Distal Radius Fractures (DRF) are common fractures encountered in orthopedics within the elderly. As reported by Koval and Zuckerman (1998) the elderly have an increased number of DRF for numerous reasons including the fragility of osteopenic bone, postmenopausal osteoporosis and as a result of low energy trauma including trips and falls. According to Tortora and Derrickson (2009) they are more common in women than men because women’s bones are smaller, and the production of hormones in women declines dramatically at menopause, whereas only slightly in men. A study by Sennwald (1987) reported that after the age of 50, more than 85% of DRF occur in women, likely attributable to the impact of osteoporosis. Approximately one in seven women …show more content…
Measurements were taken at 6 weeks after cast removal and a follow up at 24 weeks. The results illustrated that after cast removal patients require no more than a single session of advice and exercise provided by a physiotherapist.
Randomisation was via concealed envelopes to ensure treatment and control groups are comparable. As concealed randomisation occurred, the validity of the results is improved. Subjects were randomly allocated to the two study groups to ensure both groups were as similar as possible in all aspects, apart from the treatment. The two groups were similar at baseline, 6 and 24 weeks following cast removal in relation to age, gender, wrist injured immobilisation period and K-wire fixation. This is important for comparisons.
45 patients were deemed eligible for this study however 4 did not enter due to individual circumstances, therefore, the trail started with 41 patients. Only 24.4% of patients were male because DRF are more common in women than men, likely due to the fact that bone density decreases with age and women are more likely to be affected by osteoporosis than men due to natural hormonal changes.
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“Differences in sex hormone production – especially the abrupt decline of estrogen in women – are responsible for inter-gender differences in the pathophysiology of osteoporosis” (Pietschmann, Rauner et al, 2009)
35 patients completed the innervation and testing at 6 weeks. Out
The primary cause of a fracture is trauma from car accidents, sports injuries and falls. The trauma may be a direct blow to the bone or an indirect force from muscle contractions or pulling on the bone. Other factors that may contribute to fractures include: vigorous exercise, malnutrition, genetic factors, and osteoporosis. The most common cause of a distal radius fracture is falling onto an outstretched arm (Ignatavicius & Workman, 2013). “Wrist fractures of the distal radius are common and may present special problems for the surgeon and therapist. There are several categories of distal radius fractures, but the Colles fracture of the distal radius is the most common injury to the wrist and may result in limitations in wrist flexion and extension, as well as forearm pronation and supination, resulting from the involvement of the distal radioulnar joint” (Early, p.613).
There are two types of osteoporosis that have been identified which are primary and secondary. Osteoporotic bones are thin and brittle and are prone to fracture. The bone loss involves both compact and spongy bone. In type I osteoporosis, which occurs typically in postmenopausal women, spongy bone loss predominates, occurring most prominently in the vertebrae and distal radius (Gueldner, Burke, Smiciknas-Wright, 2000). Major complications of type I osteoporosis are crush fractures of the vertebral bodies and the distal end of the radius. Type II, or old-age, osteoporosis is characterized by a proportional loss of compact and spongy bone of the long bones (Gueldner, Burke, Smiciknis-Wright). The most serious fractures of old age are those of
Osteoporosis is a disease of bone that leads to an increased risk of fracture. In osteoporosis the bone mineral density (BMD) is reduced, bone microarchitecture is disrupted, and the amount and variety of non-collagenous proteins in bone is altered. Osteoporosis is defined by the World Health Organization (WHO) in women as a bone mineral density 2.5 standard deviations below peak bone mass (20-year-old healthy female average) as measured by DXA; the term "established osteoporosis" includes the presence of a fragility fracture.[1] Osteoporosis is most common in women after menopause, when it is called postmenopausal osteoporosis, but may also develop in men, and may occur in anyone in the presence of particular hormonal
Osteoporosis is an age related disorder, more common in females compared to males. Osteoporosis is defined as a “skeletal disorder characterized by compromised bone strength predisposing to increased risk of fractures (Manolagaas, 2014). Osteoporosis is defined as “a disease characterized by low bone mass and deterioration of bone tissue (What is osteoporosis?2014). Osteoporosis is sometimes also referred as “silent thief” as the bone loss occurs very slowly and silently without any symptoms (Osteoporosis facts & statistics.2014). The most common site for fracture due to osteoporosis is hip followed by humerus (Woltman & den Hoed, 2010) . Osteoporosis can occur at any age, although it is a disorder common in females (especially post-menopausal females). Everyone is prone to osteoporosis (Osteoporosis facts & statistics.2014). According to Osteoporosis Canada, 1 in 3 Canadian females and 1 in 5 Canadian males may suffer fractures due to osteoporosis during their lifetime (Osteoporosis facts & statistics.2014). Canadian health care system spends 1.2 billion dollars for the acute hospitalization caused by osteoporosis and in 2010 the health care system spent 3.9 billion dollars for the total treatment of osteoporosis (Osteoporosis facts & statistics.2014). Osteoporosis can be screened and diagnosed by various methods; however the dual energy x ray absorptiometry (DXA) is commonly used. If the T-score values are less than -1 and greater than -2.5SD it is termed as osteopenia,
Osteoporosis occurs when bones lose their strength and density. They become fragile, weak, and brittle, this means that the bones are more likely to fracture. Osteoporosis particularly affects women after menopause and in their later years. However, some men may also be affected. Activity and a healthy diet rich in calcium and vitamin D can help prevent osteoporosis. It affects one of every two women and one out of every five men, according to Centers for Disease Control and Prevention (CDC).
Osteoporosis is a major public heath treat for more than 28 million Americans, 80 percent of whom are women. In the U.S. today, 10 million individuals
According to Judith (2010), Osteoporosis is a loss of the reabsorption in the bones by way of calcium, plasma, and phosphate. Estrogen production helps bones metabolism by stimulating osteoblastic activity and limiting osteoclastic effects of the parathyroid hormone. It develops when the new formation of bones fall behind in the reabsorption process (Judith, 2010). In simpler terms, it’s a loss of bone mass due to a metabolic bone disorder affected by the rate of bone resorption advances while the rate of the bone formation reduces. According to Judith (2010), the bones end up losing calcium, phosphates and end up brittle making them prone to fractures and further complications (P . 236).
Nearly 55 million Americans are estimated to have osteoporosis, making it one of the most common diseases among American seniors. According to the Centers for Disease Control, 50 percent of women and 25 percent of men over the age of 50 will end up a broken bone as a result of osteoporosis. In fact, according to May Clinic,
Objectives: 1. Evaluate the impact of RA on bone mineral density (BMD) on non-menopausal women. 2. Examine variables associated with low BMD in patients with RA.
Osteoporosis is a common health concern globally. It has been estimated that 1 in 3 women in the United States suffers from osteoporosis and related fractures after menopausal age. According to the existing evidence, elderly patients have received inefficient attention regarding osteoporosis prevention or treatment. Moreover, physicians have practiced insufficiently in the prescription of anti-osteoporosis medication. Since the condition has a silent progressive process and presents with debilitating fractures, prompt diagnosis is of crucial importance to prevent morbidity and mortality.
Osteoporosis is an imbalance between bone loss and bone remodeling. Basically the bone density has become extremely low causing much pain and a higher chance of fractures and or bone breakages. Bone remodeling is responsible for removing mature bone tissue and replacing it with new bone tissue. This disease is more common in older adults, Asians, and Hispanics due to the lack of calcium consumption. Women are often more prone to getting osteoporosis than men because women are born with less bone mass than men. This disease often occurs if full bone mass was not achieved during the bone-building years.
According to the National Osteoporosis Foundation, “About 54 million Americans have osteoporosis and low bone mass, placing them at increased risk for osteoporosis. Studies suggest that approximately one in two women and up to one in four men age 50 and older will break a bone due to osteoporosis.” The bone disorder may be common, but there are many risk factors for osteoporosis. Osteoporosis usually happens with elders, especially in postmenopausal women. According to Human Anatomy and
The National Osteoporosis Foundation1 (NOF) claim approximately 54 million Americans live with osteoporosis. According to the NOF, osteoporosis can be characterized as a disorder in which an individual’s body breaks down bone at a rate faster than it can be created and as a result bones lose density and weaken.1 Fracturing of bones occurs much easier, and individuals with osteoporosis often are forced to change their lifestyles in order to adapt to living with this disorder.1 Osteoporosis is most commonly diagnosed in individuals older than 50 years of age, postmenopausal women, and those taking steroid treatments.1 Certain criterion exist to evaluate the efficacy of osteoporosis medications: bone mineral density (BMD), bone
Osteoporosis is characterized by low bone mineral density and the decay of bone fibers resulting in weaker bones; making bones deteriorated and vulnerable to fractures (Sharma and Khandelwal., 2010). Osteoporosis is a disease that affects men and women. According to a study half of the women and one-eighth of the men would suffer from bone fractures caused by osteoporosis during their life span (Anders, Tuner, and Freeman, 2013). Osteoporosis turns into a considerable health problem mainly for women after menopausal years; as women aged their Bone Mineral Density (BMD) decreases as the risks of bone fractures increase (Mendoza-Romo et al., 2014). Why are women at risk of developing osteoporosis? Bone health is directly
Osteoporosis in aging women is an important topic. Of the estimated 10 million Americans with osteoporosis, about eight million or 80% are women (www.nof.org). This statistic show that osteoporosis is common and is a major public health issue. This devastating disease is prevalent among middle aged and older women. Research indicates that it is estimated that 200 million women have osteoporosis (Lane, 2006).This statistic is indication that all women should be concerned about this disease and how it can affect them as they age. After the age of 50 years the prevalence of osteoporosis and incidence of osteoporosis fractures rise substantially with age (Chua, Nandi, & Masud, 2011, p. 279) According to the American Academy of Orthopedic