Luan Anna, Yao Jeffrey
Division of Plastic and Reconstructive Surgery, Department of Surgery, Stanford University School of Medicine, Palo Alto, CA.
Department of Orthopedic Surgery, Stanford University School of Medicine, Palo Alto, CA.
J Hand Surg Am. 2025 Oct;50(10):1253-1259. doi: 10.1016/j.jhsa.2025.05.009. Epub 2025 Jun 25.
Osteoporosis and osteopenia are highly prevalent and undertreated. Both are characterized by low bone mineral density and contribute to fragility fractures and their subsequent morbidity and mortality. Recent advances in diagnostic modalities and pathways have demonstrated the potential to expand screening and treatment for patients with low bone mineral density. Hand surgeons will encounter patients with osteoporosis and osteopenia regardless of whether they have sustained fragility fractures and therefore must maintain an understanding of diagnostic and management considerations. This article provides an updated review on current methods of screening and the role of the hand surgeon in the evaluation and treatment of osteoporosis and osteopenia.
骨质疏松症和骨质减少极为常见且治疗不足。两者均以骨矿物质密度低为特征,并导致脆性骨折及其后续的发病率和死亡率。诊断方式和途径的最新进展已显示出扩大对骨矿物质密度低的患者进行筛查和治疗的潜力。无论患者是否发生脆性骨折,手外科医生都会遇到患有骨质疏松症和骨质减少的患者,因此必须了解相关诊断和管理注意事项。本文提供了关于当前筛查方法以及手外科医生在骨质疏松症和骨质减少的评估与治疗中的作用的最新综述。