Falls and Osteoporotic Fractures in Elderly People Flashcards
1
Q
What are 4 common fractures sites following a fall?
A
- Distal radius
- Vertebrae
- Proximal femur
- Promixal humerus
2
Q
What are some consequences of falling?
A
- Fear of falling
- Self-imposed activity restriction
- Loss of mobility
- Social isolation
- Depression
- Increased dependency
- Impact on carers
- Institutionalisation
3
Q
What does 1 QALY mean?
A
1 year of perfect health
4
Q
Neck of femur fractures can be divided into two sub-types - what are they?
A
Intra-capsular fracture (blood supply disturbed)
Extra-capsular fracture (blood supply mantained)
5
Q
What are some risk factors for Osteoporosis?
A
Old age Female Previous fracture Steroid use Recurrent falls Liver disease Endocrine abnormalities
6
Q
What group(s) of medications can be offered to reduce risk of hip fractures?
A
Bisphosphonates Vitamin D supplementation HRT Teriparatide (PTH analogue) Denusumab
7
Q
What is the name for the monoclonal antibody offered to reduce fractures?
A
Denusumab (Prolia)
8
Q
Daily use of Bisphosphonates is often associated with what problems?
A
Poor complaince (big tablets) Gastric problems
