Posts Tagged ‘Fragility Fracture’
Aunt Henrietta looked like half a raccoon with her entire left eye blackened. She dismissed her looks as not a problem saying, “I fall all the time, but I don’t break anything.” This is a change on both counts. Five years ago, falls were infrequent. Even so, she broke one wrist, then the other wrist, then her shoulder.
Two wrists, one shoulder, and half a dozen vertebral fragility fractures indicated Very Severe Osteoporosis. That was before she took the Anabolic, Forteo, for 2 years. She was the ideal patient for serious measures to stop her fractures. And it has worked!!
A Hip Fracture over age 70 is Very Bad. About 20% of women and over 30% of men die from their hip fracture. Some consider these to be the lucky ones. Nearly half of those who survive a hip fracture spend the rest of their lives in a nursing home.
Many hip fractures should be preventable. There were warnings! Half of the people who break a hip had another Fragility Fracture a few months or years before. Most warnings go unheeded. Hip Fractures that could have been prevented destroy quality of life for too many individuals.
This week a patient was delighted to know she had no bone worries – based on her t-score of -2.4 in her hips. Unfortunately she was very wrong! “Osteopenia” is just a single test result. Other factors placed her at High Risk for Fracture.
One test does not tell the whole story. For instance, my total cholesterol is “normal”. That means that I have no heart worries? Wrong! I have hypertension, type-2 diabetes, and a history of congestive heart failure. I am at risk for heart problems. My patient is at risk for bone problems, specifically Fragility Fractures.
Aunt Henrietta is celebrating her 89th birthday, and 4 1/2 years without a fracture! This is a major victory for her. She is one of our many stars!
Despite starting on enough calcium and enough vitamin D over 6 years ago, Henrietta broke one wrist, then the other wrist, and finally a shoulder. Finally she added osteoporosis medications. Despite falling all the way down the attic stairs, she has not broken anything since.