Osteoporosis: management in primary care
Direct medical costs from fragility fractures to the UK healthcare economy were estimated at £1.8 billion in 2000, with the potential to increase to £2.2 billion by 2025. It is therefore important for primary care clinicians to be aware of osteoporosis and the importance of prevention of fragility fractures.
Vitamin D in bone health: Where are we now?
The role of vitamin D in the management of osteoporosis came under the spotlight recently after a study reviewed the results of 81 research trials of people aged 18 or over taking vitamin D supplements. It found no reduction in fractures or falls and no improvement in bone density in people taking the supplements and recommeded guidelines were adapted.
Osteoporosis in men: a serious public health problem
Over the years male osteoporosis has received little attention. One in eight men older than 50 years will have a fragility fracture during their lifetime, which will contribute to dependency, morbidity and a higher mortality in the first year.1 Although the rate of bone loss in men is slower,2 the mortality risk is twice after a hip fracture when compared to women.3
Imaging and opportunistic identification of fractures
Osteoporosis is characterised by low bone mineral density and micro-architectural deterioration of bone leading to an increased risk of low-trauma fractures, associated morbidity and mortality. This article describes the advances in imaging of osteoporosis including opportunistic identification of low bone density and vertebral fractures.
Fracture Liaison Services: The growing problem of fragility fractures
Under reporting of bone cement implantation syndrome
Post-operative cognitive dysfunction in fractured neck of femur surgery (Part 2)
Post-operative cognitive dysfunction in fractured neck of femur surgery
The importance of fracture liaison services
What does a GP really want in a transfer of care document for hip fracture patients?
Orthogeriatrics was created to improve the poor outcomes of patients over 60 years suffering a hip fracture. As many orthogeriatric patients suffer with co-existing medical and social problems, good handover to primary care physicians facilitates good community care. This is part two of a two-part article.