Osteoporosis

Question 1

What is osteoporosis?

Answer 1

Skeletal condition characterised by low bone mass, deterioration of bone tissue and disruption of bone architecture that leads to compromised bone strength

Question 2

What are the risk factors for osteoporosis?

Answer 2

> 65 years, female, caucasian/south Asian, family history, history of low trauma fracture
Low body weight, premature menopause, calcium/vit D deficiency, inadequate physical activity, smoking

Question 3

What are the investigations for osteoporosis?

Answer 3

DEXA scan of lumbar spine and hip

Question 4

What is the management for osteoporosis?

Answer 4

Weight bearing exercise, vit D3 supplement, limiting alcohol, smoking cessation
1st line - Oral bisphosphonate (alendronic acid)
2nd line - denosumab or teriparatide