HONG KONG SAR - Media OutReach^[1] - 7 June 2021 - Osteoporosis is a common disease with no obvious clinical symptoms in the early stage, while it can eventually cause serious health problems.  It is estimated that an osteoporotic fragility fracture occurs every three seconds around the world. To increase the public awareness of musculoskeletal problems and to bust the myths of orthopaedics issues, the Department of Orthopaedics and Traumatology, LKS Faculty of Medicine, The University of Hong Kong (HKUMed) joins forces with the Hong Kong Medical Association and St. John's Ambulance in June to organize free online lectures - "HKU Bone and Muscle Health Series", whereby orthopaedic surgeons are invited to share with the public on orthopaedics health topics such as osteoporosis.

According to statistics, there are 300,000 menopausal women and 100,000 men aged 50 years or above in Hong Kong who are suffering from osteoporosis. Osteoporosis reduces patients' bone density, causing fragility of the bone structure, which can easily lead to fractures, as well as partial loss of mobility and self-care ability.  This would result in reducing the quality of life and even causing various complications. The hip bone, spine, and distal radius (wrist bone) are the most commonly found fragile fractures.

Elderly is not deemed to have fragile bones, Regular check-ups can reduce the risks

The organizer believes there is a lack of awareness on osteoporosis among the general public and the myths are remained unsolved.  For example, the public mistakenly believe that osteoporosis and fragile fractures are the inevitable consequences of aging. In fact, osteoporosis is curable while fractures are preventable.  High-risk groups, including menopausal women and the elderly, can do regular osteoporosis risk assessments to reduce the risks of fragile fractures. When the patient's bone density reaches the level of thinning or looseness, and such loss caused by other pathologies has been ruled out, the doctor will consider prescribing osteoporosis drugs to slow down the patient's rate of bone loss in order to prevent fragile fractures.

Adequate intake of calcium and vitamin D helps prevent osteoporosis

In addition to medical treatment, a balanced diet and lifestyle can also help prevent osteoporosis, especially for those young people and low-risk groups.  The daily recommended intake are 1,000 to 1,200 mg of calcium and 800 to 1,000 international units of vitamin D.  Calcium can slow down bone loss and reduce the risk of osteoporosis.  Vitamin D plays a vital role in helping the body absorb calcium and other minerals which are useful to bone-building.

To eliminate the misunderstanding, the public should pay extra attention to the health of bones and arthrosis

To further enhance the public's awareness of musculoskeletal problems, the Department of Orthopaedics and Traumatology, HKUMed will collaborate with the Hong Kong Medical Association and St. John's Ambulance, to jointly organize the "HKU Bone and Muscle Health Series".  Two free public lectures will be held on 18 and 25 June, orthopaedic surgeons are invited to share health knowledge relating to osteoporosis and orthopaedics myths with the public online. The organizer hopes that the public will pay extra attention to bone and arthrosis health and start preventing those problems at an early stage.

Aside from the free online lectures for public, medical lectures will also be organized for doctors and healthcare professionals, to provide the latest treatment information on orthopaedic diseases as well as to further improve the medical and healthcare standards in Hong Kong.

"HKU Bone and Muscle Health Series" free online public lectures information (in Cantonese):

You can log on to the following link or scan the QR code to register for the free online lectures of "HKU Bone and Muscle Health Series" (in Cantonese): https://bit.ly/3x71Umz^[2]

For details of the lectures, please visit https://ortho60.hku.hk/boneandmusclehealth/^[3]

Case sharing

Bone fractures are preventable if appropriate treatment is given in time – The case of Madam Wong

Madam Wong is a 70 year-old granny with pretty good body functions and habits of doing regular exercises and jogging. Unfortunately, Ms. Wong slipped and fell on the ground half a year ago and was landed on her wrist.  She was diagnosed with a fractured wrist bone after taking X-rays and visiting a traditional Chinese bonesetter, and had a plaster cast for two months.  She did not consult any medical doctor at that time, nor did she undergo an osteoporosis test.  Two months later, she fell on the ground again and resulted in back pain.  After seeking treatment, she was diagnosed with a compression fracture of the lumbar spine.  Severe low back pain caused Madam Wong to only make slow movements close to her neighbourhood and lost the ability to do any exercise.

In the middle of one night, Madam Wong got up to answer the call of nature.  However, she slipped and fell in the washroom accidentally, resulting in her right leg completely unmovable. She was eventually diagnosed with hip fracture when she was taken to the hospital.  Although the operation was performed in time, her mobility is not as good as before.  She needs to sit in a wheelchair most of the time, and her range of mobility has been confined to staying at home.  Since her family members could not take care of her, and she was eventually sent to a nursing home.  The doctor explained that if she had received appropriate osteoporosis treatment timely after the first fracture, the subsequent fractures could have been prevented.

References

1. ^{^} Media OutReach (www.media-outreach.com)
2. ^{^} https://bit.ly/3x71Umz (bit.ly)
3. ^{^} https://ortho60.hku.hk/boneandmusclehealth/ (ortho60.hku.hk)