[Disabling senile osteoporosis].
Fractures of the proximal femur are the most dangerous complications of type-II-osteoporosis with a high rate of disability and mortality. In contrast to type-I-osteoporosis, men are affected rather frequently (ratio 1:3). We report on a 79-year old man who was completely in need of care after bilateral fractures of the humerus after having survived a previous pertrochanteric fracture of the left femur. Diagnostic procedures revealed that in this case an intestinal malabsorption has to be taken into consideration as a pathogenetic factor of this severe osteopathy. Bone biopsy confirmed a combination of osteoporosis and osteomalacia. Partial gastrectomy, which had been performed 10 years before, was obviously the reason for malabsorption having caused furthermore pernicious anemia, severe malnutrition and exsiccosis.
Ringe
J D
JD
Medizinisch-geriatrische Klinik, Albertinen-Haus, Hamburg.
Musolf
M
M
Meier-Baumgartner
H P
HP
Schulz
A
A
D000368:Aged; D001842:Bone and Bones / Q000473:pathology; D003131:Combined Modality Therapy; D004185:Disability Evaluation; D006620:Hip Fractures / Q000628:therapy; D006801:Humans; D006810:Humeral Fractures / Q000628:therapy; D008297:Male; D010024:Osteoporosis / Q000150:complications / Q000473:pathology / Q000628:therapy*; D012784:Shoulder Fractures / Q000628:therapy
Invalidisierende senile Osteoporose.