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Review Question - QID 3459

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QID 3459 (Type "3459" in App Search)
A 52-year old woman who is not on any hormone replacement therapy (HRT) falls from standing height and sustains the injury seen in Figure A. Review of her medical history reveals that she carries a diagnosis of osteoporosis, and that her latest T-score was -3.0. How much calcium should she have been consuming on a daily basis prior to sustaining her injury?
  • A

200-400mg

1%

15/2985

600-800mg

3%

87/2985

800-1000mg

7%

217/2985

1000-1500mg

74%

2211/2985

>1500mg

15%

443/2985

  • A

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The clinical presentation and radiographs are consistent with a distal radius fragility fracture. Based on her medical history of osteoporosis, which is confirmed by a T-score <-2.5, she should be taking 1000-1500mg of calcium per day at baseline.

Tortolani et al reviewed the effects of decreased bone mineral density (BMD) in children. Conditions such as osteogenesis imperfecta (OI), rickets, JRA and neuromuscular disorders are common causes. They outlined the process of skeletal development and the pathophysiology of osteopenia.

In a consensus statement, the NIH provided outlines for daily calcium intake for broken down into age groups. In addition, they reviewed the cofactors in calcium metabolism, risks of high calcium levels, health strategies for increasing intake and recommendations for future research in calcium intake.

Oyen et al examined 1794 patients with fractures of the distal radius. As one-third of the men and half of the women had bone mineral density (BMD) suggesting osteoporosis, they concluded that all patients aged 50 or above should have bone desitometry testing.

Freedman et al reviewed 1162 women with distal radius fractures. They determined that the rate of diagnostic workup and medial treatment decreases as patient age increases at the time of fracture.

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