OBJECTIVE To estimate the prevalence and analyze risk factors associated to osteoporosis and low-trauma fracture in women. METHODS Cross-sectional study including a total of 4,332 women older than 40 attending primary care services in the Greater São Paulo, Southeastern Brazil, between 2004 and 2007. Anthropometrical and gynecological data and information about lifestyle habits, previous frac...

Due to a greater life expectancy in developed countries such as Spain, the incidence of osteoporotic fracture is increasing,1 which has a direct effect on a higher health expense. In the case of hip fracture, which encompasses more severity, the incidence varies up to 7 times among different European countries, being Spain among the countries with lower incidence (711 cases per 100,000 women an...

BACKGROUND Surgical site infection is one of the most common complications following ankle fracture surgery. These infections are associated with substantial morbidity and lead to increased resource utilization. Identification of risk factors is crucial for developing strategies to prevent these complications. METHODS We performed an age and sex-matched case-control study to identify patient ...

Sacral stress fractures are common in elderly people. However, sacral stress fracture should be always screened in the differential diagnoses of low back pain during the postpartum period. We present a case of sacral fracture in a thirty-six-year-old woman with low back pain and severe right buttock pain two days after cesarean section delivery of a 3.9 Kg baby. The diagnosis was confirmed by M...

BACKGROUND Delirium is common in hip fracture patients and many risk factors have been identified. Controversy exists regarding the possible impact of intraoperative control of blood pressure upon acute (delirium) and long term (dementia) cognitive decline. We explored possible associations between perioperative hemodynamic changes, use of vasopressor drugs, risk of delirium and risk of new-ons...

Osteoporosis is a systemic skeletal disease characterised by loss of bone mass and microarchitectural integrity that lead to increased bone fragility and risk of fracture.' Its natural history is one of slow, progressive bone loss that often remains asymptomatic and undiagnosed for many years. Only when a substantial amount of bone has been lost do the characteristic low trauma fractures occur....

T he Fracture Risk Assessment tool (FRAX) was released in 2008 by the World Health Organization (WHO). The FRAX algorithm uses bone mineral density (BMD) and 11 additional clinical and physiological risk factors to estimate a person’s 10-year probability of hip and other major osteoporotic fracture. The latter is defined by the WHO as a hip, clinical vertebral, distal forearm, or humerus fractu...

INTRODUCTION Different guidelines are used worldwide to make decisions on treating osteoporosis. Some are based on fracture risk calculations, whereas others use criteria based on bone mineral density (BMD) T-scores, risk factors, or fragility fractures. The aim of this study was to explore how osteoporosis treatment decisions in a group of elderly women with falls would be affected if fracture...

FRAX is a tool that identifies individuals with high fracture risk who will benefit from pharmacological treatment of osteoporosis. However, a majority of fractures among elderly occur in people without osteoporosis and most occur after a fall. Our aim was to accurately identify men with a high future risk of fracture, independent of cause. In the population-based Uppsala Longitudinal Study of ...