Alphonsus Chong's Personal Wiki

• meta: 2017-02-27

• nellans2012 Elderly and paeds increasing
• brogren2007 increasing over time (see also Malmo & Rochester & tsai2011); peak 119/10,000

• meta: 2017-02-26
• variation reported
• nellans2012 quoting brogren2007: men & women 19-49 almost identical incidence rates
  • this is at variance with our own study – so context is important e.g. rural vs urban, industry mix, transportation
• tsai2011: up to mid 40s, men more than women

• 2017-02-27
• nellans2012: paediatric male and female peak ages differ – males are older
  • activity
  • physiology: BMD and content (Krabbe, Ryan)

• meta: 2017-02-27
• [jnl:brogren2007]], nelllans2012: type of fracture/ displacement important for outcome, e.g. ia vs ea
• brogren's study provides a ?change? of displacement

• meta: 2017-02-26
• Paediatric fractures - good - perfect apposition not needed nellans2012
• Adult
  • reduced extra-articular - good BUT
  • intra-articular outcomes not so good (see Knirk & Jupiter, Catalano)

1. Trends in operative fixation 2008-2017
2. background
3. changing perspective to young DRF
4. are men more prone to be in RTA?
5. how can we better prevent and treat a growing and increasingly active elderly population
6. what is our national incidence of osteoporosis? Is it static or changing?
7. How can we prevent falls?
8. what is the difference between elderly and young falling?
9. delay or TCM seeking behaviors in DR fracture - hyp: alternative health seeking behaviour is common in elderly DR fx and influences our treatment and outcome.

• meta: 2017-02-26

distal radius fracture in the active elderly population can be one of the first indication of underlying osteoporosis and the event represents a prime point for intervention

Ca & Vit D treatment

• meta: 2017-02-26
• esophageal irritation
• necrosis of the jaw 0.4%
• atypical subtrochanteric fracture - dose dependent

1. 2017-02-26