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Schwarz H, Thierolf R  
Update: Treatment of Osteoporosis to Prevent Fractures in Traumatology

Journal für Mineralstoffwechsel & Muskuloskelettale Erkrankungen 2011; 18 (Supplementum 1): 18-22

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Abb. 1: T-Score Abb. 2: Low-energy trauma

Fractures are a highly predictive indicator of the fragility of bone secondary to osteoporosis. Therefore, the traumatologist bears the primary responsibility for the diagnosis of osteoporosis and the initiation of therapy. He is no longer responsible for mere fracture management alone as he used to be in the past. It is not sufficient to judge the adequacy of the fracture alone; rather, the entire risk constellation with regard to osteoporosis must be taken into account. Rapid action is required because the risk of subsequent fractures is highest once the first fracture has occurred. Therefore, when osteoporosis is suspected to be partly responsible for the fracture, the traumatologist must initiate further diagnostic evaluation early or perform the necessary diagnostic or therapeutic steps himself/herself. Fracture prevention includes a wide range of options. The therapy must be planned such that the risk of fracture is reduced rapidly and effectively. The best basis for the diagnosis and management of osteoporosis are the S-3 Guidelines of the DVO [1], which were formulated by consensus between experts in German-speaking countries.
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