Practical FAQs About Management of Osteoporosis in a Fracture Clinic

Abstract

Osteoporosis is a skeletal disorder characterized by compromised bone density and quality, resulting in decreased mechanical strength and predisposing to an increased risk of fracture. Worldwide, approximately one in three women and one in five men older than 50 years will sustain a low-energy “fragility fracture” because of osteoporosis in their lifetime. According to the National Osteoporosis Foundation, osteoporosis is responsible for more than 2 million fractures and an estimated $19 billion in health care costs in the United States each year. However, the screening, diagnosis, and treatment of osteoporosis in these patients are reportedly inadequate. In this article, we discuss practical frequently asked questions regarding the development and implementation of an osteoporosis fracture clinic. The establishment of a coordinated osteoporosis fracture clinic is a proactive method for the treatment of osteoporosis and prevention of secondary fractures. Such a program requires a dedicated, multidisciplinary team of orthopaedic surgeons, medical specialists, nurses, physical and occupational therapists, and medical assistants to accomplish this goal.

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