
When people fall down and break their bones, it’s not necessarily an accident.
Conversely, an underlying fragility fracture could be the culprit!
Fragility fractures refer to fractures caused by innocuous falls from a standing
height or less. The main cause of fragility fractures is asymptomatic osteoporosis.
One common type of fragility fracture is vertebral fracture.
More specifically, vertebral fractures are not brought on by impact from physical
trauma. Some normal activities such as sneezing or bending over to pick up light
objects may result in a collapsed vertebra. In addition, it affects patients’
quality of life tremendously. If a vertebral fracture happens to compress a spinal
nerve, the patient may need to undergo surgery to fix the issue.
Proper treatment brings improvement
Generally, if a person’s bones are healthy and strong, he will not break a bone
even if he falls from a tall height, unless osteoporosis has surfaced.
Osteoporosis weakens bones, rendering patients vulnerable to fragility fractures.
These fractures not only affect one’s ability to walk, but also put one’s life
in danger.
In addition, fragility fractures which are caused by osteoporosis may reduce
the quality of life; some osteoporosis patients even suffer from anxiety or
depression due to fear of falling or having a bone fracture.
To reduce the risk of fragility fractures, osteoporosis should be diagnosed
as early as possible.
COVID-19 impacts osteoporosis care!
The president of Fragility Fracture Network of Malaysia cum
orthopaedic surgeon, Dato’ Dr Lee Joon Kiong
said:
“Reduced movement and activity increases the risk of fractures, and the lack
of vitamin D intake from being exposed to the sun will also affect bone health.
Aside from that, due to reduced social interaction, the elderlies face cognitive
impairment, thereby reducing adherence to treatment or dietary care, which
increases fracture risk too.”
In the current post-pandemic times, there are many delayed referrals and irregular
follow-up visits, leading to a rise in bone fractures as well.
Besides, having a history of bone fracture increases one’s risk of recurrent
fracture by as much as 86%.
Malaysia is expected to experience a 3.5-fold increase in the number of hip
fractures between 2018 and 2050 – the highest increase in Asia.
All in all, Malaysians should pay more attention to the diagnosis, treatment
and management of bone health problems in the post-pandemic era.

Understanding osteoporosis
According to a survey conducted by the Bone Health Alliance Malaysia (BHAM),
77% of respondents mistakenly believe that weak bones and height loss are part
of a natural aging process; 96% of respondents are not aware of the factors
that increase the risk of osteoporosis; 57% underestimate the impact of
osteoporosis on women.
Osteoporosis is characterised by decreased
bone density
& strength, i.e., fragile, weak bones. It is also being called a
“silent disease” that has become a major health concern among the elderlies
and postmenopausal women.
Age, family history, being in the postmenopausal stage, being underweight,
plus certain diet and daily habits can all increase your risk of developing
osteoporosis.
Currently, treatment options for osteoporosis fall into two broad categories:
non-pharmacological and pharmacological treatment.
Do these things right to prevent fragility fractures!
To prevent fragility fractures, we should practise a healthy and balanced diet
,
exercise frequently, avoid slips, trips, and falls, and go for regular bone
density tests and osteoporosis or bone-related care and treatment.
We should also garner the knowledge about osteoporosis and fragility fractures
through the right channels, such as Bone Health Alliance Malaysia (BHAM).
