Osteoporosis in orthopaedic trauma patients: A diagnosis and treatment protocol

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Abstract

The purpose of this study was to determine the prevalence of patients at risk for osteoporosis and fracture in a cohort of orthopaedic trauma patients and to subsequently determine the efficacy of a protocol for evaluation, education, and treatment in these patients.Prospective study of "osteoporosis protocol" for evaluation, education, initiation of treatment, and 1-year follow-up in orthopaedic trauma patients.Level 2 regional trauma center.Two hundred sixty consecutive adult patients treated by an orthopaedic trauma surgeon for an acute orthopaedic injury were prospectively enrolled in an osteoporosis protocol between January and August 2005.Patients were evaluated using quantitative ultrasound (QUS) of the heel administered at the bedside and with comprehensive medical, osteoporotic, ovarian, nutritional, family, and current injury histories. For patients identified as high risk for osteoporosis (QUS of the calcaneus-derived T-score

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