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  • Tolgay Şatana

What is Osteoporosis?


What is Osteoporosis?

Consensus 93: It is a systemic disease characterized by low bone density and insufficiency of microstructures, which increases the fragility and fracture risk in bone tissue.


What is Osteoporosis? Definition 2002 (USNIH): It is a skeletal disease characterized by an increased risk of fracture as a result of impaired bone strength. Bone strength is the reflection of two main components of bone: bone density and quality.



Risk factors:

​Majör

​Minör

-Age> 65

-Rheumatoid Arthritis

​-Vertebral Fracture

-Hyperthyroidism story

-Fracture after age 40

​-Chronic use of anticonvulsant or heparin

-Family story

​-Calcium-poor diet

-Glucocorticoid therapy

​-Smoking, Alcoholism

​-Malabsorption

-Caffeine

-First Hyperparathyroidism

-<57 kg and weight loss> (more than 10% -of 25-year-old weight)

​-Tendency to fall

​-X-ray osteopenia

​-Hypogonadism

Other risks:

-General muscle weakness

-Difficulty in balancing (neurological, vestibular, ophthalmological problems)

-Vision defect

-Slow walking

-Disruption of heel-toe gait (arthrodeses etc.)


Who should be made a risk inquiry?


- Everyone over the age of 50 should be questioned

-The main areas at risk of fracture (wrist, humerus, ribs, vertebra, pelvis and hip) should be examined in detail.


Who should be taken for Osteoporosis tests?


- Those with height shortening> 4 cm

-Progressive kyphosis (hump)

-Long-term steroid users

-Those with low-energy post-traumatic fractures

-Patients> 65 years old

-Those under the age of 65 who have clinical risk should be included in the investigation.


Who are at high risk?


-The main skeletal fracture

-Those who have developed kyphosis

-With a shortening of height

-One Major and two Minor factors detected

-Those with low bone density have a high risk of fractures.


What are the normal values ​​in bone density densitometry?


-Normal BMD; T score according to the standard deviation of the mean bone density of young adults: those in the range of +2.5 - (- 1.0).

-Osteopenia; T: (- 1) - (- 2.5) Grade-C

-Osteoporosis; T <minus 2.5 Grade-B

-Group A at risk of osteoporosis and fractures


Who should be treated?


-Those at high risk of fractures

-Those taking glucocorticoid therapy for a long time

-Those who had fractures and low bone density after low-energy trauma are treated immediately.

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