评估和治疗老年骨质疏松性桡骨远端骨折。
Evaluation and treatment of osetoporotic distal radius fracture in the elderly patient.
机构信息
Department of Orthopedic Surgery, Washington University School of Medicine, Campus Box 8233, 660 South Euclid Avenue, St. Louis, MO, 63110, USA.
出版信息
Curr Rev Musculoskelet Med. 2013 Mar;6(1):41-6. doi: 10.1007/s12178-012-9153-8.
Abstract
Distal radius fractures are an increasingly prevalent upper extremity injury, especially among elderly patients. While treatment guidelines for the acute bony injury have been well documented, treatment of the underlying metabolic bone disease has been less commonly discussed in the orthopedic literature. Distal radius fractures in the elderly patient should be considered a sentinel event for injuries associated with greater morbidity and mortality, such as hip fracture. Management of fracture-related factors, such as osteoporosis and increased fall risk following a distal radius fracture, may prevent the mortality and morbidity of future injuries. This review highlights both the fracture-specific and medical goals of treatment in the elderly patient with a distal radius fracture.
摘要
桡骨远端骨折是一种日益普遍的上肢损伤，尤其在老年患者中更为常见。虽然急性骨损伤的治疗指南已有充分记录，但在骨科文献中，对潜在代谢性骨病的治疗讨论较少。老年患者的桡骨远端骨折应被视为与更高发病率和死亡率相关的损伤的一个警示事件，例如髋部骨折。管理骨折相关因素，如骨质疏松症和桡骨远端骨折后跌倒风险增加，可能预防未来损伤的死亡率和发病率。本综述强调了老年桡骨远端骨折患者的骨折特异性和医疗治疗目标。
相似文献
1
Evaluation and treatment of osetoporotic distal radius fracture in the elderly patient.评估和治疗老年骨质疏松性桡骨远端骨折。
Curr Rev Musculoskelet Med. 2013 Mar;6(1):41-6. doi: 10.1007/s12178-012-9153-8.
2
Considerations in the Treatment of Osteoporotic Distal Radius Fractures in Elderly Patients.老年患者骨质疏松性桡骨远端骨折的治疗考量
Curr Rev Musculoskelet Med. 2019 Mar;12(1):50-56. doi: 10.1007/s12178-019-09531-z.
3
Low-energy distal radius fractures in middle-aged and elderly men and women--the burden of osteoporosis and fracture risk : A study of 1794 consecutive patients.中老年男性和女性的低能量远端桡骨骨折——骨质疏松症和骨折风险的负担：一项对 1794 例连续患者的研究。
Osteoporos Int. 2010 Jul;21(7):1257-67. doi: 10.1007/s00198-009-1068-x. Epub 2009 Oct 8.
4
Upper Extremity Fragility Fractures.上肢脆性骨折
J Hand Surg Am. 2021 Feb;46(2):126-132. doi: 10.1016/j.jhsa.2020.07.010. Epub 2020 Aug 27.
5
A study protocol for a randomized controlled trial evaluating vibration therapy as an intervention for postural training and fall prevention after distal radius fracture in elderly patients.一项评价振动疗法作为干预手段用于老年桡骨远端骨折后姿势训练和跌倒预防的随机对照试验研究方案。
Trials. 2020 Jan 16;21(1):95. doi: 10.1186/s13063-019-4013-0.
6
Incidence and outcome of osteoporotic fractures in 2004 in Sado City, Niigata Prefecture, Japan.2004年日本新潟县佐渡市骨质疏松性骨折的发病率及转归
J Bone Miner Metab. 2008;26(4):373-8. doi: 10.1007/s00774-007-0841-1. Epub 2008 Jul 4.
7
Hip fractures, preceding distal radius fractures and screening for osteoporosis: should we be screening earlier? A minimum 10-year retrospective cohort study at a single centre.髋部骨折、桡骨远端骨折之前以及骨质疏松症筛查：我们应该更早进行筛查吗？一项在单一中心开展的至少为期10年的回顾性队列研究。
Osteoporos Int. 2016 Jan;27(1):361-6. doi: 10.1007/s00198-015-3375-8. Epub 2015 Oct 28.
8
Unstable distal radius fractures in the elderly patient--volar fixed-angle plate osteosynthesis prevents secondary loss of reduction.老年患者桡骨远端不稳定骨折——掌侧锁定钢板接骨术可防止复位后的二次丢失。
J Trauma. 2010 Apr;68(4):992-8. doi: 10.1097/TA.0b013e3181b99f71.
9
Distal radius fractures--systematic review.桡骨远端骨折——系统评价
Acta Chir Iugosl. 2013;60(2):29-32. doi: 10.2298/aci1302029m.
10
Evidence-Based Review of Distal Radius Fractures.桡骨远端骨折的循证医学综述
Orthop Clin North Am. 2018 Apr;49(2):211-222. doi: 10.1016/j.ocl.2017.12.001.
引用本文的文献
1
Impact of prior fragility fracture on patient's mortality, outcomes, and complications after hip fracture surgery.既往脆性骨折对髋部骨折手术后患者死亡率、预后及并发症的影响。
BMC Musculoskelet Disord. 2025 Jul 4;26(1):593. doi: 10.1186/s12891-025-08853-z.
2
Machine learning-based prediction of the necessity for the surgical treatment of distal radius fractures.基于机器学习的桡骨远端骨折手术治疗必要性预测
J Orthop Surg Res. 2025 Apr 26;20(1):419. doi: 10.1186/s13018-025-05830-z.
3
Perioperative management of distal radius fractures.桡骨远端骨折的围手术期管理。
J Perioper Pract. 2021 Oct;31(10):1750458920949463. doi: 10.1177/1750458920949463. Epub 2020 Sep 8.
4
Hematoma Block Versus General Anesthesia in Distal Radius Fractures in Patients Over 60 Years in Trauma Emergency.创伤急诊中60岁以上患者桡骨远端骨折的血肿阻滞与全身麻醉对比
Anesth Pain Med. 2016 Nov 27;7(1):e40619. doi: 10.5812/aapm.40619. eCollection 2017 Feb.
5
Risk factors for distal radius fracture in postmenopausal women.绝经后女性桡骨远端骨折的危险因素
Orthopade. 2017 May;46(5):447-450. doi: 10.1007/s00132-017-3403-9.
6
Variation in the incidence of distal radius fractures in the U.S. elderly as related to slippery weather conditions.美国老年人远端桡骨骨折发病率与湿滑天气条件的关系。
Plast Reconstr Surg. 2014 Feb;133(2):321-332. doi: 10.1097/01.prs.0000436796.74305.38.
本文引用的文献
1
Integration of balance and strength training into daily life activity to reduce rate of falls in older people (the LiFE study): randomised parallel trial.将平衡和力量训练融入日常生活活动中以降低老年人跌倒率（LiFE 研究）：随机平行试验。
BMJ. 2012 Aug 7;345:e4547. doi: 10.1136/bmj.e4547.
2
USPSTF: Taking vitamin D and calcium doesn't prevent fractures in older women.美国预防服务工作组：服用维生素D和钙并不能预防老年女性骨折。
JAMA. 2012 Jul 18;308(3):225-6. doi: 10.1001/jama.2012.7955.
3
A pooled analysis of vitamin D dose requirements for fracture prevention.维生素 D 预防骨折的剂量需求的汇总分析。
N Engl J Med. 2012 Jul 5;367(1):40-9. doi: 10.1056/NEJMoa1109617.
4
The epidemiology of distal radius fractures.桡骨远端骨折的流行病学
Hand Clin. 2012 May;28(2):113-25. doi: 10.1016/j.hcl.2012.02.001. Epub 2012 Apr 14.
5
Variations in the use of internal fixation for distal radial fracture in the United States medicare population.美国医疗保险人群中桡骨远端骨折内固定使用的变化。
J Bone Joint Surg Am. 2011 Dec 7;93(23):2154-62. doi: 10.2106/JBJS.J.012802.
6
An economic analysis of outcomes and complications of treating distal radius fractures in the elderly.老年人桡骨远端骨折治疗结果与并发症的经济学分析
J Hand Surg Am. 2011 Dec;36(12):1912-8.e1-3. doi: 10.1016/j.jhsa.2011.09.039.
7
Vitamin D levels in post-menopausal Korean women with a distal radius fracture.绝经后桡骨远端骨折韩国女性的维生素 D 水平。
Injury. 2012 Feb;43(2):237-41. doi: 10.1016/j.injury.2011.10.020. Epub 2011 Nov 14.
8
Trends in wrist fractures in children and adolescents, 1997-2009.1997 - 2009年儿童及青少年腕部骨折的趋势
J Hand Surg Am. 2011 Nov;36(11):1810-1815.e2. doi: 10.1016/j.jhsa.2011.08.006.
9
A systematic review of outcomes and complications of treating unstable distal radius fractures in the elderly.老年不稳定桡骨远端骨折治疗结果及并发症的系统评价
J Hand Surg Am. 2011 May;36(5):824-35.e2. doi: 10.1016/j.jhsa.2011.02.005.
10
Low bone mineral density is a significant risk factor for low-energy distal radius fractures in middle-aged and elderly men: a case-control study.低骨密度是中老年男性低能量桡骨远端骨折的重要危险因素：一项病例对照研究。
BMC Musculoskelet Disord. 2011 Apr 2;12:67. doi: 10.1186/1471-2474-12-67.
Zotero 插件