This document discusses the Bone and Joint Decade from 2000-2010 declared by the WHO. It aimed to raise awareness of musculoskeletal disorders, empower patients, promote prevention and treatment, and further research. In Indonesia, professional associations like IRA and PERSI responded by establishing organizations like YATUSI to focus on disorders like osteoporosis and osteoarthritis. The goals of the decade were to address the growing burden of musculoskeletal disorders through awareness, patient empowerment, cost-effective care, and furthering research.
- Bone and joint problems like arthritis are common causes of pain, stiffness, and impaired mobility and can negatively impact daily life and the economy. However, they often do not receive adequate awareness or attention.
- The most common types of musculoskeletal problems are osteoarthritis, rheumatoid arthritis, gout, and spinal disorders. They affect hundreds of millions of people worldwide, especially those over 60 years of age.
- Lifestyle factors like exercise, diet, weight management, and early treatment can help prevent and manage joint problems. Recent medical advances have also improved treatments for arthritis.
This document discusses several topics related to total knee arthroplasty (TKA), including:
1. Expectations for recovery after TKA are often misaligned between patients and surgeons, with over 50% of patients expecting higher levels of function than surgeons.
2. Moderate sports and physical activity after TKA do not appear to negatively impact implant durability or increase revision rates in the short or medium term. High-impact sports should still be avoided.
3. Knee rehabilitation protocols must account for numerous patient-specific variables to optimize outcomes, such as age, BMI, pre-operative activity level, type of implant, and adherence to home exercises. A one-size-fits-all approach is inadequate.
The Battle 2021 Castrocaro Terme (Italy). Achilles Insertional Tendinopathy a...Nicola Taddio
ย
The aim of this presentation is to explain the background of Achilles Insertional Tendinopathy and Haglund's Triad, the rationale of conservative treatment and finally the therapeutic exercise evidence based approach.
Studying relation between sitting position and knee osteoarthritiiosrjce
ย
Osteoarthritis (OA) of the knee is the most common form of arthritis and leads to more activity
limitations (e.g., disability in walking and stair climbing) than any other disease, especially in the elderly. The
aim of this study was to clarify the relationship between the sitting position and knee osteoarthritis. The study
involved fat males of knee pain and clinical diagnosis of early knee osteoarthritis this research is applied and
the research method is "descriptive-correlative". In order to collecting data was used questionnaire tool. Also,
in order to analyzing data was used statistical method such as Pierson coefficient and Chi-squared test. Data is
analyzed from both descriptive and inferential statistics. Descriptive statistics and graphs on the table will
describe the characteristics of the study sample. The researcher to analyze the hypotheses used Chi-square
method. The statistical society is Osteoarthritis disease males.
A short slide show from http://www.tristateorthotc.com/orthopaedic-services/sports-medicine.html on the basic anatomy of the knee, common injuries, treatment for mild injuries, and when tot see a doctor.
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Surgical relapse /certified fixed orthodontic courses by Indian dental academy Indian dental academy
ย
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
- Bone and joint problems like arthritis are common causes of pain, stiffness, and impaired mobility and can negatively impact daily life and the economy. However, they often do not receive adequate awareness or attention.
- The most common types of musculoskeletal problems are osteoarthritis, rheumatoid arthritis, gout, and spinal disorders. They affect hundreds of millions of people worldwide, especially those over 60 years of age.
- Lifestyle factors like exercise, diet, weight management, and early treatment can help prevent and manage joint problems. Recent medical advances have also improved treatments for arthritis.
This document discusses several topics related to total knee arthroplasty (TKA), including:
1. Expectations for recovery after TKA are often misaligned between patients and surgeons, with over 50% of patients expecting higher levels of function than surgeons.
2. Moderate sports and physical activity after TKA do not appear to negatively impact implant durability or increase revision rates in the short or medium term. High-impact sports should still be avoided.
3. Knee rehabilitation protocols must account for numerous patient-specific variables to optimize outcomes, such as age, BMI, pre-operative activity level, type of implant, and adherence to home exercises. A one-size-fits-all approach is inadequate.
The Battle 2021 Castrocaro Terme (Italy). Achilles Insertional Tendinopathy a...Nicola Taddio
ย
The aim of this presentation is to explain the background of Achilles Insertional Tendinopathy and Haglund's Triad, the rationale of conservative treatment and finally the therapeutic exercise evidence based approach.
Studying relation between sitting position and knee osteoarthritiiosrjce
ย
Osteoarthritis (OA) of the knee is the most common form of arthritis and leads to more activity
limitations (e.g., disability in walking and stair climbing) than any other disease, especially in the elderly. The
aim of this study was to clarify the relationship between the sitting position and knee osteoarthritis. The study
involved fat males of knee pain and clinical diagnosis of early knee osteoarthritis this research is applied and
the research method is "descriptive-correlative". In order to collecting data was used questionnaire tool. Also,
in order to analyzing data was used statistical method such as Pierson coefficient and Chi-squared test. Data is
analyzed from both descriptive and inferential statistics. Descriptive statistics and graphs on the table will
describe the characteristics of the study sample. The researcher to analyze the hypotheses used Chi-square
method. The statistical society is Osteoarthritis disease males.
A short slide show from http://www.tristateorthotc.com/orthopaedic-services/sports-medicine.html on the basic anatomy of the knee, common injuries, treatment for mild injuries, and when tot see a doctor.
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Surgical relapse /certified fixed orthodontic courses by Indian dental academy Indian dental academy
ย
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
This newsletter provides summaries of recent sports medicine publications related to the shoulder, hip, knee, ankle, and general orthopaedic topics. It announces collaborations between the British Orthopaedic Sports Trauma and Arthroscopy Association (BOSTAA) and the American Orthopaedic Society for Sports Medicine to publish the open access Orthopaedic Journal of Sports Medicine. The newsletter lists the BOSTAA board members and past presidents and their objectives to advance research and clinical practice in sports medicine.
The anterior cruciate ligament (ACL) is the most commonly injured knee ligament. It can tear when the knee is twisted or hyperextended, often during sports. ACL injuries have increased as sports have grown in popularity. While initial treatment focuses on reducing swelling and pain, many patients require reconstructive surgery followed by months of rehabilitation. Females are particularly at risk of ACL tears due to anatomical and hormonal factors. Prevention programs aim to strengthen muscles to reduce this risk.
This document discusses various types of sports injuries and how athletes cope with them. It notes that injuries can be short-term, long-term, or career-ending. While physical rehabilitation is important, psychological coping strategies can help athletes recover faster from injuries. Common injuries differ between male and female athletes due to anatomical differences. Career-ending injuries force early retirement, as illustrated by examples in football, basketball, and baseball.
The document discusses stress fractures in athletes. It describes how repetitive loading can lead to microdamage in bone that exceeds the bone's remodeling ability, resulting in stress fractures. It then outlines a study on the effects of extracorporeal shockwave therapy (ESWT) on tibial stress fractures in athletes. The study found that ESWT significantly reduced pain and improved recovery time, allowing athletes to return to full activity and training several months sooner than untreated fractures.
1) The document discusses rehabilitation of articular cartilage lesions in athletes' knees. It focuses on focal lesions, advanced full-thickness lesions, and bone bruises.
2) Risk factors for developing cartilage lesions include joint injuries, biomechanics, genetics, activities, and biochemistry. Injuries to the ACL and meniscus may increase risk.
3) Treatment for young athletes with cartilage lesions is difficult and limited in success. The document discusses evaluation and non-operative treatment strategies.
The document describes a new artificial knee joint replacement called the Orthogenua Joint Replacement. It is designed to integrate permanently with the patient's bone using their own stem cells and biodegradable materials. This would allow for increased mobility and flexibility compared to current replacements, which often need to be replaced after 10-15 years as they wear down. The joint replacement will be tested in goats to evaluate bone integration and durability over time compared to a healthy joint. If successful, this permanent replacement could improve the lives of athletes and others by eliminating the need for multiple revision surgeries over a lifetime.
ACL Bracing - Helping With Prevention, Protection & Healing | DJO GlobalPaula Story
ย
DonJoy pioneered functional knee bracing over 30 years ago with simple neoprene sleeves. They have since led the profession by studying the body, listening to athletes, consulting physicians, and innovating new products. Today, DonJoy braces are used in over 44 countries by competitors and prescribed by medical professionals. The document then discusses the misconceptions around knee bracing and how DonJoy braces like the Defiance model provide protection, prevention, and healing support through customized designs backed by clinical research.
Crimson Publishers-Fragility Hip Fracture and Sarcopenia: Which One Comes Fir...CrimsonPublishersGGS
ย
The document discusses how sarcopenia, the loss of skeletal muscle mass and strength that occurs with aging, is an important risk factor for fragility fractures in elderly patients. It explains that sarcopenia can both lead to falls, the main cause of fractures, and result from immobilization after a hip fracture. The author argues that prevention and treatment of sarcopenia should be a priority in fragility fracture prevention programs.
Orthopedics is the medical specialty that focuses on injuries and diseases of your body's musculoskeletal system. This complex system includes your bones, joints, ligaments, tendons, muscles, and nerves and allows you to move, work, and be active.
Injury prevention for female field hockey players sport coaching pedagogyniinaflaherty
ย
This document discusses common injuries among female field hockey players and strategies for prevention. The most common injuries are to the lower limbs (ankle sprains and muscle strains), head/face (concussions and impact traumas), and lower back pain. Prevention strategies include ankle taping, balance training, protective gear, rule changes to reduce collisions, flexibility and strength training, and proper warm-up/cool-down techniques. Coaches are encouraged to be aware of injury patterns and risks in order to implement prevention strategies.
Campbells operative orthopaedics 12th edition=My contribution is there on pag...Krishnamohan Iyer
ย
This document provides a list of references related to complications following total hip arthroplasty. It includes references related to general complications, heterotopic ossification (abnormal bone formation), and thromboembolism (blood clots). The references discuss prevention, treatment, and classification of various complications that can occur after total hip replacement surgery.
This document provides information about joint pain, its causes, and arthritis pain relief. It discusses how joint pain is often caused by systemic lupus erythematosus and can affect any part of the body, especially the hips, shoulders, and knees. Common causes of joint pain include arthritis, injury from sports, excess weight over time, and general wear and tear on cartilage. The document also describes different types of arthritis like osteoarthritis and rheumatoid arthritis and emphasizes the importance of seeking medical treatment for joint pain and arthritis.
This document discusses the management of bone defects in shoulder instability. It reviews several studies on the long-term outcomes of arthroscopic Bankart repair and open Latarjet procedures. The key points made are that bone loss, especially over 20%, is a major risk factor for recurrence of instability. The Latarjet procedure is likely the most reliable option for significant bone loss or patients with multiple risk factors. While arthroscopic Latarjet is becoming more common, complications rates remain high, similar to the open technique. Further improvements and standardization of graft placement are still needed to reduce risks. In complex cases of bone loss, the Latarjet may provide the best chance of avoiding recurrent instability.
The anterior cruciate ligament (ACL) is a key ligament in the knee that prevents anterior tibial translation and rotational loads. It frequently tears during high-impact sports. The ACL inserts on the femur and tibia and is composed of two bundles that restrain movement differently based on knee flexion angle. While partial ACL tears may be treated nonsurgically, complete tears typically require surgical reconstruction using a graft to replace the torn ligament. Postoperative rehabilitation focuses initially on regaining range of motion and strength before gradually progressing to sport-specific activities.
Osteoarthritis is defined by the presence of joint damage and is most commonly diagnosed through x-ray imaging. While many older individuals have radiographic evidence of osteoarthritis, only a portion experience joint pain and symptoms. The most frequently affected joints are the spine, fingers, knees and hips. Standard x-rays can reveal signs like reduced joint space, bone spurs and cysts. MRI may provide additional details on cartilage damage and other abnormalities but is generally not needed for routine osteoarthritis diagnosis and management.
Effects of, osteoarthritis, revised final (1)HMENI
ย
Arthritis is noted as one of the commonest health problem contributing significantly to the escalating cases of disability among adult people in the United States of America and even in many nations (Arthritis Foundation, 2017). Therefore, if an immediate strategy to arrest the situation is ignored, it is anticipated that the problem will be rampant in the near future. The problem is commonly manifested among the aging individual, though there are a number of risk factors contributing to its occurrences. Arthritis is mainly characterized by joint pains and stiffness and these symptoms worsen as the individual advances in aging (Shlotzhauer, 2014). Although there are two common types of arthritis, osteoarthritis, and rheumatoid arthritis, it is noted that a number of different types also occur. Among them include, Rheumatism, Bursitis, Gout, Osteoporosis, Osteoarthritis, Spinal Stenosis, Systemic Sclerosis and among others (Arthritis Foundation, 2017).
Osteoarthritis in young and active individualsKavin Khatri
ย
Osteoarthritis can affect younger, active individuals and is challenging to diagnose in this population due to their higher pain tolerance; major risk factors include obesity, lack of exercise, injury to joints from improper training or playing, and defects in leg alignment like genu varum or genu valgum that increase pressure on cartilage. The document discusses osteoarthritis in young active individuals, risk factors like obesity, lack of exercise, injury, and leg alignment defects, and challenges diagnosing the condition in this population.
This document discusses the classification and structure of joints in the human body. It begins by defining joints as the places where two or more bones meet, and classifies joints based on their structure (fibrous, cartilaginous, synovial) and function (immovable, slightly movable, freely movable). The majority of the document then focuses on describing the key characteristics and examples of each type of structural and functional joint classification. It concludes by explaining the movements that occur at synovial joints, including gliding, angular, rotational, and special movements.
This document summarizes key points about joints from Chapter 8 of the textbook "Human Anatomy & Physiology". It discusses the classification of joints, examples of different types of synovial joints like the knee, shoulder, elbow and hip, common joint injuries and conditions such as sprains, dislocations and arthritis. It also covers developmental aspects of joints and how they are affected by aging.
This document discusses osteoporosis management and the efficacy and safety of bisphosphonates. It begins with an overview of the burden of osteoporosis, noting that over 2.5 million people in Indonesia have osteoporosis and over 88 million have osteopenia. It then reviews screening and treatment guidelines before focusing on bisphosphonates. The document discusses the efficacy of various bisphosphonates at reducing fractures based on clinical trials. It also reviews controversial issues associated with long-term bisphosphonate use such as osteonecrosis of the jaw, atypical fractures, atrial fibrillation, and esophageal cancer. It concludes by noting that annual zoledronic acid injections can significantly reduce hip,
This newsletter provides summaries of recent sports medicine publications related to the shoulder, hip, knee, ankle, and general orthopaedic topics. It announces collaborations between the British Orthopaedic Sports Trauma and Arthroscopy Association (BOSTAA) and the American Orthopaedic Society for Sports Medicine to publish the open access Orthopaedic Journal of Sports Medicine. The newsletter lists the BOSTAA board members and past presidents and their objectives to advance research and clinical practice in sports medicine.
The anterior cruciate ligament (ACL) is the most commonly injured knee ligament. It can tear when the knee is twisted or hyperextended, often during sports. ACL injuries have increased as sports have grown in popularity. While initial treatment focuses on reducing swelling and pain, many patients require reconstructive surgery followed by months of rehabilitation. Females are particularly at risk of ACL tears due to anatomical and hormonal factors. Prevention programs aim to strengthen muscles to reduce this risk.
This document discusses various types of sports injuries and how athletes cope with them. It notes that injuries can be short-term, long-term, or career-ending. While physical rehabilitation is important, psychological coping strategies can help athletes recover faster from injuries. Common injuries differ between male and female athletes due to anatomical differences. Career-ending injuries force early retirement, as illustrated by examples in football, basketball, and baseball.
The document discusses stress fractures in athletes. It describes how repetitive loading can lead to microdamage in bone that exceeds the bone's remodeling ability, resulting in stress fractures. It then outlines a study on the effects of extracorporeal shockwave therapy (ESWT) on tibial stress fractures in athletes. The study found that ESWT significantly reduced pain and improved recovery time, allowing athletes to return to full activity and training several months sooner than untreated fractures.
1) The document discusses rehabilitation of articular cartilage lesions in athletes' knees. It focuses on focal lesions, advanced full-thickness lesions, and bone bruises.
2) Risk factors for developing cartilage lesions include joint injuries, biomechanics, genetics, activities, and biochemistry. Injuries to the ACL and meniscus may increase risk.
3) Treatment for young athletes with cartilage lesions is difficult and limited in success. The document discusses evaluation and non-operative treatment strategies.
The document describes a new artificial knee joint replacement called the Orthogenua Joint Replacement. It is designed to integrate permanently with the patient's bone using their own stem cells and biodegradable materials. This would allow for increased mobility and flexibility compared to current replacements, which often need to be replaced after 10-15 years as they wear down. The joint replacement will be tested in goats to evaluate bone integration and durability over time compared to a healthy joint. If successful, this permanent replacement could improve the lives of athletes and others by eliminating the need for multiple revision surgeries over a lifetime.
ACL Bracing - Helping With Prevention, Protection & Healing | DJO GlobalPaula Story
ย
DonJoy pioneered functional knee bracing over 30 years ago with simple neoprene sleeves. They have since led the profession by studying the body, listening to athletes, consulting physicians, and innovating new products. Today, DonJoy braces are used in over 44 countries by competitors and prescribed by medical professionals. The document then discusses the misconceptions around knee bracing and how DonJoy braces like the Defiance model provide protection, prevention, and healing support through customized designs backed by clinical research.
Crimson Publishers-Fragility Hip Fracture and Sarcopenia: Which One Comes Fir...CrimsonPublishersGGS
ย
The document discusses how sarcopenia, the loss of skeletal muscle mass and strength that occurs with aging, is an important risk factor for fragility fractures in elderly patients. It explains that sarcopenia can both lead to falls, the main cause of fractures, and result from immobilization after a hip fracture. The author argues that prevention and treatment of sarcopenia should be a priority in fragility fracture prevention programs.
Orthopedics is the medical specialty that focuses on injuries and diseases of your body's musculoskeletal system. This complex system includes your bones, joints, ligaments, tendons, muscles, and nerves and allows you to move, work, and be active.
Injury prevention for female field hockey players sport coaching pedagogyniinaflaherty
ย
This document discusses common injuries among female field hockey players and strategies for prevention. The most common injuries are to the lower limbs (ankle sprains and muscle strains), head/face (concussions and impact traumas), and lower back pain. Prevention strategies include ankle taping, balance training, protective gear, rule changes to reduce collisions, flexibility and strength training, and proper warm-up/cool-down techniques. Coaches are encouraged to be aware of injury patterns and risks in order to implement prevention strategies.
Campbells operative orthopaedics 12th edition=My contribution is there on pag...Krishnamohan Iyer
ย
This document provides a list of references related to complications following total hip arthroplasty. It includes references related to general complications, heterotopic ossification (abnormal bone formation), and thromboembolism (blood clots). The references discuss prevention, treatment, and classification of various complications that can occur after total hip replacement surgery.
This document provides information about joint pain, its causes, and arthritis pain relief. It discusses how joint pain is often caused by systemic lupus erythematosus and can affect any part of the body, especially the hips, shoulders, and knees. Common causes of joint pain include arthritis, injury from sports, excess weight over time, and general wear and tear on cartilage. The document also describes different types of arthritis like osteoarthritis and rheumatoid arthritis and emphasizes the importance of seeking medical treatment for joint pain and arthritis.
This document discusses the management of bone defects in shoulder instability. It reviews several studies on the long-term outcomes of arthroscopic Bankart repair and open Latarjet procedures. The key points made are that bone loss, especially over 20%, is a major risk factor for recurrence of instability. The Latarjet procedure is likely the most reliable option for significant bone loss or patients with multiple risk factors. While arthroscopic Latarjet is becoming more common, complications rates remain high, similar to the open technique. Further improvements and standardization of graft placement are still needed to reduce risks. In complex cases of bone loss, the Latarjet may provide the best chance of avoiding recurrent instability.
The anterior cruciate ligament (ACL) is a key ligament in the knee that prevents anterior tibial translation and rotational loads. It frequently tears during high-impact sports. The ACL inserts on the femur and tibia and is composed of two bundles that restrain movement differently based on knee flexion angle. While partial ACL tears may be treated nonsurgically, complete tears typically require surgical reconstruction using a graft to replace the torn ligament. Postoperative rehabilitation focuses initially on regaining range of motion and strength before gradually progressing to sport-specific activities.
Osteoarthritis is defined by the presence of joint damage and is most commonly diagnosed through x-ray imaging. While many older individuals have radiographic evidence of osteoarthritis, only a portion experience joint pain and symptoms. The most frequently affected joints are the spine, fingers, knees and hips. Standard x-rays can reveal signs like reduced joint space, bone spurs and cysts. MRI may provide additional details on cartilage damage and other abnormalities but is generally not needed for routine osteoarthritis diagnosis and management.
Effects of, osteoarthritis, revised final (1)HMENI
ย
Arthritis is noted as one of the commonest health problem contributing significantly to the escalating cases of disability among adult people in the United States of America and even in many nations (Arthritis Foundation, 2017). Therefore, if an immediate strategy to arrest the situation is ignored, it is anticipated that the problem will be rampant in the near future. The problem is commonly manifested among the aging individual, though there are a number of risk factors contributing to its occurrences. Arthritis is mainly characterized by joint pains and stiffness and these symptoms worsen as the individual advances in aging (Shlotzhauer, 2014). Although there are two common types of arthritis, osteoarthritis, and rheumatoid arthritis, it is noted that a number of different types also occur. Among them include, Rheumatism, Bursitis, Gout, Osteoporosis, Osteoarthritis, Spinal Stenosis, Systemic Sclerosis and among others (Arthritis Foundation, 2017).
Osteoarthritis in young and active individualsKavin Khatri
ย
Osteoarthritis can affect younger, active individuals and is challenging to diagnose in this population due to their higher pain tolerance; major risk factors include obesity, lack of exercise, injury to joints from improper training or playing, and defects in leg alignment like genu varum or genu valgum that increase pressure on cartilage. The document discusses osteoarthritis in young active individuals, risk factors like obesity, lack of exercise, injury, and leg alignment defects, and challenges diagnosing the condition in this population.
This document discusses the classification and structure of joints in the human body. It begins by defining joints as the places where two or more bones meet, and classifies joints based on their structure (fibrous, cartilaginous, synovial) and function (immovable, slightly movable, freely movable). The majority of the document then focuses on describing the key characteristics and examples of each type of structural and functional joint classification. It concludes by explaining the movements that occur at synovial joints, including gliding, angular, rotational, and special movements.
This document summarizes key points about joints from Chapter 8 of the textbook "Human Anatomy & Physiology". It discusses the classification of joints, examples of different types of synovial joints like the knee, shoulder, elbow and hip, common joint injuries and conditions such as sprains, dislocations and arthritis. It also covers developmental aspects of joints and how they are affected by aging.
This document discusses osteoporosis management and the efficacy and safety of bisphosphonates. It begins with an overview of the burden of osteoporosis, noting that over 2.5 million people in Indonesia have osteoporosis and over 88 million have osteopenia. It then reviews screening and treatment guidelines before focusing on bisphosphonates. The document discusses the efficacy of various bisphosphonates at reducing fractures based on clinical trials. It also reviews controversial issues associated with long-term bisphosphonate use such as osteonecrosis of the jaw, atypical fractures, atrial fibrillation, and esophageal cancer. It concludes by noting that annual zoledronic acid injections can significantly reduce hip,
Distraction osteogenesis 2 /certified fixed orthodontic courses by Indian den...Indian dental academy
ย
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
This document defines osteoporosis and discusses its epidemiology, pathophysiology, risk factors, clinical features, diagnosis and treatment. Osteoporosis is defined as a systemic skeletal disease characterized by low bone density and deterioration of bone tissue, leading to increased bone fragility and fracture risk. It most commonly affects post-menopausal women and the elderly. Diagnosis involves assessing bone mineral density via DEXA scan and evaluating risk factors. Treatment focuses on lifestyle modifications and medications to prevent bone loss and fractures.
World Osteoporosis Day was launched in 1996 to raise awareness about osteoporosis and bone health. It is now organized by the International Osteoporosis Foundation and calls for global action to prevent fractures caused by osteoporosis. Key messages emphasize that osteoporosis is a major cause of debilitating spine fractures, many of which go undiagnosed. Family history and signs like back pain or loss of height could indicate risk of osteoporotic fractures.
Miacalcic Training 2004 Platform Syr April 03haithamo
ย
The document provides information about MIACALCICยฎ Nasal Spray, a treatment for post-menopausal osteoporosis. It discusses the development and approval of the nasal spray formulation of calcitonin-salmon for this indication. It also provides background information on osteoporosis prevalence, risk factors, consequences such as fractures, and the role of bone remodeling and calcium homeostasis in the disease.
This is a short educational presentation on osteoporosis and its causes. This presentation also gives brief idea of management and prevention of osteoporosis.
Dr. Ujjwal Kanti Debnath is a British and Indian dual citizen orthopaedic and spine surgeon. He has over 30 years of experience working in India, the UK, Bahrain, and Ireland. He specializes in spine surgery, joint replacement, and trauma surgery. He has performed over 3,600 surgeries. Additionally, he founded "Operation Straight Spine", a philanthropic organization that has provided spinal surgeries and care for over 150 underprivileged children and adults in India.
This document describes two stem cell therapy cases. The first case involves a 62-year-old dentist who received an injection of 120cc of bone marrow-derived mesenchymal stem cells (BMAC) to treat osteoarthritis in both knees and his right wrist. The second case involves a 67-year-old female who was a candidate for foot fusion surgery but instead received an injection of concentrated BMAC cells into her foot to treat her condition. The document discusses the procedures performed in both cases and provides references supporting the use of stem cells to treat osteoarthritis and bone/cartilage conditions.
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Osteoporosis is a condition where bone density decreases and bone architecture deteriorates, making bones brittle and prone to fracture. It is most common in older adults, especially postmenopausal women. Risk factors include age, gender, family history, small frame size, certain medications and lack of exercise. Screening with a DEXA scan measures bone mineral density via a T-score, with scores below -2.5 indicating osteoporosis. Treatment focuses on lifestyle changes like weight-bearing exercise, adequate calcium intake and potentially medications. Physical therapy can help develop safe exercise routines and provide guidance on posture and fall prevention.
Facts and figures about osteoporosis in rural india11sigedar.prakash2
ย
Dr. Prakash Sigedar is a consulting orthopedic surgeon who has received several awards and holds leadership positions in orthopedic associations. He summarizes that bone fragility is a major public health problem characterized by low bone mass and deterioration of bone tissue, leading to fractures. Key points are that it is most common in the elderly and post-menopausal women, and causes pain, disability, and loss of independence from fractures. Prevention through diet, exercise, and medications can help reduce fracture risk and improve bone strength.
A Study to Evaluate Spatial Gait Parameters in Patients of Osteoarthritic KneeIOSR Journals
ย
Abstract: Osteoarthritis is a slowly evolving articular disease, which appears to originate in the cartilage and
affects the underlying bone, soft tissues and synovial fluid. Quantitative gait analysis is an important clinical
tool for quantifying normal and pathological patterns of locomotion, and has also been shown to be useful for
prescription of treatment as well as in the evaluation of the results of such treatment. The objectives of this study
was to evaluate spatial gait parameters variations in patients with osteoarthritic knee as compared to normal
healthy individuals. 100 subjects were included in the study, 50 normal healthy subjects and 50 subjects with
bilateral knee osteoarthritis with age group of 40-60 years based on the inclusion and exclusion criteria. Before
gait analysis, all subjects were given informed consent as advised by the Institutional Ethical Committee. Gait
analysis was done for both groups with same protocol. Following gait parameters was measured individually
for each subject: Step length [m], Stride length [m], Normalised stride length [%], Step width [m] and Foot
angle [degree]. Paired and unpaired t- test will be used for the analysis of data. The study concluded that there
was significant difference is spatial gait parameters in patients with osteoarthritic knee as compared to normal
healthy individuals.
Keywords: Osteoarthritis, Gait parameters, Spatial gait parameters
Due to its prevalence worldwide, osteoporosis is considered a serious public health concern. Currently it is estimated that over 200 million people worldwide suffer from this disease.
Therapeutic management of knee osteoarthritis; physiotherap case studyenweluntaobed
ย
The document discusses the therapeutic management of knee osteoarthritis. It provides background on the epidemiology and economic burden of the condition. Key points include that knee OA prevalence is rising with population aging and affects nearly 10% of those over 55 years old. Treatment involves a multidisciplinary approach including pharmacological interventions, physiotherapy, and sometimes surgery, with the overall goals of reducing pain and improving joint function and quality of life. Assessment involves evaluating pain levels, range of motion, muscle strength, and radiological imaging to determine the severity and appropriate treatment.
Back pain affects millions of people who spend billions of dollars trying to end the pain. Unfortunately, for many the pain never seems to end, that is because attention is focused on the symptoms and not the source of the symptom. This lecture identifies the source of back pain and more importantly, it provides a life-long solution.
Learn more at www.HyProCure.com.
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The document summarizes information about osteoporosis from a lecture by Dr. Shahjada Selim. It discusses how bone remodeling occurs throughout life, leading to peak bone mass and then age-related bone loss. It defines osteoporosis as a disorder causing fragile bones from low bone mass and deteriorated bone structure. Key points include how osteoporosis is diagnosed using BMD tests and fracture risk tools, treatments include medications to reduce fracture risk, and lifestyle changes can help prevent osteoporotic fractures.
Information and Communication Technology in EducationMJDuyan
ย
(๐๐๐ ๐๐๐) (๐๐๐ฌ๐ฌ๐จ๐ง 2)-๐๐ซ๐๐ฅ๐ข๐ฆ๐ฌ
๐๐ฑ๐ฉ๐ฅ๐๐ข๐ง ๐ญ๐ก๐ ๐๐๐ ๐ข๐ง ๐๐๐ฎ๐๐๐ญ๐ข๐จ๐ง:
Students will be able to explain the role and impact of Information and Communication Technology (ICT) in education. They will understand how ICT tools, such as computers, the internet, and educational software, enhance learning and teaching processes. By exploring various ICT applications, students will recognize how these technologies facilitate access to information, improve communication, support collaboration, and enable personalized learning experiences.
๐๐ข๐ฌ๐๐ฎ๐ฌ๐ฌ ๐ญ๐ก๐ ๐ซ๐๐ฅ๐ข๐๐๐ฅ๐ ๐ฌ๐จ๐ฎ๐ซ๐๐๐ฌ ๐จ๐ง ๐ญ๐ก๐ ๐ข๐ง๐ญ๐๐ซ๐ง๐๐ญ:
-Students will be able to discuss what constitutes reliable sources on the internet. They will learn to identify key characteristics of trustworthy information, such as credibility, accuracy, and authority. By examining different types of online sources, students will develop skills to evaluate the reliability of websites and content, ensuring they can distinguish between reputable information and misinformation.
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The recent surge in pro-Palestine student activism has prompted significant responses from universities, ranging from negotiations and divestment commitments to increased transparency about investments in companies supporting the war on Gaza. This activism has led to the cessation of student encampments but also highlighted the substantial sacrifices made by students, including academic disruptions and personal risks. The primary drivers of these protests are poor university administration, lack of transparency, and inadequate communication between officials and students. This study examines the profound emotional, psychological, and professional impacts on students engaged in pro-Palestine protests, focusing on Generation Z's (Gen-Z) activism dynamics. This paper explores the significant sacrifices made by these students and even the professors supporting the pro-Palestine movement, with a focus on recent global movements. Through an in-depth analysis of printed and electronic media, the study examines the impacts of these sacrifices on the academic and personal lives of those involved. The paper highlights examples from various universities, demonstrating student activism's long-term and short-term effects, including disciplinary actions, social backlash, and career implications. The researchers also explore the broader implications of student sacrifices. The findings reveal that these sacrifices are driven by a profound commitment to justice and human rights, and are influenced by the increasing availability of information, peer interactions, and personal convictions. The study also discusses the broader implications of this activism, comparing it to historical precedents and assessing its potential to influence policy and public opinion. The emotional and psychological toll on student activists is significant, but their sense of purpose and community support mitigates some of these challenges. However, the researchers call for acknowledging the broader Impact of these sacrifices on the future global movement of FreePalestine.
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Peran bone & joint
1. SOELARTO REKSOPRODJOSOELARTO REKSOPRODJO
Division of Orthopaedic & TraumatologyDivision of Orthopaedic & Traumatology
Faculty of Medicine, Univ. of IndonesiaFaculty of Medicine, Univ. of Indonesia
Dr. Cipto Mangunkusumo โ JakartaDr. Cipto Mangunkusumo โ Jakarta
Simposium SehariSimposium Sehari
โโPenanganan Nyeri Tulang Belakang TerkiniโPenanganan Nyeri Tulang Belakang Terkiniโ
Graha Sindang Reret, Garut, 29 Mei 2004Graha Sindang Reret, Garut, 29 Mei 2004
2.
3. PERAN BONE AND JOINT DECADE 2000 โ 2010PERAN BONE AND JOINT DECADE 2000 โ 2010
PADA KASUS OSTEOPOROSISPADA KASUS OSTEOPOROSIS
INTRODUCTIONINTRODUCTION
Declaration of Bone and Joint DecadeDeclaration of Bone and Joint Decade
2000 โ 2010 by the WHO was positively2000 โ 2010 by the WHO was positively
respons by professional as well socialrespons by professional as well social
association by nearly all developed andassociation by nearly all developed and
developing countries including Indonesiadeveloping countries including Indonesia
4. PERAN BONE AND JOINT DECADE 2000 โ 2010PERAN BONE AND JOINT DECADE 2000 โ 2010
PADA KASUS OSTEOPOROSISPADA KASUS OSTEOPOROSIS
What is the Bone and Joint Decade ?What is the Bone and Joint Decade ?
๏๏ It is a worldwide effort to advance under-It is a worldwide effort to advance under-
standing and treatment of muscuolskeletalstanding and treatment of muscuolskeletal
conditions and to promote researchconditions and to promote research
๏๏ Patients, physicians, medical specialtyPatients, physicians, medical specialty
societies, allied health professionals andsocieties, allied health professionals and
health organizations are urging their nationshealth organizations are urging their nations
worldwide to focus attention on the disordersworldwide to focus attention on the disorders
which affect millions of peoplewhich affect millions of people
5. PERAN BONE AND JOINT DECADE 2000 โ 2010PERAN BONE AND JOINT DECADE 2000 โ 2010
PADA KASUS OSTEOPOROSISPADA KASUS OSTEOPOROSIS
IRA (Indonesian Rheumatology Association)IRA (Indonesian Rheumatology Association)
was the first professional association inwas the first professional association in
Indonesia, at their meeting in Jakarta,Indonesia, at their meeting in Jakarta,
May 2000 responded the declaration, whichMay 2000 responded the declaration, which
was announced by the Minister of Health RIwas announced by the Minister of Health RI
6. PERAN BONE AND JOINT DECADE 2000 โ 2010PERAN BONE AND JOINT DECADE 2000 โ 2010
PADA KASUS OSTEOPOROSISPADA KASUS OSTEOPOROSIS
In the same year :In the same year :
๏๏ The Woman Association founded YATUSIThe Woman Association founded YATUSI
(Yayasan Tulang Sehat Indonesia)(Yayasan Tulang Sehat Indonesia)
June 2000June 2000
๏๏ The study group of osteoporosis FKUI โ RSCMThe study group of osteoporosis FKUI โ RSCM
founded the PEROSI (Perhimpunanfounded the PEROSI (Perhimpunan
Osteoporosis Indonesia), 28 Oktober 2000Osteoporosis Indonesia), 28 Oktober 2000
7. PERAN BONE AND JOINT DECADE 2000 โ 2010PERAN BONE AND JOINT DECADE 2000 โ 2010
PADA KASUS OSTEOPOROSISPADA KASUS OSTEOPOROSIS
The President of the Republic of IndonesiaThe President of the Republic of Indonesia
declared the participation of Indonesia,declared the participation of Indonesia,
read by the Minister of Health at the Goldenread by the Minister of Health at the Golden
anniversary of RSO Prof. DR. R. Soeharsoanniversary of RSO Prof. DR. R. Soeharso
in Solo, August 2001in Solo, August 2001
8. PERAN BONE AND JOINT DECADE 2000 โ 2010PERAN BONE AND JOINT DECADE 2000 โ 2010
PADA KASUS OSTEOPOROSISPADA KASUS OSTEOPOROSIS
Goals of the Bone and Joint DecadeGoals of the Bone and Joint Decade
1.1. ToTo raise awarenessraise awareness of the growing burden ofof the growing burden of
musculoskeletal disorders on societymusculoskeletal disorders on society
2.2. ToTo empower patientsempower patients to participate in theirto participate in their
own careown care
3.3. ToTo promote cost โ effective prevention andpromote cost โ effective prevention and
treatmenttreatment
4.4. ToTo improve prevention and treatmentimprove prevention and treatment of muskulo-of muskulo-
skeletal disorders through medical researchskeletal disorders through medical research
9. PERAN BONE AND JOINT DECADE 2000 โ 2010PERAN BONE AND JOINT DECADE 2000 โ 2010
PADA KASUS OSTEOPOROSISPADA KASUS OSTEOPOROSIS
BONE AND JOINTBONE AND JOINT
Bone and Joint is part of the musculo-Bone and Joint is part of the musculo-
skeletal system, function as a locomotorskeletal system, function as a locomotor
apparatus; disorders and diseases mayapparatus; disorders and diseases may
disturb the ADLdisturb the ADL
10. PERAN BONE AND JOINT DECADE 2000 โ 2010PERAN BONE AND JOINT DECADE 2000 โ 2010
PADA KASUS OSTEOPOROSISPADA KASUS OSTEOPOROSIS
Disorders or diseases of musculoskeletalDisorders or diseases of musculoskeletal
system is classified as follows :system is classified as follows :
๏๏ Congenital anomaliesCongenital anomalies
๏๏ Inflammation / infectionInflammation / infection
๏๏ TraumaTrauma
๏๏ Tumor / cancerTumor / cancer
๏๏ Degenerative diseaseDegenerative disease
๏๏ Metabolic diseaseMetabolic disease
๏๏ MiscellaneousMiscellaneous
11. PERAN BONE AND JOINT DECADE 2000 โ 2010PERAN BONE AND JOINT DECADE 2000 โ 2010
PADA KASUS OSTEOPOROSISPADA KASUS OSTEOPOROSIS
Disorders or diseases of bone and jointDisorders or diseases of bone and joint
will widely affect socio-economic and ADLwill widely affect socio-economic and ADL
(example :(example :
- USA in 1995 : 36 million people- USA in 1995 : 36 million people
the cost of treatment for musculoskeletalthe cost of treatment for musculoskeletal
disorders was USD $ 210 billion)disorders was USD $ 210 billion)
- Musculoskeletal impairment are the- Musculoskeletal impairment are the
number 1 (one) reported category ofnumber 1 (one) reported category of
impairment and the number 1 (one) reasonimpairment and the number 1 (one) reason
people visit the doctorpeople visit the doctor
12. PERAN BONE AND JOINT DECADE 2000 โ 2010PERAN BONE AND JOINT DECADE 2000 โ 2010
PADA KASUS OSTEOPOROSISPADA KASUS OSTEOPOROSIS
Natural history of musculoskeletalNatural history of musculoskeletal
diseases through 3 stages of functionaldiseases through 3 stages of functional
disorders :disorders :
1.1. ImpairmentImpairment
2.2. DisabilityDisability
3.3. HandicapHandicap
13. PERAN BONE AND JOINT DECADE 2000 โ 2010PERAN BONE AND JOINT DECADE 2000 โ 2010
PADA KASUS OSTEOPOROSISPADA KASUS OSTEOPOROSIS
Not all disorders and diseases of musculo-Not all disorders and diseases of musculo-
skeletal either congenital or acquiredskeletal either congenital or acquired
will recover 100%will recover 100%
It needs rehabilitation especially toIt needs rehabilitation especially to
improve functionimprove function
14. PERAN BONE AND JOINT DECADE 2000 โ 2010PERAN BONE AND JOINT DECADE 2000 โ 2010
PADA KASUS OSTEOPOROSISPADA KASUS OSTEOPOROSIS
The goal is maximum rehabilitationThe goal is maximum rehabilitation
of patient as a wholeof patient as a whole
15. PERAN BONE AND JOINT DECADE 2000 โ 2010PERAN BONE AND JOINT DECADE 2000 โ 2010
PADA KASUS OSTEOPOROSISPADA KASUS OSTEOPOROSIS
Although there are many disease orAlthough there are many disease or
disorders of the musculoskeletal, butdisorders of the musculoskeletal, but
it seems the topics of the Bone & Jointit seems the topics of the Bone & Joint
decade is more on the process ofdecade is more on the process of
aging such as (degenerative disease) :aging such as (degenerative disease) :
๏๏ OsteoporosisOsteoporosis
๏๏ OsteoarthritisOsteoarthritis
16. PERAN BONE AND JOINT DECADE 2000 โ 2010PERAN BONE AND JOINT DECADE 2000 โ 2010
PADA KASUS OSTEOPOROSISPADA KASUS OSTEOPOROSIS
Degenerative process :Degenerative process :
๏๏ All tissue or organs will reduceAll tissue or organs will reduce
their function 1% per year aftertheir function 1% per year after
the 3the 3rdrd
decadedecade
(the 1% rule of Andreas & Tobin)(the 1% rule of Andreas & Tobin)
17. PERAN BONE AND JOINT DECADE 2000 โ 2010PERAN BONE AND JOINT DECADE 2000 โ 2010
PADA KASUS OSTEOPOROSISPADA KASUS OSTEOPOROSIS
As a whole there is slowly affection ofAs a whole there is slowly affection of
the tissues / organs :the tissues / organs :
๏๏ The eye : Vision : cataract, hypermetropThe eye : Vision : cataract, hypermetrop
๏๏ The ear : DeafnessThe ear : Deafness
๏๏ The skin : Dry and wrinkledThe skin : Dry and wrinkled
๏๏ The urinary tract : - IncontinentThe urinary tract : - Incontinent
- hypertrophy prostate in men- hypertrophy prostate in men
๏๏ The GI tract : - Incontinent, resorptionThe GI tract : - Incontinent, resorption โโ
๏๏ The genital : Frigidity, impotencyThe genital : Frigidity, impotency
๏๏ The mental : Depression, dementiaThe mental : Depression, dementia
๏๏ The nerve : ReflexThe nerve : Reflex โโ
๏๏ Bone & Joint : osteoporosis / osteoarthritisBone & Joint : osteoporosis / osteoarthritis
18. PERAN BONE AND JOINT DECADE 2000 โ 2010PERAN BONE AND JOINT DECADE 2000 โ 2010
PADA KASUS OSTEOPOROSISPADA KASUS OSTEOPOROSIS
OSTEOPOROSISOSTEOPOROSIS
๏๏ PEROSI is a group of doctor in multidisciplinePEROSI is a group of doctor in multidiscipline
medical sciences interested in problem ofmedical sciences interested in problem of
osteoporosisosteoporosis
๏๏ It is now a associate member of IOF (InternationalIt is now a associate member of IOF (International
Osteoporosis Foundation)Osteoporosis Foundation)
๏๏ The patron of IOF is : Queen Rania of JordanThe patron of IOF is : Queen Rania of Jordan
19. PERAN BONE AND JOINT DECADE 2000 โ 2010PERAN BONE AND JOINT DECADE 2000 โ 2010
PADA KASUS OSTEOPOROSISPADA KASUS OSTEOPOROSIS
โโStrong bones build strong lives, andStrong bones build strong lives, and
strong lives build strong future โฆโฆโฆ.,strong lives build strong future โฆโฆโฆ.,
we must do all we can to make thatwe must do all we can to make that
strength a reality for allโstrength a reality for allโ
Queen Rania, Lisbon 10 โ14 May 2002Queen Rania, Lisbon 10 โ14 May 2002
20. PERAN BONE AND JOINT DECADE 2000 โ 2010PERAN BONE AND JOINT DECADE 2000 โ 2010
PADA KASUS OSTEOPOROSISPADA KASUS OSTEOPOROSIS
Research in Indonesia :Research in Indonesia :
๏๏ Prof. DR. Djoko Roeshadi, dr. Sp.B., Sp.BOProf. DR. Djoko Roeshadi, dr. Sp.B., Sp.BO
๏๏ DR. Ichramsyah A.R., Sp.OG, KERDR. Ichramsyah A.R., Sp.OG, KER
21. PERAN BONE AND JOINT DECADE 2000 โ 2010PERAN BONE AND JOINT DECADE 2000 โ 2010
PADA KASUS OSTEOPOROSISPADA KASUS OSTEOPOROSIS
๏๏ Osteoporosis is a โsilent diseaseโOsteoporosis is a โsilent diseaseโ
meaning no significant clinical symptomsmeaning no significant clinical symptoms
unless a minor trauma produces fractureunless a minor trauma produces fracture
๏๏ A good observation of mild dull achingA good observation of mild dull aching
of the back, reduce in height and kyphoticof the back, reduce in height and kyphotic
deformity are the early signs of osteoporoticdeformity are the early signs of osteoporotic
especially in post menopausal womenespecially in post menopausal women
22. PERAN BONE AND JOINT DECADE 2000 โ 2010PERAN BONE AND JOINT DECADE 2000 โ 2010
PADA KASUS OSTEOPOROSISPADA KASUS OSTEOPOROSIS
WHO definition (1991) :WHO definition (1991) :
โโOsteoporosis is a disease characterizedOsteoporosis is a disease characterized
by low bone mass and microarchitecturalby low bone mass and microarchitectural
deterioration of bone tissue, leading todeterioration of bone tissue, leading to
enhanced bone fragility and a consequentenhanced bone fragility and a consequent
increase in fracture riskโincrease in fracture riskโ
23. PERAN BONE AND JOINT DECADE 2000 โ 2010PERAN BONE AND JOINT DECADE 2000 โ 2010
PADA KASUS OSTEOPOROSISPADA KASUS OSTEOPOROSIS
Gold standard to detect osteoporosis :Gold standard to detect osteoporosis :
- Densitometry- Densitometry
- WHO criteria :- WHO criteria :
Normal : 1SD from TScoreNormal : 1SD from TScore
Osteopenia : -1SD to โ2,5SD from TScoreOsteopenia : -1SD to โ2,5SD from TScore
Osteoporosis : less than โ2,5SD from TScoreOsteoporosis : less than โ2,5SD from TScore
(severe osteoporosis : associated a fracture)(severe osteoporosis : associated a fracture)
24. PERAN BONE AND JOINT DECADE 2000 โ 2010PERAN BONE AND JOINT DECADE 2000 โ 2010
PADA KASUS OSTEOPOROSISPADA KASUS OSTEOPOROSIS
The Interpretation of DEXAThe Interpretation of DEXA
T Score Bone Loss Fracture RiskT Score Bone Loss Fracture Risk
0 to โ1 None None0 to โ1 None None
-1 to โ2-1 to โ2 Moderate SmallModerate Small
-2 to โ3-2 to โ3 Severe ModerateSevere Moderate
Less than โ3 Very severe SevereLess than โ3 Very severe Severe
Orthopaedic A Study Guide, Metabolic Bone Disease, 1999, p.885-889Orthopaedic A Study Guide, Metabolic Bone Disease, 1999, p.885-889
25. PERAN BONE AND JOINT DECADE 2000 โ 2010PERAN BONE AND JOINT DECADE 2000 โ 2010
PADA KASUS OSTEOPOROSISPADA KASUS OSTEOPOROSIS
4 Sets of factors as the cause of osteoporosis4 Sets of factors as the cause of osteoporosis
1.1. Genetic / familialGenetic / familial
NutritionalNutritional
Physical activityPhysical activity
Life styleLife style
Health / disease history with the use of drugsHealth / disease history with the use of drugs
2.2. Bone loss post menopauseBone loss post menopause
3.3. Bone loss with agingBone loss with aging
4.4. RiskRisk
26. PERAN BONE AND JOINT DECADE 2000 โ 2010PERAN BONE AND JOINT DECADE 2000 โ 2010
PADA KASUS OSTEOPOROSISPADA KASUS OSTEOPOROSIS
WOD and NOD 20 OctoberWOD and NOD 20 October
2002 :2002 : Theme :Theme :
โโ Seberapa jauh anda peduliSeberapa jauh anda peduli
terhadap tulang andaterhadap tulang anda โโ
2003 : โ2003 : โ Tulang kuat mulai dari sekarangTulang kuat mulai dari sekarang โโ
27. PERAN BONE AND JOINT DECADE 2000 โ 2010PERAN BONE AND JOINT DECADE 2000 โ 2010
PADA KASUS OSTEOPOROSISPADA KASUS OSTEOPOROSIS
BMD / BMC will reach maximum atBMD / BMC will reach maximum at
the end of the 3the end of the 3rdrd
decade :decade :
(Peak Bone Mass)(Peak Bone Mass)
28. PERAN BONE AND JOINT DECADE 2000 โ 2010PERAN BONE AND JOINT DECADE 2000 โ 2010
PADA KASUS OSTEOPOROSISPADA KASUS OSTEOPOROSIS
Prevention is divided into :Prevention is divided into :
Primary :Primary : Before osteoporosis, to reachBefore osteoporosis, to reach
maximum PBMmaximum PBM
Secondary : -Secondary : - After detected as osteoporosis/After detected as osteoporosis/
osteopenia (avoid external factor)osteopenia (avoid external factor)
-- If already fracturedIf already fractured
29. PERAN BONE AND JOINT DECADE 2000 โ 2010PERAN BONE AND JOINT DECADE 2000 โ 2010
PADA KASUS OSTEOPOROSISPADA KASUS OSTEOPOROSIS
OSTEOARTRHITISOSTEOARTRHITIS
Is a degenerative process non inflammatoryIs a degenerative process non inflammatory
disease of the joint characterized by degradationdisease of the joint characterized by degradation
of articular cartilage and spur formation at the edgeof articular cartilage and spur formation at the edge
of the articular surfaceof the articular surface
(a lay man will call =(a lay man will call = PengapuranPengapuran))
30. PERAN BONE AND JOINT DECADE 2000 โ 2010PERAN BONE AND JOINT DECADE 2000 โ 2010
PADA KASUS OSTEOPOROSISPADA KASUS OSTEOPOROSIS
There are a lot of terminologies forThere are a lot of terminologies for
disorders or diseases of the jointdisorders or diseases of the joint
RA : Rheumatology Arthritis (RA : Rheumatology Arthritis (encokencok))
Infective arthritis : - StaphylococcusInfective arthritis : - Staphylococcus
- Tb, etc- Tb, etc
Gouty arthritis, etcGouty arthritis, etc
31. PERAN BONE AND JOINT DECADE 2000 โ 2010PERAN BONE AND JOINT DECADE 2000 โ 2010
PADA KASUS OSTEOPOROSISPADA KASUS OSTEOPOROSIS
Mostly affected the elderly peopleMostly affected the elderly people
(more than 50 years of age, obese,(more than 50 years of age, obese,
and weight bearing joint), stiffnessand weight bearing joint), stiffness
and pain after a rest following a longand pain after a rest following a long
period of activitiesperiod of activities
32. PERAN BONE AND JOINT DECADE 2000 โ 2010PERAN BONE AND JOINT DECADE 2000 โ 2010
PADA KASUS OSTEOPOROSISPADA KASUS OSTEOPOROSIS
A multi factoral etiology which causeA multi factoral etiology which cause
degradation of articular cartilagedegradation of articular cartilage
such as :such as :
๏๏ Instability of joint as a biomechanicalInstability of joint as a biomechanical
process : wear and tear (use abuse)process : wear and tear (use abuse)
๏๏ Immunology and inflammation reactionImmunology and inflammation reaction
๏๏ Stress oxydatives cause destructionStress oxydatives cause destruction
of cartilage, etcof cartilage, etc
33. PERAN BONE AND JOINT DECADE 2000 โ 2010PERAN BONE AND JOINT DECADE 2000 โ 2010
PADA KASUS OSTEOPOROSISPADA KASUS OSTEOPOROSIS
DIAGNOSISDIAGNOSIS
๏๏ HistoryHistory
๏๏ Physical Examination (PE)Physical Examination (PE)
๏๏ ImagingImaging
34. PERAN BONE AND JOINT DECADE 2000 โ 2010PERAN BONE AND JOINT DECADE 2000 โ 2010
PADA KASUS OSTEOPOROSISPADA KASUS OSTEOPOROSIS
MANAGEMENTMANAGEMENT
๏๏ PT : - Strengthening exercisePT : - Strengthening exercise
- ROM- ROM
- Non weight bearing exercise /- Non weight bearing exercise /
hydrotherapyhydrotherapy
๏๏ BracingBracing
๏๏ Operative : - ArthroscopyOperative : - Arthroscopy
- Arthrodesis- Arthrodesis
- Joint Replacement- Joint Replacement
35. PERAN BONE AND JOINT DECADE 2000 โ 2010PERAN BONE AND JOINT DECADE 2000 โ 2010
PADA KASUS OSTEOPOROSISPADA KASUS OSTEOPOROSIS
INCONCLUSIONINCONCLUSION
๏๏ Bone and joint decade 2000 โ 2010 has beenBone and joint decade 2000 โ 2010 has been
declareddeclared
๏๏ Important of awareness concerning the problemImportant of awareness concerning the problem
of sosio-economic by empowering patient toof sosio-economic by empowering patient to
participate in their own careparticipate in their own care
๏๏ Participation of professional association to raiseParticipation of professional association to raise
quality of life by :quality of life by :
prevention, treatment base on researchprevention, treatment base on research
(Evidence Base Medicine)(Evidence Base Medicine)