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Senile Osteoporosis
Osteoporoses Senile

Presentation

There was no evidence to suggest adrenal involution, or ;adrenopause', in any of the cases, and no changes were present to suggest that the osteoporosis was the result of terminal excess of ;anti-anabolic' steroids. [ncbi.nlm.nih.gov]

Close and Catherine Sherrington -- Medical treatment of age-related osteoporosis: present and future / Steven Boonen -- Treatment of osteoporosis in long-term care / Gustavo Duque and Louise Mallet -- Fracture care in the elderly / Christopher M. [worldcat.org]

Case contributed by Dr Kewal Arunkumar Mistry ◉ Diagnosis almost certain Diagnosis almost certain Presentation Kyphotic deformity, backache. [radiopaedia.org]

Best Iines fitted to these data and attenuation in all directions were presented. Results of this study indicate that ultrasonic velocity and modulus of elastioity increase with increasing frequency. [aott.org.tr]

At present the world practice has a great experience of hormone replacement therapy (HRT) based on administration of estrogens. [osteomed.su]

Musculoskeletal

  • Back Pain

    Signs of Senile Osteoporosis Low back pain is common, and may radiate from the back outwardly. Back pain is worse when standing, especially for prolonged periods, and is usually relieved by lying down. [osteoporosis.newlifeoutlook.com]

    Symptoms of senile osteoporosis include pain in the lower back, radiating through the back outwardly and in the standing position, back pain becomes adverse, extenuating through a lying down position. With this issue, mid-back fractures also arise. [beammed.com]

    Back pain due to vertebral fracture is a common expression of this disorder, yet surprisingly little information is available regarding the incidence of vertebral atrophy in older persons. [annals.org]

    A lumbosacral film was taken of all patients, who were then divided into two groups: patients with no back pain were graded as 0, 1 by Seville's index (normal group); and those who had frequent and longstanding back pain were graded as 2,3,4 by Seville's [healio.com]

    At such moments, the patient may feel back pain that is worse when walking or standing. In the case of compression fracture of multiple vertebrae simultaneously possible curvature of the spine, inducing muscle spasm and pain. [back.vsebolezni.com]

  • Bone Pain

    Pathological Fractures Osteoporosis has no symptoms until a fracture occurs, which causes bone pain, height loss, and abnormal spine curvature. [fortherecordmag.com]

    Pathological Fractures Multiple Wedge Fractures Osteoporosis has no symptoms until a fracture occurs, which causes bone pain, height loss, and abnormal spine curvature. [osteoporosisprotocols.com]

    D pathway, hypophosphatemia, hypophosphatasia, renal tubular acidosis Symptoms and signs Pain and tenderness at fracture site Generalized bone pain and tenderness Xray Axial fracture predominance Appendicular fracture predominance, symmetric, includes [orthobullets.com]

    This loss of bone strength may be asymptomatic for many years, although significant loss may be accompanied by fractures and bone pain. [rad.washington.edu]

    joint, or muscle pain. [physio-pedia.com]

  • Low Back Pain

    Signs of Senile Osteoporosis Low back pain is common, and may radiate from the back outwardly. Back pain is worse when standing, especially for prolonged periods, and is usually relieved by lying down. [osteoporosis.newlifeoutlook.com]

    “Epidural injections for the diagnosis and treatment of low-back pain.” Spine 5.1 (1980): 78-86. Leave a reply [beammed.com]

    Clinical studies on the conservative treatment of low back pain. New Medical Journal. 1976; 19:310-316. 2. Jahng JS, Kang KS, Kim MK. Osteoporosis and fracture of the proximal femur. New Medical Journal. 1987; 30:67-72. 3. [healio.com]

  • Bone Disorder

    Metabolic Bone Disorders Child VGHTC 201505 Osteoporotic Vertebral Fracture & Non-fracture Deformity BP III - Nutritional, metabolic, endocrine MEDS2144 Spinal and Pelvic Trauma Mod8 review MSK- Dr Ferreiro Metabolic Bone Disorders Nutritional Metabolic [radiopaedia.org]

    Differential Laboratory Abnormalities in Select Bone Disorders Etiology Serum Phosphate Serum Calcium Serum Alkaline Phosphatase Parathyroid Hormone Osteomalacia / rickets Decreased Decreased Increased Increased Osteoporosis Normal Normal Normal Normal [medbullets.com]

    Osteoporosis (os-te-o-po-RO-sis) is a disorder in which there is loss of bone density, which increases the likelihood of fracture. [humanillnesses.com]

  • Decrease in Height

    Clinical Signs and Symptoms [7] Back pain: Episodic, acute low thoracic/high lumbar pain Compression fracture of the spine Bone fractures Decrease in height Kyphosis Dowager’s hump Decreased activity tolerance Early satiety Associated Co-morbidities As [physio-pedia.com]

    […] loss of 1.5 inches (4 cm) or more since peak height at age 20 Height loss of 0.8 inches (2 cm) or more since a previously documented height measurement Recent or ongoing long-term glucocorticoid treatment If bone density testing is not available, vertebral [emedicine.medscape.com]

Workup

A medical workup to diagnose osteoporosis will include a complete medical history, x rays, and urine and blood tests. The doctor may also order a BMD (bone mineral density) test. [news-medical.net]

Screening at-risk populations is essential (see Workup). [emedicine.medscape.com]

Treatment

They displayed a columnar T-score>-3.5 and femoral T-score>-2.5, had been under antireabsorptive treatment since at least 12 months. [ncbi.nlm.nih.gov]

The osteometry, performed before treatment detected bone cavities (Fig. 2, 4, 6 – before treatment). After 10 months of treatment with «Osteomed forte» cavities have closed (Fig. 3, 5, 7). [osteomed.su]

Prognosis

The prognosis for osteoporosis is not deadly, but it does have its challenges. Increase in the likelihood of fractures, especially of the hip, present the greatest obstacle. [interactive-biology.com]

[…] less than resorption resulting in a net bone loss increased osteoclast activity is significant in areas of bone with large surface area such as the vertebral bodies, leading to vertebral compression fractures there is trabecular and cortical bone loss Prognosis [medbullets.com]

This lower fracture risk was independent of BMD and other risk factors. [69] Prognosis The prognosis for osteoporosis is good if bone loss is detected in the early phases and proper intervention is undertaken. [emedicine.medscape.com]

Non-weight-bearing, high force exercise were shown to have moderate effects at the femoral neck. [21] (level of evidence 1a) Clinical Considerations Metabolic bone diseases results in impaired healing rates, therefore should be considered when determining prognosis [physio-pedia.com]

Etiology

The etiologic factors that lead to senile osteoporosis still are unclear. Based on the available experimental and clinical evidence, we update our earlier proposal that zinc deficiency plays a role in the pathogenesis of senile osteoporosis. [ncbi.nlm.nih.gov]

Urinary 17-ketosteroid and 17-hydroxysteroid levels had been determined for a large number of women with symptomatic vertebral osteoporosis, but the data could not be interpreted for possible etiologic significance without FULL TEXT [annals.org]

After a complete evaluation, an attributable etiology of the fall was determined. [doi.org]

English: BL blood CF cerebrospinal fluid CI chemically induced CL classification CO complications CN congenital DI diagnosis DG diagnostic imaging DH diet therapy DT drug therapy EC economics EM embryology EN enzymology EP epidemiology EH ethnology ET etiology [decs.bvs.br]

Etiology Primary osteoporosis (most common form) Type I (postmenopausal osteoporosis): postmenopausal women Estrogen stimulates osteoblasts and inhibits osteoclasts. [amboss.com]

Epidemiology

[…] are inseparably superimposed. ” In this volume, Duque and Kiel have gathered an international panel of experts to highlight the unique features of senile osteoporosis and cons- eration of this disease spans the very basic through the clinical and the epidemiologic [books.google.de]

Kiel -- Fracture epidemiology among individuals 75+ / Heike A. Bischoff-Ferrari -- Falls as a geriatric syndrome: how to prevent them? how to treat them? / Manuel Montero-Odasso -- Non-pharmacological treatments for falls and fractures / Stephen R. [worldcat.org]

Definition Epidemiology Sex: ♀ > ♂ (∼ 4:1) Age of onset: 50–70 years Demographics: higher incidence in individuals of Asian, Hispanic and northern European ancestry than in black populations References:[1] Epidemiological data refers to the US, unless [amboss.com]

1987-89 Allowable Qualifiers English: BL blood CF cerebrospinal fluid CI chemically induced CL classification CO complications CN congenital DI diagnosis DG diagnostic imaging DH diet therapy DT drug therapy EC economics EM embryology EN enzymology EP epidemiology [decs.bvs.br]

Introduction Clinical definition decreased bone mass (osteopenia) that significantly increases the patient's risk of fracture Epidemiology incidence most common types of osteoporosis are post-menopausal senile risk factors post-menopausal women being [medbullets.com]

Pathophysiology

This study reviews new evidence on the pathophysiology of senile osteoporosis, with emphasis upon the mechanism of action of current osteoporosis treatments. [ncbi.nlm.nih.gov]

[…] awareness that osteo porosis is a treatable and partly preventable disease of the elderly, and not just the inevitable consequence of ageing, comes at a time of rapid progress in measurement of bone mass and in a better understanding of the physiology and pathophysiology [books.google.com]

[…] mass and microarchitectural deterioration of bone tissue leading to enhanced bone fragility and a consequent increase in fracture risk,” it is not clear that osteoporosis represents a single disease as much as a similar response of bone to different pathophysiologies [books.google.de]

Senile osteoporosis, formerly known as osteoporosis type II, has been recently recognized as a geriatric syndrome with a particular pathophysiology. [en.wikipedia.org]

Prevention

These findings suggest that administration of 1 alpha (OH)D3 is effective in preventing the occurrence of pathological fractures in senile osteoporosis. [ncbi.nlm.nih.gov]

Among these agents, oral bisphosphonates have been the first choice for the treatment and prevention of osteoporotic fractures. [doi.org]

talk to your doctor about the best way to prevent it. [healthline.com]

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