Fracture Risk in Patients with Hypoparathyroidism.

IF 4.2 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM
Current Osteoporosis Reports Pub Date : 2023-10-01 Epub Date: 2023-08-05 DOI:10.1007/s11914-023-00790-x
Lars Rejnmark, Line Underbjerg
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引用次数: 0

Abstract

Purpose of review: To summarize the recently published scientific evidence on fracture risk in hypoparathyroidism.

Recent findings: Hypoparathyroidism is characterized by a low bone turnover and a high bone mineral density. Data on fracture risk are sparse and due to the rarity of the disease, available studies have only been able to include relatively few patients. Risk of non-vertebral fractures does not seem to be affected to any major degree, although epidemiological studies suggest a decreased risk of fractures at the humerus in postsurgical hypoparathyroidism, whereas an increased risk of fractures at the upper arm has been shown in non-surgical hypoparathyroidism. Several, but not all, studies have also pointed towards an increased risk of vertebral fractures, especially in non-surgical hypoparathyroidism. Fractures at the appendicular skeleton do not seem to be of specific concern in hypoparathyroidism, but emerging data suggest an increased risk of vertebral fractures, which needs to be clarified further in upcoming studies.

甲状旁腺功能减退症患者的骨折风险。
综述目的:总结最近发表的关于甲状旁腺功能减退症骨折风险的科学证据。最近的研究结果:甲状旁腺功能减退症的特点是骨转换率低,骨密度高。关于骨折风险的数据很少,而且由于这种疾病的罕见性,现有的研究只能包括相对较少的患者。非椎骨骨折的风险似乎没有受到任何重大影响,尽管流行病学研究表明,手术后甲状旁腺功能减退症肱骨骨折的风险降低,而非手术后甲状旁腺机能减退症上臂骨折的风险增加。一些但不是全部的研究也表明,脊椎骨折的风险增加,尤其是在非手术性甲状旁腺功能减退症中。阑尾骨骼骨折似乎不是甲状旁腺功能减退症的特别关注点,但新出现的数据表明脊椎骨折的风险增加,这需要在即将进行的研究中进一步澄清。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Current Osteoporosis Reports
Current Osteoporosis Reports Medicine-Endocrinology, Diabetes and Metabolism
CiteScore
8.80
自引率
2.30%
发文量
44
期刊介绍: This journal intends to provide clear, insightful, balanced contributions by international experts that review the most important, recently published clinical findings related to the diagnosis, treatment, management, and prevention of osteoporosis. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as current and future therapeutics, epidemiology and pathophysiology, and evaluation and management. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.
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