After an introduction to fragility fractures , we will move forward with what clinicians can do once treatment is deemed appropriate.
After an introduction to fragility fractures , we will move forward with what clinicians can do once treatment is deemed appropriate. There are many ways that health systems accommodate patients once a fragility fracture occurs. Many of the original programs (Capture the Fracture, Own the Bone) were designed to make appointments or address follow up before leaving the hospital through a nurse manager or social worker.
This liaison is responsible for updating the local and national databases and scheduling follow up with a provider that deals with secondary prevention. Fractures that present to an urgent care or emergency department and discharged are naturally harder to track for health systems. They may be sent to follow up with an orthopedic surgeon or sports medicine physician in 3-5 days.
If the orthopedic provider does not manage osteoporosis, another referral needs to be made to a provider to address this after care is complete. The burden typically falls upon primary care, sports medicine, orthopedic and rheumatology providers to treat the underlying decrease in bone mineral density (BMD) and attempt to prevent future fractures. Treatments generally fall into nonpharmacologic and pharmacologic options.
Nonpharmacologic methods. There are general recommendations to preserve bone strength that can be recommended to the general population and also to individuals that have suffered a fragility fracture. Calcium is required for acquisition of peak bone mass and subsequent bone health.
All individuals should obtain an adequate intake of dietary calcium and vitamin D. A balanced diet rich in dairy products, fruits and vegetables will typically provide calcium and nutrients. The Institute of Medicine (IOM) recommends that women age 51 or older and men aged 71 and older consume 1200 mg/day of calcium.
If you are experiencing symptoms that may be related to fragility fractures: nonpharmacologic treatment, it is important to see a sports medicine physician. Early evaluation and treatment typically lead to better outcomes. Do not ignore pain or symptoms that are limiting your activity.
*This article is for educational purposes only and does not substitute for professional medical advice. Always consult a qualified healthcare provider.*
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