osteoporosis Flashcards
what is osteoporosis?
WHO defines osteoporosis as a systemic skeletal disease characterised by low bone mass and deterioration in bone tissue, withT score 2.5SD below peak BMD, with an increased suseptibility to fracture
severe osteoporosis is a T score 2.5SD below peak BMD and a fragility fracture
what is osteopenia?
WHO defines osteopenia as a T score 1-2.5 below peak BMD
what are the treatment options for osteoporosis?
WHO recommendation
- nutrition
- lifestyle changes - alcohol and smoking are risk factors for fragility fractures
- falls assessment
- medications - bisphosphonates - for 5 yrs - don’t measure BMD in this time
- vitamin D and calcium
what are the risks associated with bisphosphonates?
- atypical fractures
- jaw osteonecrosis
- GI upset
- MSK pain