Osteoporosis is a topic covered in the 5-Minute Emergency Consult.

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Emergency Central

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Basics

Description

  • Overall decrease in skeletal mass, generally diffuse
  • Trabecular bone (especially vertebrae and femur) affected more commonly and earlier
  • Disease begins in adolescence, but fractures do not usually manifest until age ≥50
  • Females affected much more commonly than males, especially after menopause

Etiology

  • Overall increase in resorption over formation of new bone
  • Advanced age is the most important risk factor
  • Inadequate dietary calcium an important factor, especially early in life
  • Sedentary lifestyle is a risk factor (weight bearing on bone favors new bone formation)
  • Decrease in estrogen with menopause key factor in women
  • Other risk factors include long-term steroid use, alcoholism, methotrexate, tobacco use, low body weight
  • Familial or hereditary factor may coexist

Pediatric Considerations
Although disease appears to start in adolescence, pediatric patients are asymptomatic.

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Citation

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TY - ELEC T1 - Osteoporosis ID - 307489 Y1 - 2016 PB - 5-Minute Emergency Consult UR - https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307489/all/Osteoporosis ER -