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Senile osteoporosis has been recently recognized as a geriatric syndrome with a particular pathophysiology. There are different classification of osteoporosis: primary, in which bone loss is a result of aging and secondary, in which bone loss occurs from various clinical and lifestyle factors. [1]
The trabecular bone has much higher metabolic activity than the cortical bone and so is affected by age, disease and therapy-related changes earlier and to a greater degree than cortical bone. This means that QCT of the spine has an advantage compared to other bone density tests because earlier changes in bone mineral density may be detected .
A scanner used to measure bone density using dual energy X-ray absorptiometry. Bone density, or bone mineral density, is the amount of bone mineral in bone tissue.The concept is of mass of mineral per volume of bone (relating to density in the physics sense), although clinically it is measured by proxy according to optical density per square centimetre of bone surface upon imaging. [1]
Osteoporosis is a very prevalent disease in the elderly population but not much is known about the optimal prescription and dosage of physical exercise to help prevent bone mineral loss. A lot of the focus around osteoporosis is also prevention and not so much maintenance which should be the front runner when considering what approach to take.
The geriatric rheumatology clinic provides evaluation and management services to patients with various musculoskeletal and soft tissue disorders.Evaluation of the elderly patient is often complex due to the many comorbid conditions encountered in this population often compounded by cognitive disorders, functional decline, polypharmacy and limited social supports.
The Osteoporosis and Bone Research Academy is the first dedicated academy for osteoporosis. It is a collaborative venture with patients at its heart, which brings together leading researchers, clinicians and academics in the field to advance scientific knowledge and work towards a cure for the condition.
Patients undergo double tetracycline labelling, and then samples of bone are collected using trephine under local anesthetic from the iliac crest as it is the only readily accessible site for bone biopsy. [2]
Moreover, common diseases may present atypically in elderly patients, adding further diagnostic and therapeutic complexity to patient care. Geriatrics is highly interdisciplinary consisting of specialty providers from the fields of medicine, nursing, pharmacy, social work, and physical and occupational therapy.