Evaluation and Management of Osteoporosis and Sarcopenia in Patients with Distal Radius Fractures

Gajendra Mani Shah, Hyun Sik Gong, Young Ju Chae, Yeun Soo Kim, Jihyeung Kim, Goo Hyun Baek

Research output: Contribution to journalReview article

Abstract

Distal radius fractures (DRFs) are one of the most common fractures seen in elderly people. Patients with DRFs have a high incidence of osteoporosis and an increased risk of subsequent fractures, subtle early physical performance changes, and a high prevalence of sarcopenia. Since DRFs typically occur earlier than vertebral or hip fractures, they reflect early changes of the bone and muscle frailty and provide physicians with an opportunity to prevent progression of frailty and secondary fractures. In this review, we will discuss the concept of DRFs as a medical condition that is at the start of the fragility fracture cascade, recent advances in the diagnosis of bone fragility including emerging importance of cortical porosity, fracture healing with osteoporosis medications, and recent progress in research on sarcopenia in patients with DRFs.

Original languageEnglish
Pages (from-to)9-21
Number of pages13
JournalClinics in Orthopedic Surgery
Volume12
Issue number1
DOIs
StatePublished - 1 Mar 2020

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Keywords

  • Osteoporosis
  • Osteoporotic fractures
  • Porosity
  • Radius fractures
  • Sarcopenia

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