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Titolo:
Secondary prevention of osteoporosis: when should a non-vertebral fracturebe a trigger for action?
Autore:
Eastell, R; Reid, DM; Compston, J; Cooper, C; Fogelman, I; Francis, RM; Hay, SM; Hosking, DJ; Purdie, DW; Ralston, SH; Reeve, J; Russell, RGG; Stevenson, JC;
Indirizzi:
Univ Sheffield, Sch Med, Sheffield, S Yorkshire, England Univ Sheffield Sheffield S Yorkshire England field, S Yorkshire, England Univ Aberdeen, Aberdeen, Scotland Univ Aberdeen Aberdeen ScotlandUniv Aberdeen, Aberdeen, Scotland Univ Cambridge, Addenbrookes Hosp, Sch Clin Med, Cambridge CB2 2QQ, England Univ Cambridge Cambridge England CB2 2QQ Med, Cambridge CB2 2QQ, England Univ Southampton, Southampton, Hants, England Univ Southampton Southampton Hants England , Southampton, Hants, England Guys Hosp, London SE1 9RT, England Guys Hosp London England SE1 9RTGuys Hosp, London SE1 9RT, England Freeman Rd Hosp, Newcastle Upon Tyne, Tyne & Wear, England Freeman Rd Hosp Newcastle Upon Tyne Tyne & Wear England & Wear, England Robert Jones & Agnes Hunt Orthopaed Hosp, Oswestry SY10 7AG, Shrops, England Robert Jones & Agnes Hunt Orthopaed Hosp Oswestry Shrops England SY10 7AG Royal Shrewsbury Hosp, Shrewsbury, Salop, England Royal Shrewsbury Hosp Shrewsbury Salop England hrewsbury, Salop, England City Hosp Nottingham, Nottingham, England City Hosp Nottingham Nottingham England Nottingham, Nottingham, England Hull Royal Infirm, Kingston Upon Hull HU3 2JZ, N Humberside, England Hull Royal Infirm Kingston Upon Hull N Humberside England HU3 2JZ England Univ London Imperial Coll Sci Technol & Med, London, England Univ London Imperial Coll Sci Technol & Med London England don, England
Titolo Testata:
QJM-MONTHLY JOURNAL OF THE ASSOCIATION OF PHYSICIANS
fascicolo: 11, volume: 94, anno: 2001,
pagine: 575 - 597
SICI:
1460-2725(200111)94:11<575:SPOOWS>2.0.ZU;2-P
Fonte:
ISI
Lingua:
ENG
Soggetto:
BONE-MINERAL DENSITY; DISTAL FOREARM FRACTURE; RANDOMIZED CONTROLLED TRIAL; VITAMIN-D SUPPLEMENTATION; EXTERNAL HIP PROTECTORS; FEMORAL-NECK FRACTURE; X-RAY ABSORPTIOMETRY; ELDERLY WOMEN; RISK-FACTORS; COLLES FRACTURE;
Tipo documento:
Review
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
183
Recensione:
Indirizzi per estratti:
Indirizzo: Eastell, R Univ Sheffield, No Gen Hosp, Sch Med, Herries Rd, Sheffield S5 7AU, S Yorkshire, England Univ Sheffield Herries Rd Sheffield S Yorkshire England S5 7AU
Citazione:
R. Eastell et al., "Secondary prevention of osteoporosis: when should a non-vertebral fracturebe a trigger for action?", QJM-MON J A, 94(11), 2001, pp. 575-597

Abstract

The burden of non-vertebral fractures is enormous. Hip fractures account for nearly 10% of all fractures (and a much greater proportion in the elderly), while wrist fractures may account for up to 23% of all limb fractures. The best available predictors of non-vertebral fracture risk are low BMD and a tendency to fall. Hip, forearm, proximal humerus and rib fractures haveall been associated with low BMD, though ankle fracture is not strongly related to osteoporosis. Although clinical risk factors identify only about one-third of postmenopausal women at increased risk of osteoporotic fracture, the occurrence of one fracture commonly predicts a second fracture. Guidelines are presented for identifying and treating patients at risk of non-vertebral osteoporotic fractures, especially those with a previous fracture, based on the algorithm recently published by the Royal College of Physicians and the Bone and Tooth Society. Prevention of falls and use of external hip protectors may reduce the occurrence of hip fracture. Treatment options for patients presenting with hip fracture include HRT, bis-phosphonates, and calcium plus vitamin D, and for Colles' fracture include general measures, HRT, bisphosphonates, or calcitonin plus calcium.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 23/01/20 alle ore 18:23:30