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Osteoporosis and Osteopenia

Caitlin Nicholson, MD and Rahul Kapur, MD, CAQSM Reviewed 06/2019
 


BASICS

DESCRIPTION

A skeletal disease characterized by low bone mass, deterioration of bone tissue, and disruption of bone architecture that leads to compromised bone strength and an increased risk of ...

DIAGNOSIS

HISTORY

  • Review modifiable and nonmodifiable risk factors.

  • Online risk factor assessment tools are available:

  • Assess for any commonly associated conditions.

PHYSICAL EXAM

TREATMENT

  • Criteria for patients who benefit from treatment for their osteoporosis includes:

    • All patients with a T-score ≤−2.5 with no risk factors

    • All postmenopausal women and men >50 years old who h...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

  • Weight-bearing exercises such as walking, jogging, stair climbing, and tai chi have been shown to decrease falls and fracture risk.

  • Yearly height...

REFERENCES

1
US Preventive Services Task Force. Interventions to prevent falls in community-dwelling older adults: US Preventive Services Task Force recommendation statement. JAMA.  2018;319(16):1...

CODES

ICD10

  • 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...

CLINICAL PEARLS

  • Regular weight-bearing exercise from adolescence onward is recommended for prevention.

  • Screen all women ≥65 years of age with DEXA scans.

  • Premenopausal women with osteoporosis should be ...

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