A broken bone? You could be at risk for another

Contrary to current guidelines, the authors wrote: “The results of our study are clinically important because, unlike a non-traumatic fra...


Contrary to current guidelines, the authors wrote: “The results of our study are clinically important because, unlike a non-traumatic fracture, a fracture considered traumatic often does not trigger further assessment for osteoporosis or advice regarding an increased risk of subsequent fracture. However, they added, “high and low trauma fractures show similar associations with low bone mineral density.”

According to studies, even younger postmenopausal women who have suffered a severe fracture are at a higher risk of developing osteoporosis, said Dr. Sundeep Khosla, bone expert at the Mayo Clinic in Rochester, Minn. who fracture, regardless of the level of trauma, should have their bone density assessed, ”he told me. “A fracture sustained from a fall from a standing height confers an almost as high risk of a second fracture as if the first fracture resulted from a fall down the stairs.”

Men also face an often overlooked risk of a second fracture, particularly because their first fractures are more likely to result from a traumatic event like a car accident and are not recognized as a harbinger of future fractures. Dr Schafer said in an interview. Dr. Carolyn J. Crandall, an internal medicine doctor at UCLA’s David Geffen School of Medicine and who led the JAMA Internal Medicine Study, said that recent studies have documented this older men who have suffered a high traumatic fracture were often also likely to have low bone density than men with minimally traumatic fractures and were also at risk for future fractures.

“Older men can be particularly disadvantaged if we eliminate their highly traumatic fractures,” said Dr. Schafer. “Men lose bone with age and develop osteoporosis, although this is usually later in life than women. They have been neglected. Men who have had broken bones in the past should not be swept away. “

So what’s the message for older men and middle-aged and older women and for their doctors?

To begin with, the question that doctors typically ask: “How did this rupture happen?” Is irrelevant. What matters, Dr Khosla said, is the health of the patient’s bones, and this is determined by a bone density test that measures the mineral content of the bones of the spine, hips and sometimes the bone. forearm. The test is painless, non-invasive, and brief, and its results are best interpreted by an osteoporosis specialist.

If the test shows abnormally weakened bones, doctors usually prescribe medication to slow, stop, or reverse the process. Treatment should also include lifestyle advice on diet and exercise, Dr Khosla said. “Being physically active helps maintain strength, balance and agility and decreases the risk of falls and fractures.” Weight bearing and muscle building exercises are important throughout life.

Equally important: Eat a balanced diet rich in vegetables, fruits and whole grains, as well as calcium and vitamin D. Avoid smoking and limit your intake of alcohol and caffeine.

Finally, check your home and surrounding area for trip hazards and eliminate them. Rugs, shoes and other items left in the middle of the floor, a lack of handrails, poor lighting, especially on the stairs, are all crashing falls waiting to happen.

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Newsrust - US Top News: A broken bone? You could be at risk for another
A broken bone? You could be at risk for another
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