關於脆弱性骨折

關於脆性骨折與骨質疏鬆症:兩者的關係

骨質疏鬆症會讓骨骼漸漸變薄、疏鬆脆弱,更容易斷裂。1因此,患者的骨骼最終變得非常脆弱,即使是輕微的碰撞或跌倒都會導致骨折,這就是所謂的「脆性骨折」。2骨折的常見部位包括髖關節、脊椎、手臂、手腕、肋骨、雙腿與骨盆。3骨折的治療費用昂貴,且會嚴重影響患者的日常生活。3更甚者,骨折經常伴隨着極高的死亡率。3

繼發性骨折重要知識

  • 發生過脆弱性骨折的患者,未來再次發生骨折的機率會增加 10 倍4
  • 半數髖關節骨折患者都曾經歷骨折意外5
  • 雖然未來仍可能再次發生骨折,但是多數的脆弱性骨折患者均未接受評估或治療,以降低日後再次發生骨折的機率5
  • 因為這些骨折患者日後再次骨折的機率很高,為他們提供治療可有效節省大量醫療成本5

我是高危族嗎?

骨質疏鬆症的風險因素包括年齡、吸煙、過量飲酒、曾發生骨折意外、骨質疏鬆症的家族病史以及體重過輕8

References:
1. International Osteoporosis Foundation. What Is Osteoporosis? 2015. Available from: http://www.iofbonehealth.org/what-is-osteoporosis (Last accessed Mar 2018). 2. International Osteoporosis Foundation. Capture the Fracture: A Global Campaign to Break the Fragility Fracture Cycle. 2012. Available from: https://www.iofbonehealth.org/capture-fracture (Last accessed Mar 2018). 3. International Osteoporosis Foundation. Gaps and Solutions in Bone Health: A Global Framework for Improvement. Available at: http://share.iofbonehealth.org/WOD/2016/thematic-report/WOD16-report-WEB-EN.pdf (Last accessed Mar 2018). 4 .Lyet JP. Fragility Fractures in the Osteoporotic Patient: Special Challenges. JLGH 2006;1(3):91–95. 5. International Osteoporosis Foundation. What We Do. Available from: https://www.iofbonehealth.org/capture-fracture (Last accessed Mar 2018). 6. International Osteoporosis Foundation. Facts and Statistics. Available from: https://www.iofbonehealth.org/facts-statistics#category-25 (Last accessed Mar 2018). 7. International Osteoporosis Foundation. The Asia-Pacific Regional Audit: Epidemiology, costs and burden of osteoporosis. 2013. 8. International Osteoporosis Foundation. Who’s at Risk? 2015. Available from: http://www.iofbonehealth.org/whos-risk (Last accessed Mar 2018).

HK-01525-PRO-2018-Oct

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