GREEN: Risk < 1%
Universal health
Recommendations # |
YELLOW: Fracture Risk>1%
Treatment needed for significant risks* |
RED: Fracture Risk>4%
Treatment needed (always treat if prior osteoporotic fx) |
Patient Name
______________________________________ Date: ________________
Results for ultrasound at the calcaneus:
The bone density has _____ BUA units at the age of ____.
This represents a _______% current fracture risk.
RISK ZONES:
GREEN (Normal bone)
# Universal health recommendations: 1200 mg of calcium and Vitamin D 400 IU
daily with regular exercise. Limit alcohol intake (1 drink/day) and no smoking.
YELLOW
(Prevention Zone)
Medications for prevention include estrogen, low dose Fosamax, and Actonel.
Significant Risk Factors identified that strongly influence treatment include:
- Family history of osteoporotic fracture (maternal hip fracture)
- Current use of corticosteroid medication (prednisone) or coumadin
- Body weight under 120 pounds
RED (Treatment Zone)
Medications for treatment include Fosamax, Actonel, Evista and Miacalcin.
NOTE: Anyone with a prior osteoporotic fracture requires pharmacological
treatment regardless of bone density measurement. Ultrasound may be useful for
follow up after about three to five years.
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