Management of orthopedic complications of metabolic bone disease
Bernard N. Stulberg, MDAddress reprint requests to B.N.S., Department of Orthopaedic Surgery, The Cleveland Clinic Foundation, One Clinic Center, 9500 Euclid Avenue, Cleveland, Ohio 44195.
J. Tracy Watson, MD
Orthopedic manifestations of metabolic bone disease are usually related to structural compromise of the skeleton. Fractures due to osteoporosis are the most often encountered problem. In this overview, the authors focus on the commonly encountered fractures related to osteoporosis and discuss concerns and complications related to their management. In addition, they point out the subtle ways in which less commonly encountered metabolic bone diseases, such as osteomalacia, hyperparathyroidism, and Paget’s disease, might come to the attention of the orthopedist. Appropriate criteria for medical and surgical management are suggested.