Predominant age: elderl...
Review modifiable and nonmodifiable risk factors
Online risk factor assessment tool (FRAX): http://www.shef.ac.uk/FRAX/
Assess for commonly associated conditions.
Thoracic k...
Criteria for patients who benefit from treatment for their osteoporosis includes the following:
Patients T-score ≤−2.5 with no risk factors.
All postmenopausal women and men >50 years old w...
Shared decision-making with the patient regarding treatment
Drug holidays may be considered.
Lifestyle modifications
Exercises including strength and balance
Optimiza...
M85.80 Other specified disorders of bone density and structure, unspecified site
M81.0 Age-related osteoporosis w/o current pathological fracture
M80.00XA Age-rel osteopor w current path frac...
Screen all women ≥65 years of age with DEXA scans.
Premenopausal women with osteoporosis and those not responding to treatment should be screened for secondary causes.
Bisphosphonates ar...
Sign up for a 10-day FREE Trial now and receive full access to all content.
<bold>FIG. 121.3.</bold> Scanning electron micrographs of subarticular bone showing that the trabeculae are thin plates of bone. <bold>Left:</bold> Normal bone. <bold>Right:</bold> In osteoporosis, the trabecular surface is particularly subject to erosion by osteoclasts, and the trabecular structure may be weakened to the point that collapse occurs.
<bold>FIG. 121.3.</bold> Scanning electron micrographs of subarticular bone showing that the trabeculae are thin plates of bone...
<bold><italic>Figure 22-5</bold> Osteoporosis. A:</bold> Normal cancellous (spongy) bone. <bold>B:</bold> Osteoporotic bone. Bone organization is correct, but the lattice is thin and less bone mass is present.
<bold><italic>Figure 22-5</bold> Osteoporosis. A:</bold> Normal cancellous (spongy) bone. <bold>B:</bold...
<bold><italic>Figure 22-6</bold> Osteoporosis of the spine.</bold> The degree of severity to which the vertebral bodies are affected decreases from left to right.
<bold><italic>Figure 22-6</bold> Osteoporosis of the spine.</bold> The degree of severity to which the vertebral bo...
<bold><italic>Figure 22-8</bold> Collapse fracture of a vertebral body.</bold> This is a midline section of the spine in a patient with osteoporosis.
<bold><italic>Figure 22-8</bold> Collapse fracture of a vertebral body.</bold> This is a midline section of the spi...
<bold>FIGURE 26-26. Osteoporosis.</bold> Femoral head of an 82-year-old female with osteoporosis and a femoral neck fracture <bold><i>(right)</i></bold> compared with a normal control cut to the same thickness <bold><i>(left)</i></bold>.
<bold>FIGURE 26-26. Osteoporosis.</bold> Femoral head of an 82-year-old female with osteoporosis and a femoral neck fracture ...