By Ehab Abusinna
OSTEOPOROSIS - WHO
Systemic skeletal disease characterized by low bone
mass and micro architectural deterioration of bone
tissue with a consequent increase in bone fragility
and susceptibility to fracture which usually involves
the wrist ,spine, hip, pelvis, ribs or humerus.
Most common of all metabolic bone disorders
Significant morbidity(50% for hip fractures)
and mortality(20% for hip fractures in 1 year)
Lifetime Osteoporotic Fracture Risk(Caucasian)
Men - 20%
Preventive therapies available.
Low bone density
Micro architectural deterioration
Low calcium intake
Low vitamin D intake
Excessive intake of
protein, sodium and caffeine
Smoking , Alcohol abuse
RISK INCREASED BY:
F – sex
White Race (↓ black)
• Osteoporosis, the "silent
disease," has bone loss
• Onset only occurs with
sudden strains, bumps,
or fall causes a fracture
or a vertebra to collapse.
• Collapsed vertebrae may
initially be felt or seen in the form of severe back
pain, loss of height, or spinal deformities such as
kyphosis or stooped posture.
• Prevent further bone loss
• Increase or at least stabilize bone density.
• Relieve pain and prevent fracture.
• Increase level of physical functioning
• Increase quality of life
Goals of management
Ca 1200 mg/day
Vitamin D:- 400-2000 IU / day
S E R M S
Each year, one in three Ontarians over
of 65 will take a serious tumble that
them in hospital with a broken hip.
One in three
of those who do break their hip will
a year. Two thirds will experience
symptoms. Most will never see home