The Orthobullets Podcast

Foundations⎪Basic Science⎪Osteopenia & Osteoporosis

Jul 7, 2025
Dive into the world of bone health as they unravel the mysteries of osteopenia and osteoporosis. Discover the crucial definitions, causes, and diagnostic techniques that can transform patient care. Learn how nitrogen-containing bisphosphonates work their magic by inhibiting osteoclast activity. They also share vital nutrition tips on calcium and vitamin D intake to stave off these conditions. Plus, get insights on effective management strategies for hip fractures and enhancing patient outcomes.
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INSIGHT

Osteopenia & Osteoporosis Continuum

  • Osteopenia and osteoporosis form a continuum of decreased bone mass and disrupted microarchitecture.
  • Key causes include aging, menopause, and metabolic issues.
INSIGHT

Bone Density Definitions

  • DEXA scans measure bone density with T-scores comparing to young adults.
  • Osteopenia is defined as T-score between -1 and -2.5; osteoporosis as less than -2.5.
ADVICE

Treatment Guidelines

  • Follow National Osteoporosis Foundation guidelines for medical treatment.
  • Use calcium, vitamin D, bisphosphonates, and other pharmacologic agents as indicated.
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