Department of Orthopaedics, Dartmouth Hitchcock Medical Center, 1 Medical Center Dr, Lebanon, NH, 03766, USA.
Department of Medicine, Division of Endocrinology, Dartmouth Hitchcock Medical Center, 1 Medical Center Dr, Lebanon, NH, 03766, USA.
Curr Osteoporos Rep. 2022 Jun;20(3):163-169. doi: 10.1007/s11914-022-00730-1. Epub 2022 Apr 20.
The purpose of this manuscript is to review the current diagnosis, management, and referral practices of patients with osteoporosis after a fragility fracture from the orthopedic surgeon's perspective.
Effective treatments are available for osteoporosis that significantly decrease the risk of additional fractures. Despite recommendations for improved post-fragility fracture osteoporosis management, the rate of diagnosis and treatment is still unacceptably low. Patients sustaining a low-energy fracture should be evaluated for osteoporosis with discussion of beginning pharmacological treatment. Antiresorptive and anabolic agents are available treatment options. Fracture Liaison Services can help to coordinate the care of these patients and improve the rate of diagnosis and initiation of therapy. Dartmouth-Hitchcock is working to improve the bone health for our patients utilizing a multidisciplinary team-based approach. This process is intended to lead to increased recognition of osteoporosis within our institution and close the capture gap between hospital discharge and initiation of osteoporosis pharmacotherapy.
本文从骨科医生的角度，回顾了脆性骨折后骨质疏松症患者的当前诊断、管理和转诊实践。
骨质疏松症有有效的治疗方法，可显著降低再次骨折的风险。尽管建议改善脆性骨折后骨质疏松症的管理，但诊断和治疗的比例仍然低得令人无法接受。发生低能量骨折的患者应进行骨质疏松症评估，并讨论开始药物治疗。抗吸收剂和合成代谢剂是可用的治疗选择。骨折联络服务可以帮助协调这些患者的治疗，提高诊断率并开始治疗。达特茅斯-希区柯克(Dartmouth-Hitchcock)正利用多学科团队的方法来改善患者的骨骼健康。这一过程旨在提高我们机构对骨质疏松症的认识，并缩小出院和开始骨质疏松症药物治疗之间的差距。
