When I was a young intern in internal medicine,osteoporosis was defined mainly as a fracture occurring in elderly people. However,although plain X-ray examination was recognized as an insensitive way to detect osteoporosis, hypodense bone was already considered as the reflection of the disease. Over...

Ausführliche Beschreibung

Bibliographische Detailangaben

Hauptverfasser:	Geusens, Piet (VerfasserIn), Sambrook, Philip N. (VerfasserIn), Lindsay, Robert (VerfasserIn)
Format:	Elektronisch E-Book
Sprache:	English
Veröffentlicht:	London Springer London 2004
Ausgabe:	Second Edition
Schlagworte:	Surgical Orthopedics Rheumatology General Practice / Family Medicine Gynecology Imaging / Radiology Internal Medicine Orthopedic surgery Family medicine Radiology, Medical Internal medicine Osteoporose Aufsatzsammlung
Online-Zugang:	UBR01 URL des Erstveröffentlichers
Zusammenfassung:	When I was a young intern in internal medicine,osteoporosis was defined mainly as a fracture occurring in elderly people. However,although plain X-ray examination was recognized as an insensitive way to detect osteoporosis, hypodense bone was already considered as the reflection of the disease. Over the past 20 years, con­ siderable progress has been accomplished. In terms of prevalence, incidence, risk factors, and the burden of osteoporosis and low-energy fracture, we can appreciate the magnitude of the problem and its impact on quality oflife. Weare wellaware that vertebral fracture, which can be acutely associated with a low clinical expression, leads to significant long-term impairments. The costs for the individual and for the health budget, Le. society,are estimated better. Wenow have a clear definition of the disease, such as low bone mass and architectural defects, resulting in increased fragility. For the former part of the definition, the clinician can use accurate and pre­ cise tools allowing them to distinguish how their patient's bone mineral content differs from that of a young healthy population in which fracture occurs very rarely. For the second series of fragility determinants, i. e. structure, methods are in rapid progress and will provide information to clinicians on these variables in the near future. Basicand clinical research have allowed major improvements in the understand­ ing of the pathophysiology of the disease. Newgenes implicated in lowand/or high bone mass have been characterized
Beschreibung:	1 Online-Ressource (XXIX, 224 p. 83 illus)
ISBN:	9780857294029
DOI:	10.1007/978-0-85729-402-9