Osteoporotic Fracture: 2015 Position Statement of the Korean Society for Bone and Mineral Research.
10.11005/jbm.2015.22.4.175
- Author:
Je Hyun YOO
1
;
Seong Hwan MOON
;
Yong Chan HA
;
Dong Yeon LEE
;
Hyun Sik GONG
;
Si Young PARK
;
Kyu Hyun YANG
Author Information
1. Department of Orthopedic Surgery, Hallym University Sacred Heart Hospital, Anyang, Korea.
- Publication Type:Review
- Keywords:
Definition;
Diagnosis;
Osteoporosis;
Osteoporotic fractures;
Practice guidelines as topic
- MeSH:
Adult;
Bone Density;
Diagnosis;
Femur;
Health Care Costs;
Humans;
Humerus;
Magnetic Resonance Imaging;
Osteoporosis;
Osteoporotic Fractures*;
Physical Examination;
Practice Guidelines as Topic;
Radius;
Ribs;
Risk Factors;
Sacrum;
Spine
- From:Journal of Bone Metabolism
2015;22(4):175-181
- CountryRepublic of Korea
- Language:English
-
Abstract:
Osteoporotic fractures are one of the most common causes of disability and a major contributor to medical care costs worldwide. Prior osteoporotic fracture at any site is one of the strongest risk factors for a new fracture, which occurs very soon after the first fracture. Bone mineral density (BMD) scan, a conventional diagnostic tool for osteoporosis, has clear limitations in diagnosing osteoporotic fractures and identifying the risk of subsequent fractures. Therefore, early and accurate diagnosis of osteoporotic fractures using the clinical definition which is applicable practically and independent of BMD, is essential for preventing subsequent fractures and reducing the socioeconomic burden of these fractures. Fractures caused by low-level trauma equivalent to a fall from a standing height or less at major (hip, spine, distal radius, and proximal humerus) or minor (pelvis, sacrum, ribs, distal femur and humerus, and ankle) sites in adults over age 50, should be first regarded as osteoporotic. In addition, if osteoporotic fractures are strongly suspected on history and physical examination even though there are no positive findings on conventional X-rays, more advanced imaging techniques such as computed tomography, bone scan, and magnetic resonance imaging are necessary as soon as possible.
