Abstract
ABSTRACTObjective:To evaluate the profile of patients with osteoporotic fractures treated at a tertiary orthopedic hospital. Methods:Using questionnaires, 70 patients with osteoporotic fractures (OF) were compared with 50 outpatients with multiple osteoarthritis (OA) followed through an outpatient clinic. Results:The OF group was older (p <0.001), less heavy (p=0.003), had lower BMI (p=0.006), was more likely to be white (p=0.011), was less likely to be married (p=0.008), and had previous falls, previous fractures, old fractures (>1 year), falls in the last 12 months, fractures due to falls, and needed more assistance (p<0.05). They also had lower Lawton & Brody Instrumental Activities of Daily Living scores (p <0.05) and reported less lower limb disability, foot pathology, muscle weakness, hypothyroidism, and vitamin D intake than patients in the OA group. White race, previous falls, and previous fractures increase the risk of osteoporotic fractures by 10.5, 11.4, and 4.1 times, respectively. The chance of fracture dropped 29% for each one-unit increase in Lawton & Brody IADL score. Married participants had fewer fractures than participants with other marital status. Conclusion:Together, race, marital status, previous falls, foot pathologies, previous fractures, and IADL scores define the profile of patients with osteoporotic fractures. Level of Evidence III; Case control study.
Highlights
Osteoporosis is a chronic disease characterized by progressive reduction of bone mass, leading to decreased bone strength and greater risk of fractures;[1] it is considered a public health problem worldwide
Together, race, marital status, previous falls, foot pathologies, previous fractures, and instrumental activities of daily living (IADL) scores define the profile of patients with osteoporotic fractures
The objective of this study was to evaluate the epidemiological profile of the population affected by osteoporotic fractures treated in a tertiary orthopedic hospital over a three-month period, with or without a previous diagnosis of osteopenia or osteoporosis, in an attempt to correlate the clinical characteristics present in patients treated for osteoarthritis during the same period
Summary
Osteoporosis is a chronic disease characterized by progressive reduction of bone mass, leading to decreased bone strength and greater risk of fractures;[1] it is considered a public health problem worldwide. It has been estimated that 9 million osteoporotic fractures occur each year, the equivalent of one fracture every 3.5 seconds.[2] This is the most common bone disease,[3] many patients are not treated until the first fracture occurs. The objective of this study was to evaluate the epidemiological profile of the population affected by osteoporotic fractures (fractures of the proximal femur, the proximal humerus, the distal radius, and the thoraco-lumbar spine) treated in a tertiary orthopedic hospital over a three-month period, with or without a previous diagnosis of osteopenia or osteoporosis, in an attempt to correlate the clinical characteristics present in patients treated for osteoarthritis during the same period. Secondary objective: To describe the types of osteoporotic fractures treated in a tertiary center, along with function and bone mineral density in these patients
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