By Cyrus Cooper, John Harrison, Roger Smith
The purpose of this ebook is to enhance the administration of sufferers with, or prone to advance, osteoporosis it really is meant as a realistic advisor for all well-being pros taken with shared sufferer care
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The purpose of this e-book is to enhance the administration of sufferers with, or more likely to increase, osteoporosis it really is meant as a pragmatic consultant for all well-being execs interested in shared sufferer care
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In other European countries, increases are still being observed. 5 Projections for numbers of hip fractures woridwide in 1990 • , 2 0 2 5 • 2 0 5 0 • . (Derived from ref. ) and T h e r e are three b r o a d explanations for these trends. First, they might represent s o m e increasingly prevalent current risk factor for osteoporosis or falling. T i m e trends for a n u m b e r o f such risk factors, including oophorectomy, oestrogen smoking, a l c o h o l c o n s u m p t i o n replacement therapy, cigarette and dietary calcium intake, do not match those o b s e r v e d for hip fractures.
Metabolic bone diseases The correct diagnosis o f osteoporosis requires an understanding o f other metabolic b o n e diseases. T h e s e are largely e x p l a i n e d b y the normal physiology o f b o n e . T h e y may b e inherited or acquired and Shared care f o r osteoporosis common or rare, and are usefully classified into the classic metabolic b o n e diseases (osteoporosis, osteomalacia, Paget's disease, parathyroid b o n e disease and neoplastic b o n e disease) and the more recently identified disorders o f b o n e matrix (such as osteogenesis imperfecta, achondroplasia and Marfan's syndrome), the biochemical basis o f which is n o w k n o w n .
A b o v e the age o f 35 years, overall fracture incidence in w o m e n climbs steeply, s o that female rates b e c o m e twice t h o s e in m e n . 3 million fractures in the USA e a c h year have b e e n attributed to osteoporosis, presuming that 7 0 % o f all fractures in persons aged 4 5 years or over are due to low bone mass . 4 The three sites most closely associated with osteoporosis are the hip, spine and distal forearm. 2), suggesting different causes . 5 Hip fracture Hip fractures may involve the subcapital, trans-cervical, inter- and subtrochanteric regions o f the proximal femur.