The Journal of Bone and Joint Surgery (American). 2008;90:188-194.
doi:10.2106/JBJS.H.00628
© 2008 The Journal of Bone and Joint Surgery, Inc.
Osteoporosis Disease Management: The Role of the Orthopaedic Surgeon
Richard Dell, MD1,
Denise Greene, RNP, MS1,
Steven R. Schelkun, MD2 and
Kathy Williams, MSG3
1 9897 Fonte Road, Cypress, CA 90630. E-mail address for R. Dell:
Richard.M.Dell@kp.org.
E-mail address for D. Greene:
DFGreene@ca.rr.com
2 Department of Orthopedics, Kaiser San Diego, 4647 Zion Avenue, San Diego, CA
92120
3 Department of Orthopedics, Kaiser Fontana, 9985 Sierra Avenue, Fontana, CA
92335
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Introduction
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Osteoporosis is a major medical problem affecting 8 million women and 2
million men in the United States. An additional 34 million Americans have low
bone mass. Each year, an estimated 1.5 million people in the United States
experience a fragility fracture secondary to osteoporosis, resulting in an
annual cost of $18
billion1. The
problem of osteoporosis is now reaching epidemic proportions with the rapidly
aging population2.
One-half of all women and one-third of all men will sustain a fragility
fracture in their
lifetime3.
There is a huge cost associated with osteoporosis in terms of morbidity,
mortality, and the financial impact on
society4. The most
devastating complication of osteoporosis is a hip fracture. According to the
most recent statistics published in the 2004 United States Surgeon General's
report on osteoporosis, of the 325,000 patients who sustain a hip fracture
each year, 24% end up in nursing . . . [Full Text of this Article]

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