Cic edizioni internazionali
Clinical Cases in mineral and bone metabolism

Osteoporosis treatment following a low trauma wrist fracture presenting to the Accident and Emergency Department from 2011 to 2015

Original Article, 74 - 78
doi: 10.11138/ccmbm/2018.15.1.074
Tag this article
Abstract
Full text PDF
Objective. The aim of this study was to determine the treatment given to patients following a low trauma wrist fracture presenting to an Accident and Emergency (A&E) Department at a tertiary private hospital in Malaysia.
Methods. The records of patients over the age of 50 attending A&E Department from 2011-2015 with a diagnosis of Colles’/distal radius/wrist fracture were obtained. Information was extracted for those with a low trauma fracture. Data was analysed using IBM SPSS Statistics version 22.0 for Windows.
Results. 191 patients presented with a wrist fracture for the years 2011-2015. 57 of these were due to accidents which left 134 (70.2%) low trauma wrist fractures for analysis. The mean age of the patients was 61.75 ± 10.23 [standard deviation (SD)] years. There were 87 (64.9%) females, and 90 (67.2%) were of Chinese ethnicity. Following the index low trauma wrist fracture, 16/134 (11.9%) were given anti-osteoporotic medication. Of those given treatment, 11/16 (68.8%) were given calcium/vitamin D/activated vitamin D and only 5/16 (31.2%) were given active anti-osteoporotic treatment. The median duration of prescribed treatment was one month.
There was no significant difference in demographic factors between patients who were treated and not treated with anti-osteoporosis medication.
Conclusions. Currently, treatment for osteoporosis following low trauma wrist fractures in Malaysia is inadequate with only 11.9% receiving treatment, and in those who are treated, the median duration of treatment was only one month. This represents a missed opportunity for the prevention of future fractures.

Vol. XVI (No. 1) 2019 January - April

  1. From the Editor-in-Chief
    Brandi L.M.
  2. Perspective on the clinical practice management of hypovitaminosis D from a meeting of Italian experts
    Fassio A., Bertoldo F., Braga V., Brandi M.L., Calvieri S., Cianferotti L., Colao A., D'Amelio P., D'Avola G.M., Degli Esposti L., Frediani B., Giannini S., Giusti A., Gonnelli S., Malavolta N., Marcocci C., Minisola S., Napoli N., Nuti R., Passeri G., Rossini M., Sinigaglia L., Viapiana O., Vierucci F., Gatti D.
  3. Bone mineral density of lumbar spine and femoral neck assessed by novel echographic approach-Radiofrequency Echographic Multi Spectrometry (REMS)
    Kirilova E., Kirilov N., Popov I., Vladeva S.
  4. Neridronate therapy in the management of fracture risk
    Fassio A., Vntaggiato E., Gatti D.
  5. Effects of 3 years of ballet training on bone health, body composition, and physical performance in elite adolescent dancers
    Sommella A., Van den Wyngaert T., Gimigliano F., Stassijns G.
  6. Nutritional supplementation in hip fracture sarcopenic patients: a narrative review
    de Sire A., Invernizzi M., Lippi L., Curci C., Cisari C., Iolascon G.
  7. Osteoporosis in male patients: epidemiology, clinical aspects and DEXA Scan assessment
    Bisaccia M., Rinonapoli G., Meccariello L., Ripani U., Pace V., Rollo G., Ibáñez-Vicente C., Bisaccia O., Gómez-Garrido D., Guijarro-Leo S., De Masi De Luca A., Caraffa A.
  8. Atypical fractures of the femur: an updated overview from the laboratory to the operating room
    Carulli C., Zanna L., Ius L., Cozzi Lepri A., Villano M., Civinini R., Innocenti M.
  9. Management of musculoskeletal issues in Pompe disease
    Iolascon G., Liguori S., Paoletta M., Moretti A.
  10. Displaced patella fractures: percutaneous cerclage wiring and second arthroscopic look
    Bisaccia M., Caraffa A., Meccariello L., Ripani U., Bisaccia O., Gomez-Garrido D., Carrado-Gomez M., Pace V., Rollo G., Giaracuni M., Rinonapoli G.
  11. The biomechanical potential of the bone graft in the proximal ulna non-union surgery
    Rollo G., Bisaccia M., Franzese R., Pichierri P., Filipponi M., Giaracuni M., Gomez-Garrido D., Ripani U., De Cruto E., Pieretti G., Meccariello L.
  12. Atypical femoral fracture on a deformed bone, treated with a multimodal approach. A case report
    Cesari M., Mondanelli N., Gonnelli S., Caffarelli C., Bottai V., Giannotti S.
  13. The impact of rehabilitation on the health-related quality of life in patients with vertebral fragility fractures
    Falossi F., Mazzantini M., Bottai V., Raffaetà G.
  14. Generalized Lymphatic Anomaly: a case report
    Figliomeni A., Franchi A., Zampa V., Capanna R., Mazzantini M.
  15. A case of adult chronic recurrent multifocal osteomyelitis successfully treated with neridronate
    Fassio A., Adami G., Boninsegna E., Mansueto G., Guglielmi G., GiolloA., Rossini M., Gatti D.
  16. Lung cancer with hypertrophic pulmonary osteoarthropathy mimicking acromegaly
    Heon Song S., Young Jwa H., Won Ha C., Hoon Han S.
  17. Modulatory effect of mast cells in the pathology of peri-prosthetic fibrosis around a retrieved knee implant
    Hemalatha S.K., Madathil B.K., Joseph J., Sanchit Patnaik S., Agarwal M., Mohanty M., Sabareeswaran A.
Last Viewed articles: la lista degli ultimi x visitati.
  1. Osteoporosis treatment following a low trauma wrist fracture presenting to the Accident and Emergency Department from 2011 to 2015
    Sim Yeap S., Mat Akhir N.S., Thirunavukkarasu V., Thambiah S.C., Samsudin I.N., Zahari Sham S.Y., Balan P., Hew1 F.L., Chan S.P.
    doi: 10.11138/ccmbm/2018.15.1.074
credits