OSTEOPOROSIS
. OSTEOPOROSIS IS ONE OF THE COMMONEST METABOLIC DISORDER. . IT OCCUR DUE TO REDUCTION IN BONE DENSITY AND BECAUSE OF THAT THERE IS REDUCTION IN BONE MASS. CAUSES: - SENILITY - POST MENOPAUSAL - PROTEIN DEFICIENCY - MALNUTRITION - MALABSORPTION - EXCESS PROTEIN LOSS - ENDOCRINE: . CUSHING SYNDROME . HYPERTHYROID STATE -DRUG INDUCED: . LONG TERM STEROID THERAPY . PHENOBARBITONE THERAPY * OSTEOPOROSIS IS ASYMPTOMATIC DISORDER UNLESS COMPLICATION OCCUR. * LOSS OF BONE MASS LEAD TO LOSS OF STRENGTH SO THAT MINOR TRAUMA IS SUFFICIENT FOR FRACTURE. * DORSAL LUMBAR SPINE IS THE MOST COMMON SITE. * MOST COMMON SYMPTOM OF OSTEOPOROSIS IS BACK PAIN AND SECONDARY THERE IS VERTEBRAL COMPRESSION. * HOWEVER IN SOME CASES THERE IS FRACTURE OF AXIAL SKELETON WITH MINIMAL TRAUMA. * DUE TO THIS THERE IS LOSS OF HEIGHT. * WRIST FRACTURE,FRACTURE OF NECK OF FEMUR,VERTEBRAL FRACTURES OCCUR DUE TO TRIVIAL TRAUMA. DIFFERENCE BETWEEN NORMAL BONE VS OSTEOPOROTIC BONE: HOW TO MANAGE OSTEOPOROSIS?????...