osteoporosis

Definition

Minimal trauma fracture

- secondary to osteoporosis

- wedge fractures

Epidemiology

F > M

More common in elderly patients

Uncommon in men < 75

- look for alternative diagnosis

DDx

Renal failure

Malignancy - metastasis

Infection

Clinically

Can present with pain

Epidemiology

1/3 caucasian women > 64

Risk Factors

Insufficient bone mass at time of skeletal maturity

- peak bone mass is achieved at age 25

Rapid loss of bone after menopause

Low body weight / weight loss / history of smoking / steroids

Primary

Type 1

- postmenopausal

- high turnover / osteoclast mediated

- F x 6