综合治疗桡骨远端脆性骨折,预防骨健康恶化,减少其他高发病率和死亡率骨折的机会

Valbona Iljazi, Neritan Myderrizi
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摘要

报告目的:桡骨远端脆性骨折是成人和老年人最常见的上肢骨折,女性发病率较高。是低能量骨折,从站立高度或更低的地方坠落。这类患者有较高的骨质疏松发生率和其他严重骨折的风险增加。研究结果:从骨科医生填写的问卷来看,桡骨远端脆性骨折以50-60岁女性患者最为常见。54%的医生要求患者进行DEXA扫描,60%的医生推荐患者进行骨质疏松评估和治疗;36%用于治疗骨质疏松症。从患者问卷来看,此类患者多为51-70岁的女性,6.5%有脆性骨折家族史,97%不了解骨质疏松症,3%文化程度较高,73%未报告社会经济问题,45%未报告其他医疗问题。总结:桡骨远端脆性骨折比其他脆性骨折发生得更早。骨科医生应推荐DEXA扫描,转诊或治疗骨质疏松症,以防止患者骨骼健康进一步恶化,并降低发病率和死亡率较高的其他脆性骨折的风险。收稿日期:2022年9月23日/收稿日期:2022年11月28日/发表日期:2022年12月20日
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Comprehensive Treatment of Fragility Fractures of Distal Radius, an Opportunity for Prevention the Deterioration of Bone Health and Reduction of other Fractures with Higher Morbidity and Mortality
Report goal: Fragility fractures of distal radius, are the most common fractures of upper extremities in adults and elderly, with higher incidence in females. Are low energy fractures, result of a fall from standing height or less. Such patients have higher incidence of osteoporosis and increased risk of other serious fractures. Research results: From the questionnaire filled by orthopedic doctors, fragility fractures of distal radius are most frequent in patients 50-60 years old female. 54% of doctors order DEXA scan, 60 % refer patients for osteoporosis evaluation and treatment; 36% treat osteoporosis. From patient questionnaire, such patient were mostly 51-70 yo female, 6.5% had family history of fragility fracture, 97% did not have knowledge about osteoporosis, 3% had high education level, 73% did not report social-economical issues, 45% did not have other medical problems. Summary: Fragility fractures of distal radius occur earlier comparing to other fragility fractures. The orthopedic doctor should recommend DEXA scanning, refer or treat osteoporosis to prevent further deterioration of patient bone health and reduce the risk of other fragility fractures with a higher morbidity and mortality.   Received: 23 September 2022 / Accepted: 28 November 2022 / Published: 20 December 2022
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