OWL: OCOSH Classification/Trauma/Fractures/Fragility Fractures

Orthopaedic Surgeons and Osteoporosis Management

Bogoch & Snowden — 2008-02-05 12:11:50 GMT

A sample of Canadian orthopedic surgeons expressed willingness to participate in osteoporosis management for fragility fracture patients
E.R. Bogoch, E. Snowden Can J Surg, Vol. 51, No. 1, February 2008
Conclusion: Most of the Canadian orthopedic surgeons sampled consider themselves to be currently engaged or ready to engage in osteoporosis care for fragility fracture patients. Focus should now shift from education and persuasion to program support through provision of resources and system modification that will enable Canadian orthopedic surgeons to effectively manage osteoporosis in their fracture patients.

Postfracture Osteoporosis Care

E.R.Bogoch — 2008-02-05 12:11:50 GMT

Canadian orthopaedic surgeons and postfracture osteoporosis care: moving from persuasion to facilitation
Editorial: Can J Surg, Vol. 51, No. 1, February 2008 E.R.Bogoch

The Dubbo Osteoporosis Epidemiology Study

Tuan et al — 2008-06-30 12:11:50 GMT

Risk Factors for Proximal Humerus, Forearm, and Wrist Fractures in Elderly Men and Women
American Journal of Epidemiology Vol. 153, No. 6 : 587-595 Full Text available
Tuan V. Nguyen1, Jacqueline R. Center, Philip N. Sambrook and John A. Eisman
Fractures of the proximal humerus, forearm, and wrist account for approximately one third of total osteoporotic fractures in the elderly. Several risk factors for these fractures were evaluated in this prospective study of 739 men and 1,105 women aged >=60 years in Dubbo, Australia. During follow-up (1989�1996), the respective incidences of humerus and of forearm and wrist fractures, per 10,000 person-years, were 22.6 and 33.8 for men and 54.8 and 124.6 for women. Independent predictors of humerus fracture were femoral neck bone mineral density (FNBMD) (relative risk (RR) = 2.3, 95% confidence interval (CI): 1.2, 4.5) in men and FNBMD (RR = 2.4, 95% CI: 1.7, 3.5) and height loss (RR = 1.1, 95% CI: 1.0, 1.2) in women. For forearm and wrist fractures, risk factors were FNBMD (men: RR = 1.5, 95% CI: 1.0, 2.3; women: RR = 1.5, 95% CI: 1.2, 1.9) and height loss (men: RR = 1.2, 95% CI: 1.0, 1.3; women: RR = 1.1, 95% CI: 1.0, 1.2). In addition, dietary calcium (men: RR = 2.0, 95% CI: 1.0, 3.6) and a history of falls (women: RR = 1.9, 95% CI: 1.4, 2.6) were also significant. These data suggest that elderly men and women largely share common risk factors for upper limb fractures and that FNBMD is the primary risk factor.
Keywords: aged; bone density; forearm; fractures; humeral fractures; humerus; osteoporosis; prospective studies