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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 .
DISH most commonly affects the elderly, especially 6th to 7th decades. The estimated frequency in the elderly is ~10% – 20%, with a slight male predominance. The exact cause is unknown. Mechanical, dietary factors and use of some medications (e.g. isotretinoin, etretinate, acitretin and other vitamin A derivatives) [9] may be of significance ...
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 systemic skeletal disorder characterized by low bone mass, micro-architectural deterioration of bone tissue leading to more porous bone, and consequent increase in fracture risk. It is the most common reason for a broken bone among the elderly . [ 3 ]
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.
To confirm the diagnosis, renal osteodystrophy must be characterized by determining bone turnover, mineralization, and volume (TMV system) [2] (bone biopsy). [16] All forms of renal osteodystrophy should also be distinguished from other bone diseases which may equally result in decreased bone density (related or unrelated to CKD): osteoporosis [19]
Paget's disease of bone; Other names: osteitis deformans, Paget's disease "This 92 year-old male patient presented for assessment of sudden inability to move half his body. An incidental finding was marked thickening of the calvarium. The diploic space is widened and there are ill-defined sclerotic and lucent areas throughout. The cortex is ...