Osteoporosis and the orthopaedic surgeon: Basic concepts for successful co-management of patients' bone health

Ryan P. Farmer, Benoit Herbert, Derly O. Cuellar, Jiandong Hao, Philip F. Stahel, Robin Yasui, David J. Hak, Cyril Mauffrey

Research output: Contribution to journalReview article

16 Scopus citations

Abstract

Osteoporosis has been recognised as a public health concern for at least three decades but it has been relatively recent that the push has been for orthopaedic surgeons to take a more active role in the diagnosis and treatment of patients with decreased bone mineral density (BMD). Most often these patients are encountered after they have suffered a fracture making secondary prevention the area where orthopaedists may exert the greatest influence on patient care. The purpose of this article is to provide a succinct framework for the diagnosis and treatment of patients with decreased BMD. Patients are deemed to have decreased BMD if they have suffered a fragility fracture, a fracture caused by a low-energy traumatic event. These patients are often encountered in the emergency department and admitted for further treatment of their fractures or recommended for follow-up in the clinic. Regardless of treatment course these are opportunities for the orthopaedic surgeon to intervene in the osteoporotic disease process and positively affect a patient's bone health. This article compiles the available literature on osteoporosis and presents it succinctly with the incorporation of both a diagnosis algorithm and treatment profile table. With the use of these two tools, orthopaedic surgeons everywhere should be able to take a more active role in their patients' bone health.

Original languageEnglish (US)
Pages (from-to)1731-1738
Number of pages8
JournalInternational Orthopaedics
Volume38
Issue number8
DOIs
StatePublished - Aug 2014

Keywords

  • Early management
  • Fragility fracture
  • Orthopaedic surgeon
  • Osteoporosis
  • Screening

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