Charalambous C P, Kumar S, Tryfonides M, Rajkumar P, Hirst P
Department of Orthopaedics, Manchester Royal Infirmary, UK.
Int J Clin Pract. 2002 Oct;56(8):620-1.
Patients presenting with an osteoporosis-related fracture are at increased risk of further fractures. We performed a retrospective survey to determine if elderly patients presenting to the orthopaedic unit at Manchester Royal Infirmary with low energy hip or distal radius fractures were being managed appropriately with regards to assessment, investigation and treatment for possible osteoporosis. The initial survey demonstrated that only 16% of elderly female patients with low energy hip fractures and none of those (0%) with distal radius fractures were started on treatment or referred for further investigations for possible osteoporosis. After changes in our practice, 76% (p < 0.00001) of patients with hip fractures and 81% (p < 0.00001) of those with distal radius fractures were investigated, started on treatment or referred to a consultant physician for the management of osteoporosis.
患有骨质疏松相关骨折的患者再次骨折的风险会增加。我们进行了一项回顾性调查，以确定在曼彻斯特皇家医院骨科就诊的、因低能量导致髋部或桡骨远端骨折的老年患者，在可能的骨质疏松症评估、检查和治疗方面是否得到了恰当处理。初步调查显示，仅有16%的低能量髋部骨折老年女性患者开始接受治疗或被转诊以进一步检查可能的骨质疏松症，而桡骨远端骨折患者中无人（0%）接受此类处理。在我们改变了诊疗方式后，76%（p<0.00001）的髋部骨折患者以及81%（p<0.00001）的桡骨远端骨折患者接受了检查、开始接受治疗或被转诊给内科医生以进行骨质疏松症的管理。
