Ward Caitlin M, Gullborg Eric J, Simcock Xavier C
Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL 60612, USA.
J Clin Med. 2024 Aug 28;13(17):5095. doi: 10.3390/jcm13175095.
Osteoporosis is an underdiagnosed and undertreated public health issue that contributes to a high financial burden on the healthcare system and imposes significant morbidity and mortality on the patient population. Upper extremity orthopedic surgeons are in a unique position to diagnose osteoporosis prior to patients suffering a fragility fracture by using imaging that they already obtain in their current workflow. The use of X-rays and CT scans can effectively diagnose osteoporosis with high sensitivity and specificity. By incorporating these diagnostic methods into standard practice, upper extremity orthopedic surgeons can play a critical role in the early diagnosis and treatment of osteoporosis. This can prevent severe fractures, improve patient outcomes, and reduce the overall healthcare burden by initiating timely treatment and patient education. This review emphasizes the importance of opportunistic imaging in enhancing osteoporosis management and suggests that upper extremity surgeons can significantly and effectively contribute to primary and secondary fracture prevention.
骨质疏松症是一个诊断不足且治疗不足的公共卫生问题，给医疗系统带来了沉重的经济负担，并给患者群体带来了重大的发病率和死亡率。上肢整形外科医生处于独特的地位，能够在患者发生脆性骨折之前，通过利用他们在当前工作流程中已经获取的影像来诊断骨质疏松症。使用X射线和CT扫描能够以高灵敏度和特异性有效诊断骨质疏松症。通过将这些诊断方法纳入标准实践，上肢整形外科医生可以在骨质疏松症的早期诊断和治疗中发挥关键作用。这可以预防严重骨折，改善患者预后，并通过及时开展治疗和患者教育减轻整体医疗负担。本综述强调了机会性成像在加强骨质疏松症管理方面的重要性，并表明上肢外科医生可以对原发性和继发性骨折预防做出重大且有效的贡献。
