A Comprehensive Review of Bone Health in a Child: From Birth to Adulthood.

J Am Acad Orthop Surg · May 01 2024 · Review

Tabaie SA, O'Mara AE, Sheppard ED, Tosi LL

From the Division of Orthopaedic Surgery and Sports Medicine, Children's National Hospital (Tabaie, Sheppard, DC…

Pediatric Orthopaedics

SUMMARY — THE REDUCTIONThis review covers pediatric bone health, including the limits of the osteoporosis definition, screening timing and assessment methods, and causes of primary and secondary osteoporosis, emphasizing a multidisciplinary approach.
Abstract, as published

Bone health is critical for growth and development during childhood. Although fractures are common in children, fractures occurring in the absence of trauma should prompt physicians to consider underlying bone health disorders. This article provides an overview of the current definition of osteoporosis in children, highlighting its limitations and the potential for underdiagnosis. It also discusses the timing of screening initiation and various techniques used to assess bone health, along with their respective benefits and limitations. In addition, this article identifies several causes of primary and secondary osteoporosis in children, shedding light on previously overlooked disorders that can contribute to poor bone quality. The article emphasizes the importance of a multidisciplinary approach to therapeutic management and aims to optimize patient outcomes and improve the overall care of pediatric bone health disorders.

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