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Fragility fractures: the clinical pathway

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Abstract

The clinical management of fragility fracture is simple but complex at the same time. Patients are different from one another, and advancing age increases the prevalence of comorbidities and conditions that can impair bone quality and healing, while increasing the risk of falls and fractures. Keeping in mind some principles and key points can help identify patients at risk, thus following an ideal path for the identification, treatment and prevention of fragility fractures.

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References

  1. Bukata SV, Kates SL et al (2011) Short-term and long-term orthopaedic issues in patients with fragility fractures. Clin Orthop Relat Res 469(8):2225–2236

    Article  PubMed  Google Scholar 

  2. Papaioannou A, Giangregorio L et al (2004) The osteoporosis care gap in Canada. BMC Musculoskelet 5:11

    Article  CAS  Google Scholar 

  3. Andrade SE, Majumdar SR et al (2003) Low frequency of treatment of osteoporosis among postmenopausal women following a fracture. Arch Intern Med 163(17):2052–2057

    Article  PubMed  Google Scholar 

  4. Brandi ML (2012) Evaluation of fracture risk and fracture prevention: an Italian picture. Clin Cases Miner Bone Metab 9(2):73–75

    PubMed  Google Scholar 

  5. Piscitelli P, Brandi ML et al (2010) Incidence and socioeconomic burden of hip fractures in Italy: extension study 2003–2005. Reumatismo 62(2):113–118

    PubMed  CAS  Google Scholar 

  6. Lyles WE, Colon-Emeric CS et al (2007) Zoledronic acid in reducing clinical fracture and mortality after hip fracture. N Engl J Med 357:1–16

    Article  Google Scholar 

  7. Tarantino U, Cerocchi I et al (2011) Bone healing and osteoporosis. Aging Clin Exp Res 23(2 Suppl):62–64

    PubMed  CAS  Google Scholar 

  8. Painter SE, Kleerekoper M, Camacho PM (2006) Secondary osteoporosis: a review of the recent evidence. Endocr Pract 12(4):436–445

    Article  PubMed  Google Scholar 

  9. Tarantino U, Iundusi R et al (2011) Role of the orthopaedic in fragility fracture and in the prevention of a new fracture: SIOT 2009 recommendations. Aging Clin Exp Res 23(2 Suppl):25–27

    PubMed  Google Scholar 

  10. Dixon T, Mitchell P et al (2006) An overview of the prevalence of 25-hydroxy-vitamin D inadequacy amongst elderly patients with or without fragility fracture in the United Kingdom. Curr Med Res Opin 22:405–415

    Article  PubMed  CAS  Google Scholar 

  11. Holick MF (2007) Vitamin D deficiency. N Engl J Med 357:266–281

    Article  PubMed  CAS  Google Scholar 

  12. Wicherts IS, Van Schoor NM et al (2007) Vitamin D status predicts physical performance and its decline in older persons. J Clin Endocrinol Metab 92:2058–2065

    Article  PubMed  CAS  Google Scholar 

  13. Bischoff-Ferrari HA, Shao A et al (2010) Benefit-risk assessment of vitamin D supplementation. Osteoporos Int 21:1121–1132

    Article  PubMed  CAS  Google Scholar 

  14. Åstrand J, Nilsson J, Thorngren KG (2012) Screening for osteoporosis reduced new fracture incidence by almost half: a 6-year follow-up of 592 fracture patients from an osteoporosis screening program. Acta Orthop 83(6):661–665

    Article  PubMed  Google Scholar 

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Correspondence to Irene Cerocchi.

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Cerocchi, I., Ghera, S., Gasbarra, E. et al. Fragility fractures: the clinical pathway. Aging Clin Exp Res 25 (Suppl 1), 43–45 (2013). https://doi.org/10.1007/s40520-013-0089-7

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  • DOI: https://doi.org/10.1007/s40520-013-0089-7

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