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Tag: Fractures

For patients with asthma

Corticosteroid Exposure Affects Bone Health in Asthma Patients

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Oral, inhaled corticosteroid use linked to increased risk for osteoporosis, fragility fractures
Vertebral fractures are a clinical marker of fragility and poor prognosis in patients with COVID-19

Vertebral Fractures Marker of Poorer Prognosis in COVID-19

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COVID-19 patients with vertebral fractures more often require noninvasive mechanical ventilation
During the COVID-19 pandemic

AAP: Pediatric Fracture Volume Dropped During Pandemic

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Incidence of fractures presenting significantly decreased; presenting age for all fractures decreased
History of obstructive sleep apnea is independently associated with a higher risk for confirmed vertebral fracture

Obstructive Sleep Apnea Tied to Worse Bone Health

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Findings strongest for development of vertebral fracture
The addition of lung-specific risk factors into fracture risk assessment tools may more accurately predict hip fracture risk in smokers

Lung-Specific Risk Factors Linked to Hip Fracture in Smokers

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Authors say incorporating lung-specific risk factors would improve hip fracture risk prediction models
Longer duration of bisphosphonate use is associated with an increased risk for atypical femur fracture

Longer Bisphosphonate Use May Up Atypical Femur Fracture Risk

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Rapid decline in atypical fracture risk seen when bisphosphonate discontinued in women ≥50 years
Initial cast immobilization is recommended for adults with scaphoid waist fractures displaced by 2 mm or less

Cast Immobilization Recommended for Scaphoid Fractures

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Below-elbow cast immobilization should be followed by surgery if nonunion of fracture is confirmed
In patients who have previously suffered a vertebral fracture

Longer Bisphosphonate Drug Holiday May Up Fracture Risk

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For those with previous vertebral fracture, major osteoporotic fractures increased with holidays >12 months
A second bone mineral density (BMD) assessment about three years after initial measurement does not improve discrimination beyond baseline BMD value alone for women who do and do not experience subsequent hip fracture or major osteoporotic fracture

Second BMD Measurement Not Beneficial for Identifying Hip Fracture

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Second BMD assessment about three years after initial measure not linked to improved discrimination
Dairy intake is not associated with improvements in bone mineral density or risk for fractures in women transitioning to menopause

Dairy Does Not Protect Against Bone Loss During Menopause Transition

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Similarly, no association seen between dairy food intake and risk for fractures