Comprehensive Treatment of Fragility Fractures of Distal Radius, an Opportunity for Prevention the Deterioration of Bone Health and Reduction of other Fractures with Higher Morbidity and Mortality

Abstract

Report goal: Fragility fractures of distal radius, are the most common fractures of upper extremities in adults and elderly, with higher incidence in females. Are low energy fractures, result of a fall from standing height or less. Such patients have higher incidence of osteoporosis and increased risk of other serious fractures. Research results: From the questionnaire filled by orthopedic doctors, fragility fractures of distal radius are most frequent in patients 50-60 years old female. 54% of doctors order DEXA scan, 60 % refer patients for osteoporosis evaluation and treatment; 36% treat osteoporosis. From patient questionnaire, such patient were mostly 51-70 yo female, 6.5% had family history of fragility fracture, 97% did not have knowledge about osteoporosis, 3% had high education level, 73% did not report social-economical issues, 45% did not have other medical problems. Summary: Fragility fractures of distal radius occur earlier comparing to other fragility fractures. The orthopedic doctor should recommend DEXA scanning, refer or treat osteoporosis to prevent further deterioration of patient bone health and reduce the risk of other fragility fractures with a higher morbidity and mortality.
 
 Received: 23 September 2022 / Accepted: 28 November 2022 / Published: 20 December 2022