Yoo Jun-Il, Kim Jung-Taek, Park Chan Ho, Cha Yonghan
Department of Orthopaedic Surgery, Gyeongsang National University Hospital, Jinju, Korea.
Department of Orthopedic Surgery, Ajou Medical Center, Ajou University School of Medicine, Suwon, Korea.
Hip Pelvis. 2022 Mar;34(1):1-9. doi: 10.5371/hp.2022.34.1.1. Epub 2022 Mar 7.
To date, family medicine and internal medicine fields have been responsible for defining, researching, and development of treatments for sarcopenia, focusing mainly on diabetes and metabolic diseases. Therefore, application of current guidelines for diagnosis of sarcopenia which differ according to continent to patients with hip fractures in the orthopedic field is difficult. The purpose of this review was to understand the recent consensus on the definition and diagnosis of sarcopenia and to highlight the importance of research and future research opportunities on the management of sarcopenia in patients with hip fractures by orthopedic surgeons. The global prevalence of sarcopenia in patients with hip fractures is statistically significant. Despite establishment of various therapeutic and diagnostic criteria for osteoporosis in the clinical field, there are no clear, useful diagnostic criteria for sarcopenia in the clinical field. In particular, few studies on the evaluation and treatment of sarcopenia in patients with hip fractures have been reported. In addition, the quality of life of postoperative patients with hip fractures could be significantly improved by development of precise assessment for muscle regeneration and rehabilitation in the operating room.
迄今为止，家庭医学和内科领域一直负责定义、研究和开发肌肉减少症的治疗方法，主要集中于糖尿病和代谢性疾病。因此，将目前因洲而异的肌肉减少症诊断指南应用于骨科领域的髋部骨折患者是困难的。本综述的目的是了解关于肌肉减少症定义和诊断的最新共识，并强调骨科医生对髋部骨折患者肌肉减少症管理进行研究的重要性以及未来的研究机会。髋部骨折患者中肌肉减少症的全球患病率具有统计学意义。尽管临床领域已确立了各种骨质疏松症的治疗和诊断标准，但临床领域尚无明确、有用的肌肉减少症诊断标准。特别是，关于髋部骨折患者肌肉减少症评估和治疗的研究报道很少。此外，通过在手术室开展精确的肌肉再生和康复评估，髋部骨折术后患者的生活质量可得到显著改善。
