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Osteoporosis, Emergency Medicine

Reviewed 06/2017
 


Basics

Description

  • Overall decrease in skeletal mass, generally diffuse

  • Trabecular bone (especially vertebrae and femur) affected more commonly and earlier

  • Disease begins in adolescence, but fractures do...

Diagnosis

Signs and Symptoms

  • Usually asymptomatic until pathologic fractures occur

  • Fractures with insignificant mechanism or recurrent fractures are hallmark

  • Vertebral column most commonly involved

  • Multip...

Treatment

Pre-Hospital

Cautions: 
  • Obtain pre-hospital information on mechanism to help diagnose pathologic fracture

  • Avoid aggressive manipulation or movement of patient, as this may exacerbate bony injur...

Follow-Up

Disposition

Admission Criteria

  • Per normal orthopedic protocols, with special considerations for age and social situation

  • Compression fractures are generally stable, but possibility of burst fra...

Pearls and Pitfalls

  • A history of recurrent fractures, particularly with a low-energy mechanism, suggests the possibility of osteoporosis

  • Reduced bone density on plain radiographs is highly suggestive a...

Additional Reading

  • Robbins  J, Aragaki  AK, Kooperberg  C, et al. Factors associated with 5-year risk of hip fracture in postmenopausal women. JAMA.  2007;298(20):2389–2398.

  • Silverman  S, Christia...

Codes

ICD9

  • 733.00 Osteoporosis, unspecified

  • 733.01 Senile osteoporosis

  • 733.09 Other osteoporosis

  • 733.03 Disuse osteoporosis

  • 733.02 Idiopathic osteoporosis

  • 733.0 Osteoporosis

ICD10

  • M80.08XA Age-rel osteopor w ...

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