Professional Documents
Culture Documents
Pendekatan Diagnosis Osteoporosis
Pendekatan Diagnosis Osteoporosis
Pendekatan Diagnosis Osteoporosis
Tirtarahardja Gunawan, Setyohadi Bambang, Zhou Weynand Q. Bone Mineral Density Reference Values for Indonesian Men and Women. ASBMR presentation slide. 2006.
Penyebab Osteoporosis
Primer Sekunder
• Menua • Kekurangan hormon:
• Idiopatik hipogonadisme, hipotiroid
• Obat-obatan (steroid)
• Alkoholism
• Gangguan saluran cerna
• Merokok
• Berbaring terlalu lama
• Keganasan
Proses Pembentukan massa tulang
• Faktor yang
memengaruhi:
• Gender
• Ras
• Hormon
• Nutrisi
• Aktifitas fisik
• Lifestyle
The bone
remodeling
process
Risk factor of Osteoporosis
The prevalence
of osteoporosis
and fracture risk
factors
regarding age
(N=1274)
Schurer C, Wallaschofski H, Nauck M,, Vozke H, Schober HC. Fracture risk and risk factors for osteoporosis. Dtsch Arztebl Int. 2015 May;
112(21-22): 365–371.
Odds ratio for
osteoporosis
concerning risk
factors
(N=1274)
univariate and
multivariate
regression
Schurer C, Wallaschofski H, Nauck M,, Vozke H, Schober HC. Fracture risk and risk factors for osteoporosis. Dtsch Arztebl Int. 2015 May;
112(21-22): 365–371.
Risiko fraktur berdasarkan kelompok usia
Schurer C, Wallaschofski H, Nauck M,, Vozke H, Schober HC. Fracture risk and risk factors for osteoporosis. Dtsch Arztebl Int. 2015 May;
112(21-22): 365–371.
Pengaruh olah raga thd BMD
Multani, Kaur NK, Chahal A. Impact of sporting activities on bone mineral density. Journal of exercise science and physiotherapy. 2011; 7(2): 103-9
Pengaruh jenis olah raga terhadap BMD
Multani, Kaur NK, Chahal A. Impact of sporting activities on bone mineral density. Journal of exercise science and physiotherapy. 2011; 7(2): 103-9
Pendekatan Klinis Osteoporosis
Anamnesis
Physical & Supporting
Examination
Risk Factor Assessment:
• Background (age, family
history, habits)
• Ongoing
conditions/medicines LABORATORY EXAMINATION
• Nutrition Rontgen
• Exercise +
• Surgical History BMD
• Frax Criteria
Clinical Manifestations
• Fragilitity Fractures
• Compression Fracture
• Radiculopatic Pain
• Spinal Cord compression or
Cauda Equina Syndrome
Tulang belakang Wanita Normal Osteoporosis
Genant et al. JBMR 1993; 8(9): 1137-48.
Diagnosis
• Seringkali (65%) osteoporosis tanpa
gejala dan tak diketahui
• Bila ada patah tulang belakang
diagnosis tidak sulit
WEBSITE: https://tinyurl.com/osteoporosisindo
Pemeriksaan penunjang pada osteoporosis
Jeannette E. Paul S. Osteoporosis: part i. evaluation and assessment Am Fam Physician. 2001 Mar 1;63(5):897-905.
Bone turnover markers
Shetty S, Kapoo N, Bondu JD, Thomas N, Paul TV. Bone turnover markers: Emerging tool in the management of osteoporosis. Indian J Endocrinol Metab. 2016 Nov-Dec;
20(6): 846–852.
Bone Mineral Density (BMD)
Garg MK, Kharb S. Dual energy X-ray absorptiometry: pitfalls in measurement and interpretation of bone mineral density. Indian J Endocrinol Metab. 2013 Mar-Apr; 17(2): 203–210.
Pemeriksaan Bone
Mass Density
(BMD)