad Syndrome"[mesh]
ICD-10 Code [Not coded]
SNOMED-CT Term [No term]
Patient Information (13)
Information for patients with osteoporosis
Postmenopausal Osteoporosis (3)
Metabolic disorder associated with fractures of the femoral neck, vertebrae, and distal forearm. It occurs commonly in women within 15-20 years after menopause, and is caused by factors associated with menopause including estrogen deficiency
MeSH Search Term "Osteoporosis, Postmenopausal"[mesh]
ICD-10 Code M81.0 Postmenopausal osteoporosis
SNOMED-CT Term Postmenopausal osteoporosis (disorder) Concept ID: 102447009

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Osteoporosis Wheeless

Discussion: - most common metabolic bone dz; - definition: - what appears to be a characteristic of osteoporosis is an uncoupling of the osteoblastic and osteoclastic processes; - WHO definition: a bone mineral density that is 2.5 SD below the mean peak value in young adults of the same race and sex (T-score of -2.5); - Z score: bone mineral density compared with the mean value in normal subjects of the same age and sex; - Z-score of less than -1 indicates patient is in the lowest 25%, and a score of less than -2 indicates patient is in the lowest 2.5%; Wheeless' Textbook of Orthopaedics

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2008 Management of Osteoporosis popular

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SIGN Guideline Management of Osteoporosis (pdf file)

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1996 Prevention and Treatment of Glucocorticoid induced osteoporosis

American College of Rheumatology Guidelines
American College of Rheumatology Task Force on Osteoporosis Guidelines Glucocorticoids are widely used in the treatment of patients with chronic noninfectious inflammatory diseases, especially asthma, chronic lung disease, rheumatoid arthritis and other connective tissue diseases, inflammatory bowel disease, and in organ transplantation. Although the beneficial antiinflammatory and immunosuppressive effects of glucocorticoids necessitate their use, adverse side effects are frequent. Osteoporosis and related fractures are one of the most serious adverse effects; indeed, glucocorticoids are the most common cause of drug-related osteoporosis. While our knowledge of this condition is not complete, many comprehensive reviews of this topic have appeared during this decade, some of which include recommendations for prevention and treatment (1-16). In this article, we briefly review the clinical significance and pathophysiology of glucocorticoid-induced osteoporosis and provide recommendations for the prevention and treatment of this disorder.

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1999 AAOS Symposium Osteoporosis and the Orthopaedic Surgeon- Recent Advances in Diagnosis and Treatment

Archive Copy AAOS On-Line Service - 1999 Annual Meeting Scientific Program. Osteoporosis and the Orthopaedic Surgeon: Recent Advances in Diagnosis and Treatment

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2001 Diagnosis and Treatment for Osteoporosis- Current Status and Expectations for the New Millennium

Diagnosis and Treatment for Osteoporosis: Current Status and Expectations for the New Millennium Author: Thomas J. Schnitzer, MD, PhD Release Date: December 18, 2001; Valid for credit through December 18, 2002

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2003 Osteoporosis- Consider the Outcomes

Osteoporosis: Consider the Outcomes Authors: Richard Eastell, MD, FRCP, FRCPath, FMedSci; Nelson B. Watts, MD Medical Writer: Joyce Sherman Kelly, PhD Release Date: March 8, 2002; Valid for credit through March 8, 2003

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2004 Diagnosis of Osteoporotic Vertebral Fractures

From American Journal of Roentgenology
Diagnosis of Osteoporotic Vertebral Fractures: Importance of Recognition and Description by Radiologists Posted 10/06/2004 (full text) Leon Lenchik; Lee F. Rogers; Pierre D. Delmas; Harry K. Genant

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2006 Pediatric Osteoporosis eMedicine Pediatrics

the official definition of osteoporosis does not pertain to children at the present time. However, at an NIH Consensus Conference in 2000, osteoporosis was defined as a skeletal disorder characterized by compromised bone strength that predisposes to an increased risk of fracture. Adult-onset osteoporosis also involves loss of bone trabecular structure; however, no evidence indicates that this occurs in children. Therefore, children exhibiting low bone mass are defined as osteopenic, not osteoporotic.
Synonyms and related keywords: osteoporosis, low bone mass, osteopenia, juvenile osteoporosis, paediatric
Gordon L Klein, MD, MPH 2006

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2006 Percutaneous Vertebroplasty and Kyphoplasty eMedicine Radiology

Vertebroplasty and kyphoplasty are radiologic procedures for the treatment of the intense pain caused by vertebral compression fracture in patients whose pain has been refractory to medical management or bracing. Vertebroplasty and kyphoplasty involve the US Food and Drug Administration (FDA) approved intraosseous injection of acrylic cement under local anesthesia and fluoroscopic guidance to control the pain of vertebral fractures associated with osteoporosis, tumors, and trauma.
Synonyms and related keywords: back pain treatment, vertebral compression fracture, vertebral fracture, acrylic cement injection, lumbar vertebroplasty, thoracic vertebroplasty
Author Jeffrey P Kochan, MD 2006 Updated 2011

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2007 Comparative Effectiveness of Treatments To Prevent Fractures in Men and Women With Low Bone Density or Osteoporosis AHRQ

Complete Document from Agency for Healthcare Research and Quality. Catherine McLean MD PhD Principal Investigator Dec 2007

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2008 Advances in Osteoporosis Management Clinical Insights Medscape

This continuing medical education Webcast uses an innovative panel discussion format to review meta-analyses that address osteoporosis, bisphosphonate comparative dosing, and the bridging concept for extended dosing.
Mone Zaidi, MD, PhD, Program Chair/Moderator; Jonathan D. Adachi, MD, FRCPC; Steven T. Harris, MD, FACP

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2008 Evaluation of Patients With a Recent Clinical Fracture and Osteoporosis Medscape

The purpose of this study was to determine the prevalence of contributors to secondary osteoporosis (eg osteomalacia) in patients presenting with a clinical vertebral or non-vertebral fracture. Identifying and correcting these contributors will enhance treatment effect aimed at reducing the risk of subsequent fractures.
We conclude that more than one in two patients presenting with a clinical vertebral or non-vertebral fracture and BMD-osteoporosis have secondary contributors to osteoporosis, most of which were correctable. Identifying and correcting these associated disorders will enhance treatment effect aimed at reducing the risk of subsequent fractures in patients older than 50 years.
Bianca Dumitrescu; Svenjhalmar van Helden; Rene ten Broeke; Arie Nieuwenhuijzen-Kruseman; Caroline Wyers; Gabriela Udrea; Sjef van der Linden; Piet Geusens BMC Musculoskelet Disord. 2008

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2008 Nonoperative Treatment of Osteoporotic Compression Fractures eMedicine PMR

Vertebral compression fracture is the most common complication of osteoporosis. More than 700,000 new vertebral compression fractures occur every year in the United States alone, accounting for more than 100,000 hospital admissions and resulting in close to $1.5 billion in annual costs.
Synonyms and related keywords: osteoporosis, back pain, osteoporotic vertebral compression fractures, diminished bone density, vertebroplasty, kyphoplasty, wedge-shaped compression fractures, acquired kyphosis, general height loss, central crush fracture, bone density loss
Authors Cooper Lin & Lane 2008 Updated 2011

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2008 Osteoporosis and Spinal Cord Injury eMedicine PMR

One of the inevitable complications of spinal cord injury (SCI) is the associated osteoporosis that occurs predominantly in the pelvis and the lower extremities. The acute treatment of patients with SCI has always focused on the injury itself and on the immediate complications that subsequently arise. Bone loss as a consequence of SCI has been of secondary concern historically. Osteoporosis in persons with SCI was first studied in relation to calcium metabolism and the associated hypercalcemia and renal calculi that followed. The differences between SCI-induced osteoporosis and other causes of bone loss (disuse), such as prolonged bed rest, space travel, and lower motor neuron disorders, have since become clearer. New technologies allow monitoring of osteoblastic and osteoclastic activity at the microscopic level, while modern radiographic techniques have allowed more refined studies to be undertaken at the macroscopic level.
Synonyms and related keywords: spinal cord injury, osteoporosis, osteoporosis and SCI, SCI-induced osteoporosis, functional electrical stimulation, FES, dual-energy radiographic absorptiometry scan, dual-energy X-ray absorptiometry scan, DRA, DXA
Author David Weiss, MD 2008

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2008 Osteoporosis eMedicine Orthopedics

Osteoporosis is the most common metabolic bone disease and represents an increasingly serious problem, particularly as the population ages. It has been most commonly recognized in elderly white women, although it does occur in both sexes, all races, and all age groups.
Updated 2011 Osteoporosis is defined by the World Health Organization as a T-score of -2.5. T-score is the value compared to control subjects who are at their peak bone mineral density, while Z-score reflects a value compared to patients matched for age and sex.
Osteoporosis can result in devastating physical, psychosocial, and economic consequences. Despite its adverse effects, it is a condition that is often overlooked and undertreated, in large part because it is a clinically silent disease until it manifests in the form of fracture.
Synonyms and related keywords: porous bones, weak bones, metabolic bone disease, hip fracture, vertebral compression fracture, dowager hump, dowager's hump, scoliosis, collagen defect, bone fragility, decreased bone mass, decreased bone mineral density, decreased BMD
Lin & Lane 2008

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