Sexual dimorphism in musculoskeletal health:
Saved in:
| Format: | Book |
|---|---|
| Language: | English |
| Published: |
Philadelphia [u.a.]
Saunders
2006
|
| Series: | Orthopedic clinics of North America
37,4 |
| Subjects: | |
| Online Access: | Inhaltsverzeichnis |
| Physical Description: | XII S., S. 513 - 642 Ill., graph. Darst. |
| ISBN: | 1416047638 |
Staff View
MARC
| LEADER | 00000nam a2200000 cb4500 | ||
|---|---|---|---|
| 001 | BV022239441 | ||
| 003 | DE-604 | ||
| 005 | 20150223 | ||
| 007 | t | ||
| 008 | 070124s2006 ad|| |||| 00||| eng d | ||
| 020 | |a 1416047638 |9 1-4160-4763-8 | ||
| 035 | |a (OCoLC)78771036 | ||
| 035 | |a (DE-599)BVBBV022239441 | ||
| 040 | |a DE-604 |b ger |e rakwb | ||
| 041 | 0 | |a eng | |
| 049 | |a DE-19 | ||
| 050 | 0 | |a RD705.5 | |
| 245 | 1 | 0 | |a Sexual dimorphism in musculoskeletal health |c guest ed. Laura L. Tosi ... |
| 264 | 1 | |a Philadelphia [u.a.] |b Saunders |c 2006 | |
| 300 | |a XII S., S. 513 - 642 |b Ill., graph. Darst. | ||
| 336 | |b txt |2 rdacontent | ||
| 337 | |b n |2 rdamedia | ||
| 338 | |b nc |2 rdacarrier | ||
| 490 | 1 | |a Orthopedic clinics of North America |v 37,4 | |
| 650 | 7 | |a Seksueel dimorfisme |2 gtt | |
| 650 | 7 | |a Spier-beenderstelsel |2 gtt | |
| 650 | 7 | |a Ziekten |2 gtt | |
| 650 | 4 | |a Musculoskeletal System | |
| 650 | 4 | |a Musculoskeletal system | |
| 650 | 4 | |a Sex Characteristics | |
| 650 | 4 | |a Sex differences | |
| 700 | 1 | |a Tosi, Laura L. |e Sonstige |0 (DE-588)139343539 |4 oth | |
| 830 | 0 | |a Orthopedic clinics of North America |v 37,4 |w (DE-604)BV000001089 |9 37,4 | |
| 856 | 4 | 2 | |m HBZ Datenaustausch |q application/pdf |u http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=015450388&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |3 Inhaltsverzeichnis |
| 999 | |a oai:aleph.bib-bvb.de:BVB01-015450388 | ||
Record in the Search Index
| _version_ | 1804136230569377792 |
|---|---|
| adam_text | SEXUAL DIMORPHISM IN MUSCULOSKELETAL HEALTH
CONTENTS
Preface xi
Laura L. Tosi, Letha Y. Griffin, and Mary I. O Connor
Past and Future: Sex and Gender in Health Research, the Aging Experience,
and Implications for Musculoskeletal Health 513
Vivian W. Pinn
The statistics about common musculoskeletal disorders describe a few of the many
health conditions that affect men and women. For such disorders and conditions, there
are differences in incidence, predisposition, and therapeutic and preventive strategies for
managing them. Although we have made progress in women s health research, many
challenges remain, including those related to conditions and diseases of the musculoske¬
letal system that may affect women and men differentially. Research is needed to identify
genetic, hormonal, environmental, and societal factors that contribute to these sex and
gender differences and to understand when appropriate clinical applications should dif¬
fer or be the same.
Does Sex Matter in Musculoskeletal Health? A Workshop Report 523
Laura L. Tosi, Barbara D. Boyan, and Adele L. Boskey
In April 2004, the American Academy of Orthopaedic Surgeons, the National Institute of
Arthritis and Musculoskeletal and Skin Diseases of the National Institutes of Health
(NIH), and the Office of Research in Women s Health at the NIH convened a workshop
to explore how male and female biologic and physiologic characteristics affect musculos¬
keletal health. This issue of the Orthopedic Clinics of North America picks up where the
workshop left off, extending the discussion of clinical topics across the broad spectrum
of musculoskeletal health. This article serves as a prelude and introduction to the issue
and provides a synopsis of the workshop findings.
Upper Extremity: Emphasis on Frozen Shoulder 531
Monique A. Sheridan and Jo A. Hannafin
Adhesive capsulitis, or frozen shoulder syndrome, is a condition characterized by gra¬
dual loss of active and passive glenohumeral motion. The etiology of adhesive capsulitis
is unknown. Treatment methods include supervised benign neglect, physical therapy, in
tra articular corticosteroid injections, closed manipulation under anesthesia, arthroscopic
capsular release, and open surgical release. Approximately 70% of patients presenting
with adhesive capsulitis are women; however, the role of sex in the etiology, develop¬
ment, and outcome of treatment for adhesive capsulitis remains unclear. Individualized
treatment is necessary following thorough evaluation of patient symptoms and stage of
the disease.
VOLUME 37 • NUMBER 4 • OCTOBER 2006 v
How Men and Women Are Affected by Osteoarthritis of the Hand 541
E. Anne Ouellette and Anna Lena Makowski
Factors other than age and genetics may play a role in explaining the onset of osteoar¬
thritis of the hand. Genetic, physiologic, and anatomic differences in men and women
cause the variable expressions of osteoarthritis. These different factors affect women s
ability to modify osteoarthritis of the hand before and after its onset, although it is ge¬
netic. By maintaining normal weight, good health, and nutrition, one can diminish the
genetic and multifactorial effects of osteoarthritis of the hand. Future research in genet¬
ics, polymorphism, anatomy, hormonal influences, association with other disease pro¬
cesses, and multifactorial issues will clarify these relationships. Additional studies are
needed to investigate the outcomes of gender specific treatments, joint replacement sur¬
gery, and other interventions for osteoarthritis of the hand.
Sexual Dimorphism in Degenerative Disorders of the Spine 549
Neil A. Manson, Edward J. Goldberg, and Gunnar B. J. Andersson
Sexual dimorphism is evident during formation, growth, and development of the spine.
Pregnancy alters spine physiology and is a risk factor for back pain. The processes of
aging and spinal degeneration adversely affect men and women slightly differently.
Although degenerative changes are observed at similar rates in both sexes, women seem
to be more susceptible to degenerative changes leading to instability and malalignment,
such as degenerative spondylolisthesis. Men, however, suffer to a greater extent from
structural deterioration, such as stenosis or disc degeneration. Surgical satisfaction is
greater in men, which has been attributed to poorer preoperative function secondary
to more advanced disease at time of surgery and lower patient expectations for clinical
improvement, both observed in women.
Sexual Dimorphism in Adolescent Idiopathic Scoliosis 555
Cathleen L. Raggio
Adolescent idiopathic scoliosis (AIS) is one of the orthopedic disorders in which clinical
evidence of sexual dimorphism is most marked. Sexual dimorphism in spine growth,
morphology, stiffness, curve pattern, and hormones may be the environment in which
genetic factors combine to produce the phenotype of a scoliosis patient. These factors
also may play a role in curve progression despite treatment and may help explain
why some patients curves never change and others are recalcitrant to nonoperative
treatments. There are important differences in male and female AIS that impact diagno¬
sis, treatment, and outcomes.
Osteoarthritis of the Hip and Knee: Sex and Gender Differences 559
Mary I. O Connor
Osteoarthritis of the hip and knee is a leading cause of functional disability and compro¬
mised quality of life in older patients and a significant public health issue. Emerging re¬
search shows sex and gender differences in osteoarthritis which, to date, may not be
appreciated by the orthopedic community. This article discusses sex and gender differ¬
ences in osteoarthritis with a focus on disease involving the hip and knee. Understand¬
ing what we know (and do not know) about sex and gender differences in this disorder
is critical to improving quality of care for our patients.
Sexual Dimorphism of the Foot and Ankle 569
Kathryn O Connor, Gwynne Bragdon, and Judith F. Baumhauer
Lower extremity musculoskeletal injuries are extremely common. Sports related sex dif¬
ferences, in addition to osteoporosis issues, have raised the level of social awareness that
women s health care issues may be different than those of their male counterparts.
vi CONTENTS
Traditional research investigation for the foot and ankle is focused on shoe style differ¬
ences and the effect that these shoes have had on foot pain and injury (eg, bunion, lesser
toe malalignment). In addition to the extrinsic factor of footwear, intrinsic factors, such as
foot structure, ligamentous laxity, muscle strength, and proprioception, predispose indi¬
viduals to injury. This article reviews the literature to examine the intrinsic and extrinsic
differences between men and women in relationship to the foot and ankle and explores,
where available, the influence that these factors have on injury.
Female Athletic Triad and Stress Fractures 575
David Feingold and Sharon L. Hame
Stress fractures are a common occurrence in athletes, and the incidence of stress fractures
in female Division 1 collegiate athletes is double that of men. Hormonal influences on
bone and bone morphology may influence the risk for fracture. A high level of suspicion
and special imaging procedures allow for accurate diagnosis of these fractures. In stress
fractures that are associated with the female athlete triad, addressing the three aspects of
the triad—eating disorders, amenorrhea, and osteoporosis—are critical for successful
treatment. Preparticipation screening for the presence of the signs of the female athlete
triad by monitoring weight, energy level, menstrual cycles, and bone mineral density
may help to prevent the occurrence of stress fractures in this population.
Anterior Cruciate Ligament Biology and Its Relationship to Injury Forces 585
James R. Slauterbeck, John R. Hickox, Bruce Beynnon, and Daniel M. Hardy
Anterior cruciate ligament injury is determined by two variables: the ultimate failure
load of the ligament and the mechanical load applied to the ligament. All factors that
contribute to anterior cruciate ligament injury must do so by affecting one or both of
these two basic variables. Some factors, such as sex hormones and tissue remodeling,
have a multifaceted effect on the failure load of the anterior cruciate ligament and the
magnitude of the load applied to it. The model also illustrates the potentially profound
effects that sex hormones and tissue remodeling likely have on female susceptibility to
anterior cruciate ligament injuries.
Dimorphism and Patellofemoral Disorders 593
Elizabeth A. Arendt
Sex is defined as the classification of living things according to their chromosomal com¬
pliment. Gender is defined as a person s self representation as male or female or how
social institutions respond to that person on the basis of his or her gender presentation.
One frequently divides the topic of dimorphism into the biologic response inherent in
their sex and the environmental response that might be better termed gender differ¬
ences. Clinicians have anecdotally agreed for years that patellofemoral disorders are
more common in women. Given the difficulty in classifying patellofemoral disorders, lit¬
erature support for this assumption is meager. For the purposes of this article we divide
patellofemoral disorders into three categories: patellofemoral pain, patellofemoral
instability, and patellofemoral arthritis. Possible sex differences in these disorders are
reviewed.
Osteoporosis: Differences and Similarities in Male and Female Patients 601
Joseph Michael Lane, Alana Carey Serota, and Bradley Raphael
Osteoporosis is associated with decreased bone strength as a consequence of decreased
bone density and altered quality. It is a result of a disruption of balance between bone
breakdown and bone formation, caused by increased bone resorption by osteoclasts or
deficient bone replacement by osteoblasts. The silent thief affects women and men;
without appropriate screening, one s first awareness of the disease is a fracture. It results
in increased mortality and significant morbidity. In the last decade, great strides have
CONTENTS vii
been made in defining the diagnosis and establishing effective modes of treatment for
this disorder. Our current state of knowledge indicates that although this disease affects
both sexes, there are clear differences that have clinical importance.
Hip Fracture and Its Consequences: Differences Between Men and Women 611
Denise L. Orwig, Julia Chan, and Jay Magaziner
This article describes the state of knowledge regarding gender differences with respect to
hip fracture and its subsequent outcomes. Most of the work to date investigating hip
fracture patients has been done with women, yet some evidence from a few studies with
a significant number of male hip fracture patients and from nonfracture samples sug¬
gests that women and men may be different at the time of fracture and will have a dif¬
ferent course of recovery.
Sexual Dimorphism in Stroke 623
Mary Ann Keenan
Stroke is a leading cause of death and serious, long term disability. Studies evaluating
differences between men and women are lacking. Significant differences exist between
men and women in terms of risk factors and susceptibility to stroke. Women are less
likely to have diagnostic studies performed to evaluate their risk for stroke, and they
have a higher mortality following acute stroke. Women however, have a higher rate of
arterial recanalization after intravenous tissue plasminogen activator used for the treat¬
ment of acute stroke. The data comparing the effectiveness of treatments for prevention
of recurrent stroke between men and women is sparse. There have not been any studies
comparing results of treatment of musculoskeletal impairments in men and women after
stroke.
Sex Differences in Autoimmune Disease 629
Michael D. Lockshin
Many, but not all, autoimmune diseases primarily affect women. In humans, severity of
illness does not differ between men and women. Men and women respond similarly to
infection and vaccination, which suggests that the intrinsic differences in immune re¬
sponse between the sexes do not account for differences in disease frequency. In autoim
mune like illnesses caused by recognized environmental agents, sex discrepancy is
usually explained by differences in exposure. Endogenous hormones are not a likely ex¬
planation for sex discrepancy; hormones could have an effect if the effect is a threshold
rather than quantitative. X and Y chromosomal differences have not been studied in
depth. Other possibilities to explain sex discrepancy include chronobiologic differences
and various other biologies, such as pregnancy and menstruation, in which men differ
from women.
Sex Based Centers of Care: A Look to the Future 635
Kimberly J. Templeton
Although sex based centers of care have played a critical historic role in improving the
health of their constituents and drawing attention to the different health care needs of
men and women, it is time to challenge them to do an even better job. There are now
overwhelming data showing that men and women are profoundly different at the mo¬
lecular and cellular level in virtually all aspects of musculoskeletal health and disease,
but the clinical implications of these differences have generally been unexplored. Sex
based health centers of care can play a critical role in exploring these differences and,
in doing so, reduce disability and enhance quality of life in our growing population of
senior men and women.
Index 639
viii CONTENTS
|
| adam_txt |
SEXUAL DIMORPHISM IN MUSCULOSKELETAL HEALTH
CONTENTS
Preface xi
Laura L. Tosi, Letha Y. Griffin, and Mary I. O'Connor
Past and Future: Sex and Gender in Health Research, the Aging Experience,
and Implications for Musculoskeletal Health 513
Vivian W. Pinn
The statistics about common musculoskeletal disorders describe a few of the many
health conditions that affect men and women. For such disorders and conditions, there
are differences in incidence, predisposition, and therapeutic and preventive strategies for
managing them. Although we have made progress in women's health research, many
challenges remain, including those related to conditions and diseases of the musculoske¬
letal system that may affect women and men differentially. Research is needed to identify
genetic, hormonal, environmental, and societal factors that contribute to these sex and
gender differences and to understand when appropriate clinical applications should dif¬
fer or be the same.
Does Sex Matter in Musculoskeletal Health? A Workshop Report 523
Laura L. Tosi, Barbara D. Boyan, and Adele L. Boskey
In April 2004, the American Academy of Orthopaedic Surgeons, the National Institute of
Arthritis and Musculoskeletal and Skin Diseases of the National Institutes of Health
(NIH), and the Office of Research in Women's Health at the NIH convened a workshop
to explore how male and female biologic and physiologic characteristics affect musculos¬
keletal health. This issue of the Orthopedic Clinics of North America picks up where the
workshop left off, extending the discussion of clinical topics across the broad spectrum
of musculoskeletal health. This article serves as a prelude and introduction to the issue
and provides a synopsis of the workshop findings.
Upper Extremity: Emphasis on Frozen Shoulder 531
Monique A. Sheridan and Jo A. Hannafin
Adhesive capsulitis, or frozen shoulder syndrome, is a condition characterized by gra¬
dual loss of active and passive glenohumeral motion. The etiology of adhesive capsulitis
is unknown. Treatment methods include supervised benign neglect, physical therapy, in
tra articular corticosteroid injections, closed manipulation under anesthesia, arthroscopic
capsular release, and open surgical release. Approximately 70% of patients presenting
with adhesive capsulitis are women; however, the role of sex in the etiology, develop¬
ment, and outcome of treatment for adhesive capsulitis remains unclear. Individualized
treatment is necessary following thorough evaluation of patient symptoms and stage of
the disease.
VOLUME 37 • NUMBER 4 • OCTOBER 2006 v
How Men and Women Are Affected by Osteoarthritis of the Hand 541
E. Anne Ouellette and Anna Lena Makowski
Factors other than age and genetics may play a role in explaining the onset of osteoar¬
thritis of the hand. Genetic, physiologic, and anatomic differences in men and women
cause the variable expressions of osteoarthritis. These different factors affect women's
ability to modify osteoarthritis of the hand before and after its onset, although it is ge¬
netic. By maintaining normal weight, good health, and nutrition, one can diminish the
genetic and multifactorial effects of osteoarthritis of the hand. Future research in genet¬
ics, polymorphism, anatomy, hormonal influences, association with other disease pro¬
cesses, and multifactorial issues will clarify these relationships. Additional studies are
needed to investigate the outcomes of gender specific treatments, joint replacement sur¬
gery, and other interventions for osteoarthritis of the hand.
Sexual Dimorphism in Degenerative Disorders of the Spine 549
Neil A. Manson, Edward J. Goldberg, and Gunnar B. J. Andersson
Sexual dimorphism is evident during formation, growth, and development of the spine.
Pregnancy alters spine physiology and is a risk factor for back pain. The processes of
aging and spinal degeneration adversely affect men and women slightly differently.
Although degenerative changes are observed at similar rates in both sexes, women seem
to be more susceptible to degenerative changes leading to instability and malalignment,
such as degenerative spondylolisthesis. Men, however, suffer to a greater extent from
structural deterioration, such as stenosis or disc degeneration. Surgical satisfaction is
greater in men, which has been attributed to poorer preoperative function secondary
to more advanced disease at time of surgery and lower patient expectations for clinical
improvement, both observed in women.
Sexual Dimorphism in Adolescent Idiopathic Scoliosis 555
Cathleen L. Raggio
Adolescent idiopathic scoliosis (AIS) is one of the orthopedic disorders in which clinical
evidence of sexual dimorphism is most marked. Sexual dimorphism in spine growth,
morphology, stiffness, curve pattern, and hormones may be the environment in which
genetic factors combine to produce the phenotype of a scoliosis patient. These factors
also may play a role in curve progression despite treatment and may help explain
why some patients' curves never change and others are recalcitrant to nonoperative
treatments. There are important differences in male and female AIS that impact diagno¬
sis, treatment, and outcomes.
Osteoarthritis of the Hip and Knee: Sex and Gender Differences 559
Mary I. O'Connor
Osteoarthritis of the hip and knee is a leading cause of functional disability and compro¬
mised quality of life in older patients and a significant public health issue. Emerging re¬
search shows sex and gender differences in osteoarthritis which, to date, may not be
appreciated by the orthopedic community. This article discusses sex and gender differ¬
ences in osteoarthritis with a focus on disease involving the hip and knee. Understand¬
ing what we know (and do not know) about sex and gender differences in this disorder
is critical to improving quality of care for our patients.
Sexual Dimorphism of the Foot and Ankle 569
Kathryn O'Connor, Gwynne Bragdon, and Judith F. Baumhauer
Lower extremity musculoskeletal injuries are extremely common. Sports related sex dif¬
ferences, in addition to osteoporosis issues, have raised the level of social awareness that
women's health care issues may be different than those of their male counterparts.
vi CONTENTS
Traditional research investigation for the foot and ankle is focused on shoe style differ¬
ences and the effect that these shoes have had on foot pain and injury (eg, bunion, lesser
toe malalignment). In addition to the extrinsic factor of footwear, intrinsic factors, such as
foot structure, ligamentous laxity, muscle strength, and proprioception, predispose indi¬
viduals to injury. This article reviews the literature to examine the intrinsic and extrinsic
differences between men and women in relationship to the foot and ankle and explores,
where available, the influence that these factors have on injury.
Female Athletic Triad and Stress Fractures 575
David Feingold and Sharon L. Hame
Stress fractures are a common occurrence in athletes, and the incidence of stress fractures
in female Division 1 collegiate athletes is double that of men. Hormonal influences on
bone and bone morphology may influence the risk for fracture. A high level of suspicion
and special imaging procedures allow for accurate diagnosis of these fractures. In stress
fractures that are associated with the female athlete triad, addressing the three aspects of
the triad—eating disorders, amenorrhea, and osteoporosis—are critical for successful
treatment. Preparticipation screening for the presence of the signs of the female athlete
triad by monitoring weight, energy level, menstrual cycles, and bone mineral density
may help to prevent the occurrence of stress fractures in this population.
Anterior Cruciate Ligament Biology and Its Relationship to Injury Forces 585
James R. Slauterbeck, John R. Hickox, Bruce Beynnon, and Daniel M. Hardy
Anterior cruciate ligament injury is determined by two variables: the ultimate failure
load of the ligament and the mechanical load applied to the ligament. All factors that
contribute to anterior cruciate ligament injury must do so by affecting one or both of
these two basic variables. Some factors, such as sex hormones and tissue remodeling,
have a multifaceted effect on the failure load of the anterior cruciate ligament and the
magnitude of the load applied to it. The model also illustrates the potentially profound
effects that sex hormones and tissue remodeling likely have on female susceptibility to
anterior cruciate ligament injuries.
Dimorphism and Patellofemoral Disorders 593
Elizabeth A. Arendt
Sex is defined as the classification of living things according to their chromosomal com¬
pliment. Gender is defined as a person's self representation as male or female or how
social institutions respond to that person on the basis of his or her gender presentation.
One frequently divides the topic of dimorphism into the biologic response inherent in
their sex and the environmental response that might be better termed "gender differ¬
ences." Clinicians have anecdotally agreed for years that patellofemoral disorders are
more common in women. Given the difficulty in classifying patellofemoral disorders, lit¬
erature support for this assumption is meager. For the purposes of this article we divide
patellofemoral disorders into three categories: patellofemoral pain, patellofemoral
instability, and patellofemoral arthritis. Possible sex differences in these disorders are
reviewed.
Osteoporosis: Differences and Similarities in Male and Female Patients 601
Joseph Michael Lane, Alana Carey Serota, and Bradley Raphael
Osteoporosis is associated with decreased bone strength as a consequence of decreased
bone density and altered quality. It is a result of a disruption of balance between bone
breakdown and bone formation, caused by increased bone resorption by osteoclasts or
deficient bone replacement by osteoblasts. The "silent thief" affects women and men;
without appropriate screening, one's first awareness of the disease is a fracture. It results
in increased mortality and significant morbidity. In the last decade, great strides have
CONTENTS vii
been made in defining the diagnosis and establishing effective modes of treatment for
this disorder. Our current state of knowledge indicates that although this disease affects
both sexes, there are clear differences that have clinical importance.
Hip Fracture and Its Consequences: Differences Between Men and Women 611
Denise L. Orwig, Julia Chan, and Jay Magaziner
This article describes the state of knowledge regarding gender differences with respect to
hip fracture and its subsequent outcomes. Most of the work to date investigating hip
fracture patients has been done with women, yet some evidence from a few studies with
a significant number of male hip fracture patients and from nonfracture samples sug¬
gests that women and men may be different at the time of fracture and will have a dif¬
ferent course of recovery.
Sexual Dimorphism in Stroke 623
Mary Ann Keenan
Stroke is a leading cause of death and serious, long term disability. Studies evaluating
differences between men and women are lacking. Significant differences exist between
men and women in terms of risk factors and susceptibility to stroke. Women are less
likely to have diagnostic studies performed to evaluate their risk for stroke, and they
have a higher mortality following acute stroke. Women however, have a higher rate of
arterial recanalization after intravenous tissue plasminogen activator used for the treat¬
ment of acute stroke. The data comparing the effectiveness of treatments for prevention
of recurrent stroke between men and women is sparse. There have not been any studies
comparing results of treatment of musculoskeletal impairments in men and women after
stroke.
Sex Differences in Autoimmune Disease 629
Michael D. Lockshin
Many, but not all, autoimmune diseases primarily affect women. In humans, severity of
illness does not differ between men and women. Men and women respond similarly to
infection and vaccination, which suggests that the intrinsic differences in immune re¬
sponse between the sexes do not account for differences in disease frequency. In autoim
mune like illnesses caused by recognized environmental agents, sex discrepancy is
usually explained by differences in exposure. Endogenous hormones are not a likely ex¬
planation for sex discrepancy; hormones could have an effect if the effect is a threshold
rather than quantitative. X and Y chromosomal differences have not been studied in
depth. Other possibilities to explain sex discrepancy include chronobiologic differences
and various other biologies, such as pregnancy and menstruation, in which men differ
from women.
Sex Based Centers of Care: A Look to the Future 635
Kimberly J. Templeton
Although sex based centers of care have played a critical historic role in improving the
health of their constituents and drawing attention to the different health care needs of
men and women, it is time to challenge them to do an even better job. There are now
overwhelming data showing that men and women are profoundly different at the mo¬
lecular and cellular level in virtually all aspects of musculoskeletal health and disease,
but the clinical implications of these differences have generally been unexplored. Sex
based health centers of care can play a critical role in exploring these differences and,
in doing so, reduce disability and enhance quality of life in our growing population of
senior men and women.
Index 639
viii CONTENTS |
| any_adam_object | 1 |
| any_adam_object_boolean | 1 |
| author_GND | (DE-588)139343539 |
| building | Verbundindex |
| bvnumber | BV022239441 |
| callnumber-first | R - Medicine |
| callnumber-label | RD705 |
| callnumber-raw | RD705.5 |
| callnumber-search | RD705.5 |
| callnumber-sort | RD 3705.5 |
| callnumber-subject | RD - Surgery |
| ctrlnum | (OCoLC)78771036 (DE-599)BVBBV022239441 |
| format | Book |
| fullrecord | <?xml version="1.0" encoding="UTF-8"?><collection xmlns="http://www.loc.gov/MARC21/slim"><record><leader>01433nam a2200385 cb4500</leader><controlfield tag="001">BV022239441</controlfield><controlfield tag="003">DE-604</controlfield><controlfield tag="005">20150223 </controlfield><controlfield tag="007">t</controlfield><controlfield tag="008">070124s2006 ad|| |||| 00||| eng d</controlfield><datafield tag="020" ind1=" " ind2=" "><subfield code="a">1416047638</subfield><subfield code="9">1-4160-4763-8</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(OCoLC)78771036</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-599)BVBBV022239441</subfield></datafield><datafield tag="040" ind1=" " ind2=" "><subfield code="a">DE-604</subfield><subfield code="b">ger</subfield><subfield code="e">rakwb</subfield></datafield><datafield tag="041" ind1="0" ind2=" "><subfield code="a">eng</subfield></datafield><datafield tag="049" ind1=" " ind2=" "><subfield code="a">DE-19</subfield></datafield><datafield tag="050" ind1=" " ind2="0"><subfield code="a">RD705.5</subfield></datafield><datafield tag="245" ind1="1" ind2="0"><subfield code="a">Sexual dimorphism in musculoskeletal health</subfield><subfield code="c">guest ed. Laura L. Tosi ...</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="a">Philadelphia [u.a.]</subfield><subfield code="b">Saunders</subfield><subfield code="c">2006</subfield></datafield><datafield tag="300" ind1=" " ind2=" "><subfield code="a">XII S., S. 513 - 642</subfield><subfield code="b">Ill., graph. Darst.</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="b">n</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="b">nc</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="490" ind1="1" ind2=" "><subfield code="a">Orthopedic clinics of North America</subfield><subfield code="v">37,4</subfield></datafield><datafield tag="650" ind1=" " ind2="7"><subfield code="a">Seksueel dimorfisme</subfield><subfield code="2">gtt</subfield></datafield><datafield tag="650" ind1=" " ind2="7"><subfield code="a">Spier-beenderstelsel</subfield><subfield code="2">gtt</subfield></datafield><datafield tag="650" ind1=" " ind2="7"><subfield code="a">Ziekten</subfield><subfield code="2">gtt</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Musculoskeletal System</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Musculoskeletal system</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Sex Characteristics</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Sex differences</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Tosi, Laura L.</subfield><subfield code="e">Sonstige</subfield><subfield code="0">(DE-588)139343539</subfield><subfield code="4">oth</subfield></datafield><datafield tag="830" ind1=" " ind2="0"><subfield code="a">Orthopedic clinics of North America</subfield><subfield code="v">37,4</subfield><subfield code="w">(DE-604)BV000001089</subfield><subfield code="9">37,4</subfield></datafield><datafield tag="856" ind1="4" ind2="2"><subfield code="m">HBZ Datenaustausch</subfield><subfield code="q">application/pdf</subfield><subfield code="u">http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=015450388&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA</subfield><subfield code="3">Inhaltsverzeichnis</subfield></datafield><datafield tag="999" ind1=" " ind2=" "><subfield code="a">oai:aleph.bib-bvb.de:BVB01-015450388</subfield></datafield></record></collection> |
| id | DE-604.BV022239441 |
| illustrated | Illustrated |
| index_date | 2024-07-02T16:35:27Z |
| indexdate | 2024-07-09T20:53:06Z |
| institution | BVB |
| isbn | 1416047638 |
| language | English |
| oai_aleph_id | oai:aleph.bib-bvb.de:BVB01-015450388 |
| oclc_num | 78771036 |
| open_access_boolean | |
| owner | DE-19 DE-BY-UBM |
| owner_facet | DE-19 DE-BY-UBM |
| physical | XII S., S. 513 - 642 Ill., graph. Darst. |
| publishDate | 2006 |
| publishDateSearch | 2006 |
| publishDateSort | 2006 |
| publisher | Saunders |
| record_format | marc |
| series | Orthopedic clinics of North America |
| series2 | Orthopedic clinics of North America |
| spelling | Sexual dimorphism in musculoskeletal health guest ed. Laura L. Tosi ... Philadelphia [u.a.] Saunders 2006 XII S., S. 513 - 642 Ill., graph. Darst. txt rdacontent n rdamedia nc rdacarrier Orthopedic clinics of North America 37,4 Seksueel dimorfisme gtt Spier-beenderstelsel gtt Ziekten gtt Musculoskeletal System Musculoskeletal system Sex Characteristics Sex differences Tosi, Laura L. Sonstige (DE-588)139343539 oth Orthopedic clinics of North America 37,4 (DE-604)BV000001089 37,4 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=015450388&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Sexual dimorphism in musculoskeletal health Orthopedic clinics of North America Seksueel dimorfisme gtt Spier-beenderstelsel gtt Ziekten gtt Musculoskeletal System Musculoskeletal system Sex Characteristics Sex differences |
| title | Sexual dimorphism in musculoskeletal health |
| title_auth | Sexual dimorphism in musculoskeletal health |
| title_exact_search | Sexual dimorphism in musculoskeletal health |
| title_exact_search_txtP | Sexual dimorphism in musculoskeletal health |
| title_full | Sexual dimorphism in musculoskeletal health guest ed. Laura L. Tosi ... |
| title_fullStr | Sexual dimorphism in musculoskeletal health guest ed. Laura L. Tosi ... |
| title_full_unstemmed | Sexual dimorphism in musculoskeletal health guest ed. Laura L. Tosi ... |
| title_short | Sexual dimorphism in musculoskeletal health |
| title_sort | sexual dimorphism in musculoskeletal health |
| topic | Seksueel dimorfisme gtt Spier-beenderstelsel gtt Ziekten gtt Musculoskeletal System Musculoskeletal system Sex Characteristics Sex differences |
| topic_facet | Seksueel dimorfisme Spier-beenderstelsel Ziekten Musculoskeletal System Musculoskeletal system Sex Characteristics Sex differences |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=015450388&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
| volume_link | (DE-604)BV000001089 |
| work_keys_str_mv | AT tosilaural sexualdimorphisminmusculoskeletalhealth |