Osteoporosis Screening Is Often Indicated but Overlooked Prior to Rotator Cuff Repair

• DOI: 10.1016/j.asmr.2021.01.002
• Publication Date: 2021-03-14T07:47:13Z
• Authors: Eric J. Cotter; Emma L. Klosterman; Alec E. Winzenried; Justin J. Greiner; Brian F. Grogan
• Keywords: FRAX; Dual-Energy X-ray Absorptiometry

To (1) report the percentage of patients undergoing rotator cuff repair (RCR) who were appropriately screened with dual-energy X-ray absorptiometry testing prior to surgery, if indicated, and (2) determine properly prescribed osteoporosis medications within 6 months surgery.Consecutive aged 50 years or older underwent elective RCR at a single tertiary-care center over 1-year period reviewed. Fracture risk was estimated using Risk Assessment Tool (FRAX) without bone mineral density. The U.S. National Osteoporosis Foundation (NOF) criteria for screening treatment applied. Patients acute fractures revision surgery excluded.Of 218 included, 129 women (58.1%). mean age 61.5 ± 7.2 years. One hundred thirty-one RCRs (60.1%) occurred 3 injury. A total 69 (31.7%) met NOF density screening. Of these patients, 23 (33.3%) scan. Primary care providers initiated health assessment in 18 orthopaedic initiating workup (13.0%). Thirty-two (14.7%) pharmacologic management osteoporosis. 5 (15.6%) treated. meeting medication (69.1 7.7 vs 60.2 6.3 years, P < .001), had lower body mass index (28.8 6.1 31.5 6.5, = .028), chronic tears (P .015).Patients are often not Even when screened, only 15.6% indications intervention optimization appropriate medications. Although may affect surgical timing, patient encounters related can be used as an opportunity initiate protocols.Level IV, therapeutic case series.