Lau Roy Yuen-Chi, Guo Xia
Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong.
J Osteoporos. 2011;2011:293808. doi: 10.4061/2011/293808. Epub 2011 Aug 16.
Osteoporosis is a multifactorial skeletal disorder characterized by decreased bone mass and deteriorated microarchitecture that lead to increased risk of fracture. The disuse osteoporosis refers to bone mass decrements under conditions of decreased mechanical loading, including decreased ground force reaction, muscular contraction, and microgravity-related bone loss in astronauts after space flights. Although there are many effective treatments available for primary osteoporosis, there is a lack of effective treatments for disuse osteoporosis. This is because that the aetiology, pathophysiology, and resultant pathology of disuse osteoporosis differ from those of primary osteoporosis. The objective of this paper is to examine the unique pathology and underlying pathophysiology of disuse osteoporosis.
骨质疏松症是一种多因素导致的骨骼疾病,其特征是骨量减少和微结构恶化,进而导致骨折风险增加。废用性骨质疏松症是指在机械负荷降低的情况下出现的骨量减少,包括地面力反应降低、肌肉收缩减少以及宇航员太空飞行后与微重力相关的骨质流失。尽管有许多有效的治疗方法可用于原发性骨质疏松症,但对于废用性骨质疏松症却缺乏有效的治疗方法。这是因为废用性骨质疏松症的病因、病理生理学及由此产生的病理与原发性骨质疏松症不同。本文的目的是研究废用性骨质疏松症独特的病理及潜在的病理生理学。