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Distal Clavicle Fractures: Diagnosis, Treatment, and ComplicationsDistal Clavicle FracturesDistal clavicle fractures are traumatic injuries caused by direct trauma to the shoulder and are most common in older or osteoporotic patients. Diagnosis is confirmed with standard shoulder radiographs and
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Clavicle fractures are common injuries that affect the collarbone, which connects the shoulder to the chest. They can cause pain, swelling, and difficulty moving the affected arm. In this article, we will discuss the epidemiology, anatomy, and treatment options for clavicle
Q: What is the most common cause of clavicle fractures? A) Fall on an outstretched hand B) Direct blow to the shoulder C) Birth trauma D) Sports injury Show answer Correct answer: B Explanation: Clavicle fractures account for approximately 2.6% of all fractures and for 44%
كسر الترقوة (Clavicle fracture) كسر الترقوة. لديك اثنان من الترقوة ، كل واحدة تربط الكتف بالصدر العلوي. عظام الترقوة المكسورة شائعة ، وغالبًا ما تحدث بسبب السقوط أو
Clavicle Fractures EPIDEMIOLOGY Clavicle fractures account for approximately 2.6% of all fractures and for 44% to 66% of fractures about the shoulder. Middle third fractures account for 80% of all clavicle fractures, whereas fractures of the
A 28-year-old woman presents to the emergency department after a fall from a horse. The emergency department doctor has diagnosed a clavicle fracture from this radiograph. 1. How would you treat this injury in the emergency department? I would take a careful history and examine the
PEDIATRIC SHOULDER PROXIMAL HUMERUS FRACTURES Epidemiology These account for <5% of fractures in children. Incidence ranges from 1.2 to 4.4 per 10,000 per year. They are most common in adolescents owing to increased
SCAPULA FRACTURES EPIDEMIOLOGY This relatively uncommon injury represents 3% to 5% of shoulder fractures and 0.4% to 1% of all fractures. The mean age of patients who sustain a scapula fracture is 35 to 45
CLAVICLE FRACTURES EPIDEMIOLOGY Clavicle fractures account for approximately 2.6% of all fractures and for 44% to 66% of fractures about the shoulder. Middle third fractures account for 80% of all clavicle fractures,
A 38-year-old, left-hand-dominant male was brought to the ED after a high-speed MVC. He sustained a closed injury but is alert and able to participate fully in his physical examination. He has a couple of broken ribs and is being monitored, and complains of left shoulder pain. His radiographs and
A 25-year-old, right-hand-dominant male presents to clinic complaining of right shoulder pain which started 1 week ago when he tried to open a jammed door with the point of his shoulder. He is tender over the acromioclavicular joint and has a bony prominence greater than the contralateral side. His
A 32-year-old, right-hand-dominant male who works as a rancher fell off his horse onto an outstretched left upper extremity with immediate pain and deformity to his left clavicle. He presents later the same day. His injury radiograph is shown
What assay is commonly used to examine the level of messenger RNA (mRNA) of a particular gene? Western blot Southern blot Reverse transcription polymerase chain reaction (RT-PCR) Immunocytochemical analysis Enzyme-linked immunosorbent assay
(OBQ14.208) When treating a proximal tibia fracture, the surgeon decides to (1) use blocking screws in the proximal fragment, and (2) pick the intramedullary nail based on the location of the Herzog curve. Which of the following combinations will best prevent the classic deformity associated with
(OBQ15.201) A 52-year-old, right hand dominant man comes for evaluation of right shoulder pain that has been intermittently bothering him for three months. The pain is worse with overhead activities. He denies any history of trauma. His range of forward elevation in the plane of the scapula is
DEFINITION Brett D. Owens Joanna G. Branstetter Thomas P. Goss Intra-articular scapular fractures include fractures of the glenoid cavity, which includes the glenoid rim and the glenoid fossa. They account for 10% of scapular fractures.6 Most scapular fractures are
DEFINITION Nonarticular scapular fractures include fractures of the glenoid neck, scapular spine and body, acromial process, and coracoid process. They account for 90% of scapular fractures.6 Most nonarticular scapular fractures can be treated nonoperatively, including all isolated scapular
DEFINITION Proximal humerus fractures may involve the surgical neck, the greater tuberosity, and/or the lesser tuberosity. The Neer classification, which is most commonly used, categorizes fractures based on the number of displaced parts (FIG 1). This classification system involves four
DEFINITION The clavicle is one of the most commonly fractured bones. The site on the clavicle most often fractured is the middle third.10 The midclavicular region is the thinnest and narrowest portion of the bone. It is the only area not supported by ligament or muscle attachments. It
DEFINITION The clavicle is one of the most commonly fractured bones. The site on the clavicle most often fractured is the middle third.10 The midclavicular region is the thinnest and narrowest portion of the bone. It is the only area not supported by ligament or muscle attachments. It
DEFINITION Sternoclavicular dislocation is one of the rarest dislocations but one most shoulder surgeons will encounter several times during a career (more so if they are in a practice with significant exposure to high-energy trauma). Sternoclavicular dislocations represented 3% of a series
DEFINITION The most common pathologic disorder affecting the medial clavicle is osteoarthritis. Others include rheumatoid arthritis, seronegative spondyloarthropathies, crystal deposition disease, sternoclavicular hyperostosis, condensing osteitis, and avascular necrosis.12 Infection,
DEFINITION Displaced, comminuted fractures of the clavicle are at risk for nonunion and malunion3,4,6,8,9,11 and can be considered for open reduction and internal fixation with a plate and screws. ANATOMY The clavicle and scapula are tightly linked
DEFINITION Sternoclavicular dislocation is one of the rarest dislocations but one most shoulder surgeons will encounter several times during a career (more so if they are in a practice with significant exposure to high-energy trauma). Sternoclavicular dislocations represented 3% of a series
Anatomy and Approaches Anatomy of the Shoulder and Elbow Anatomy and Approaches OVERVIEW OF SHOULDER AND ELBOW SURGERY In order to diagnose and treat problems of the shoulder and elbow, one must fully understand the anatomy of the region and appreciate how this
DEFINITION Nonarticular scapular fractures include fractures of the glenoid neck, scapular spine and body, acromial process, and coracoid process. They account for 90% of scapular fractures.6 Most nonarticular scapular fractures can be treated nonoperatively, including all isolated scapular
DEFINITION Proximal humerus fractures may involve the surgical neck, the greater tuberosity, and/or the lesser tuberosity. The Neer classification, which is most commonly used, categorizes fractures based on the number of displaced parts (FIG 1). This classification system involves four
DEFINITION The clavicle is one of the most commonly fractured bones. The site on the clavicle most often fractured is the middle third.10 The midclavicular region is the thinnest and narrowest portion of the bone. It is the only area not supported by ligament or muscle attachments. It
DEFINITION Displaced, comminuted fractures of the clavicle are at risk for nonunion and malunion3, 4, 6, 8, 9, 11 and can be considered for open reduction and internal fixation with a plate and screws. ANATOMY The clavicle and
A 35-year-old woman reports wrist pain after a fall onto an outstretched hand. On exam, she has focal tenderness over the wrist snuffbox. A radiograph and CT image are shown in Figures A and B. What is the proper treatment of her
Arthroscopic Capsular Releases for Loss of Motion DEFINITION Shoulder stiffness can be a function of soft tissue scarring and contracture or osseous changes. The stiff or frozen shoulder has been given the
Repair and Reconstruction of Acromioclavicular Injuries DEFINITION About 9% of shoulder girdle injuries involve damage to the acromioclavicular (AC) joint.16 The AC joint separation involves disruption of the AC ligaments, with varying degrees of injury to the
Arthroscopic Acromioclavicular Joint Stabilization DEFINITION Acromioclavicular (AC) separations are relatively rare injuries that result in disruption of the AC joint complex. Overall incidence of injury is 3 to 4 per 100,000 in the general population, with
Arthroscopic Treatment of Anterior Shoulder Instability DEFINITION Glenohumeral stability depends on static and dynamic restraints to ensure stable yet unconstrained range of motion. Laxity is a physiologic term used to describe the passive
ORTHOPEDIC MCQS ONLINE QUESTION BANK H3A 1) 3341. (2079) Q8-2501: Indications for internal fixation of the humeral shaft include all of the following except: 1) Acute radial nerve palsy 3) Bilateral humeral fractures 2)
ORTHOPEDIC MCQS ONLINE QUESTION BANK H3A 1) 3341. (2079) Q8-2501: Indications for internal fixation of the humeral shaft include all of the following except: 1) Acute radial nerve palsy 3) Bilateral humeral fractures 2)
ORTHOPEDIC MCQS ONLINE QUESTION BANK H2E The diagnosis of chronic exertional compartment syndrome is confirmed by measuring a resting pressure of more than mm Hg, 1-minute postexercise pressure of more than mm Hg, or a 5-minute postexercise pressure
ORTHOPEDIC MCQS ONLINE QUESTION BANK H1E 1411. (1764) Q4-2162: All of the following are characteristic of hemangiomas except: 1) 70% of hemangiomas are visible by 4 weeks of age 3) Hemangiomas are three times more common in woman than men 2) 70% of hemangiomas regress by 7
ORTHOPEDIC MCQS ONLINE QUESTION BANK H1D 1132. (1414) Q3-1787: A foot is maximally dorsiflexed during this point of the gait cycle: 1) Midswing 3) Toe off 2) Midstance 5) First one-third of stance 4) Heelstrike During gait, a foot is dorsiflexed during
(OBQ04.118) What muscles are responsible for the most common deformity after antegrade intramedullary nailing for a subtrochanteric femur fracture? Hip
Chapter 20 Open Reduction and Internal Fixation of Clavicular Fractures J. Todd R. Lawrence R. Justin Mistovich DEFINITION The clavicle, from the Latin clavicula, which means “little branch,” is possibly named for the similarly bent
Chapter 19 Open Reduction and Internal Fixation of Proximal Humerus Fractures Mark T. Dillon Stephen Torres Mohit Gilotra David L. Glaser DEFINITION Proximal humerus fractures may involve the surgical neck, the greater tuberosity, and/or the lesser
ARAB BOARD ORTHOPEDIC MCQS ONLINE BANK PREFACE Much effort has been put in this book, as every question was reviewed, analyzed and evaluated concerning the benefit, and information given to the student or Orthopedic Resident, that would allow one to realize his weak
Orthopaedic postgraduate exams I.Single-choice questions (1 point for each question, 50 points in total, no point for wrong choice) 1. The most common complication of lower middle third humerus fracture is A brachial artery injury B median nerve
ORTHOPEDIC MCQS ONLINE BANK OITE 1213 2013 & 2012 OITE Study Guide © 2012 American Academy of Orthopaedic Surgeons 2012 Orthopaedic In-Training
ORTHOPEDIC MCQS ONLINE BANK OITE 22 FOR OITE 22 FIGURES CLICK OITE22FIG 02.1 answer back A 30-year-old patient sustains an isolated type II open femoral shaft fracture. In addition to irrigation and debridement, management should include 1- skeletal traction. 2-
ORTHOPEDIC MCQS BANK OITE 96 96.1 A 4‑year‑old girl has had increasing left hip pain over the past 48 hours and has stopped walking. Her temperature is 38°C (100.4°F). Hip range of motion is limited. Aspiration of the hip reveals a WBC of 68,000/mm' and
Orthopaedic In-Training Exam 1998 Question 1 - A patient has a grade 2 open tibial fracture with 70% cross sectional bone loss that extends 2 cm in length. Treatment consists of stabilization with a nonreamed interlocking nail and successful secondary wound closure. Four months
ORTHOPEDIC MCQS ONLINE OB SHOULDER AND ELBOW 1A © A 24-year-old avid volleyball player has noted gradual onset of shoulder fatigue and weakness limiting his game. Radiographs done by his primary care physician were normal and he has failed to improve with 6 weeks of
Chapter 9 Pediatric Shoulder Fractures Craig P. Eberson DEFINITION Commonly seen fractures include proximal humerus fractures (physeal and metaphyseal) and clavicle fractures and dislocations, as well as less commonly seen fractures
ORTHOPEDIC MCQS ONLINE OB HAND 1A A 35-year-old woman reports wrist pain after a fall onto an outstretched hand. On exam, she has focal tenderness over the wrist snuffbox. A radiograph and CT image are shown in Figures A and B. What is the proper treatment of her
Chapter 9 Acromioclavicular Disorders R. Timothy Greene and Spero G. Karas DEFINITION A number of pathologic processes may affect the acromioclavicular (AC) joint, altering anatomy, biomechanics, and normal function. The most common of
Arthroscopic Treatment of Anterior Shoulder Instability Chapter 2 Arthroscopic Treatment of Anterior Shoulder Instability Robert A. Arciero, Augustus D. Mazzocca, and Jeffrey T. Spang DEFINITION Glenohumeral stability depends on static and
Arthroscopic Treatment of Anterior Shoulder Instability Arthroscopic Treatment of Anterior Shoulder Instability DEFINITION Glenohumeral stability depends on static and dynamic restraints to ensure stable yet unconstrained range of motion. Laxity is a physiologic term used to
Arthroscopic Acromioclavicular Joint Reduction and Coracoclavicular Stabilization: TightRope Fixation DEFINITION Acromioclavicular (AC) separations are relatively rare injuries that result in disruption of the AC complex. Overall incidence of the injury is 3 to 4 per
ORTHOPEDIC MCQS ONLINE OB 20 2D OrthoCash 2020 1216) Poor pre-injury cognitive function has been proven to increase mortality for which of the following injuries? Proximal humerus fracture Distal
ORTHOPEDIC MCQS ONLINE OB 20 TRAUMA 2C week of indomethacin followed by 5 weeks of placebo, and (4) 6 weeks of indomethacin and followed for 1 year. The authors concluded that the use of prophylactic postoperative indomethacin increases the incidence of symptomatic nonunion of the PW as assessed
ORTHOPEDIC MCQS ONLINE OB 20 TRAUMA 2B CT angiography and admit the patient for hourly neurovascular checks Interventional radiology consult for formal angiography and stenting Corrent answer: 2 This patient has a posterior knee dislocation with an ischemic limb
ORTHOPEDIC MCQS ONLINE OB 20 TRAUMA 2A OrthoCash 2020 A 25 year-old-male presents with the injury seen in Figure A. Which of the following would be a contraindication to closed management with a functional
ORTHOPEDIC MCQS ONLINE 20 OB TRAUMA 1D fractures is associated with decreased shoulder strength and increased nonunion rates. Risk factors for non-union in non-operative management of midshaft clavicle fractures include advanced age, female gender, displacement and comminution. Open
ORTHOPEDIC MCQS ONLINE 20 OB TRAUMA 1C Figure A Buttress plating is most appropriate in which of the following clinical
ORTHOPEDIC MCQS ONLINE 20 OB TRAUMA 1B Deep peroneal nerve, sural nerve Deep peroneal nerve, tibial nerve Superficial and deep peroneal nerves Superficial peroneal nerve, tibial nerve There is no true internervous
ORTHOPEDIC MCQS 20 TRAUMA 1A What percentage of patients will complain of knee pain at the time of union of a tibial shaft fracture treated with a reamed intramedullary nail? 1. <10% 2. 10-33% 3. 33-50% 4. 50-75% 5. >75% Correct
ORTHOPEDIC MCQS ONLINE 010 PEDIATRIC 2010 Pediatric Orthopaedic Examination Answer Book • 7 Figure la Figure lb Question 1 A 5-year-old boy has had a limp for the past 4 weeks with intermittent pain at
ORTHOPEDIC MCQS 011 UPPER EXTREMITY 2011 Upper Extremity Self-Assessment Exam by Dr.Dhahirortho 1 Question 1A 23-year-old patient with
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ORTHOPEDIC MCQS ONLINE 013 PEDIATRIC 2013 Pediatric Orthopaedic Self-Assessment Examination by Dr.Dhahirortho 1 Question 1-Figure 1 is the radiograph of a child who has pain in his
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ORTHOPEDIC MCQS ONLINE 015 TRAUMA CLINICAL SITUATION FOR QUESTIONS 1 THROUGH 3 1a 1b Figures 1a and 1b are the radiographs of a
ORTHOPEDIC MCQS ONLINE PEDIATRIC 016 2016Pediatric Orthopaedic Self-Assessment Examination Question 1 of 100 Second-impact syndrome following a concussion poses minimal concern for morbidity or mortality. is less
Orthopedic MCQS online Trauma 0018 AAOS TRAUMA self Assessment 2018 Question 1 of 100 A 32-year-old man has a closed mid-shaft spiral humeral fracture after a fall. After a discussion of his treatment options, he wants to proceed with surgical management. When
Hand and Wrist Scored and Recorded Self-Assessment Examination
ORTHO MCQS Shoulder and Elbow 019 Shoulder and Elbow Scored and Recorded Self-Assessment Examination 2019 Question 1 of 100 Figures 1 through 3 are the radiographs of a 55-year-old woman who fell on her outstretched right arm, resulting in acute elbow pain and swelling. On
ORTHO MCQS Shoulder and Elbow 019 Shoulder and Elbow Scored and Recorded Self-Assessment Examination 2019 Question 1 of 100 Figures 1 through 3 are the radiographs of a 55-year-old woman who fell on her outstretched right arm, resulting in acute elbow pain and swelling. On examination,
ORTHO MCQS PEDS 10 2010 Pediatric Orthopaedic Examination Answer Book • 7 Figure la Figure lb Question 1 A 5-year-old boy has had a limp for the past 4 weeks with intermittent pain at the foot. He remains normally active and has no
ORTHO MCQS BANK 011 FREE 03 Question 2..On MRI, what nerve is most likely to demonstrate increased signal intensity about the elbow in asymptomatic patients? 1- Ulnar 2- Radial 3- Median 4- Anterior interosseous 5- Musculocutaneous DISCUSSION: The ulnar nerve has been shown to have
ORTHOPEDIC MCQS OB 20 TRAUMA1 What percentage of patients will complain of knee pain at the time of union of a tibial shaft fracture treated with a reamed intramedullary nail? 1. <10% 2. 10-33% 3. 33-50% 4. 50-75% 5. >75% CORRECT ANSWER: 4 Anterior knee
ORTHOPEDIC MCQS OB 20 BASIC 6 A college athlete on a scholarship has a medical condition that you feel presents a life-threatening risk to him with participation in athletics. Because of the gravity of this decision and the potential effect it can have on the
ORTHOPEDIC MCQS OB 20 SHOULDER AND ELBOW 1 1) A 24-year-old avid volleyball player has noted gradual onset of shoulder fatigue and weakness limiting his game. Radiographs done by his primary care physician were normal and he has failed to improve with 6 weeks of physical therapy. Given the MRI
ORTHOPEDIC MCQS BANK WITH ANSWER SPORT 01 1. An 18-year-old high school football player sustains a thigh injury that results in the findings shown in Figure 1. Initial management should consist
ORTHOPEDIC MCQS BANK WITH ANSWER ANATOMY 02 1. A patient has right shoulder pain. Figure 1a shows a gadolinium-enhanced transverse MRI scan at the level of the coracoid. Figure 1b shows an arthroscopic view of the anterior structures
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ORTHOPEDIC MCQS WITH ANSWER PEDS 04 1. An 8-year-old boy sustains nondisplaced midshaft fractures of the tibia and fibula after being struck by a car while he was riding his bicycle. No other injuries are noted, but the patient reports pain
ORTHOPEDIC MCQS WITH ANSWER SPORT 04 1. A 21-year-old collegiate wrestler sustains a blow to his right eye during a match. Examination reveals anisocoria with a dilated right pupil. The globe is properly formed, and extra-occular movements and the
ORTHOPEDIC MCQS WITH ANSWERS ONLINE TRAUMA 06 1. A 36-year-old woman sustained a tarsometatarsal joint fracture-dislocation in a motor vehicle accident. The patient is treated with open reduction and internal fixation. What is the most common
ORTHOPEDIC MCQS ONLINE PEDIATRICS 07 1. A pediatric orthopaedic surgeon refers a child to a neurologist. The neurologist’s office requests the office records of the pediatric orthopaedic surgeon. To maintain Health Insurance Portability and
ONLINE ORTHOPEDIC MCQS UPPER LIMB08 1. A 68-year-old man had a 3-year history of shoulder pain that failed to respond to nonsurgical management. Examination reveals forward elevation to 120 degrees and external rotation to 30 degrees.
ONLINE ORTHOPEDIC MCQS TRAUMA 9 1. A 26-year-old woman sustained a nondisplaced femoral neck fracture and treatment consisted of use of percutaneous cannulated screws. At her 3-month follow-up visit, she reports hip pain and is unable to
Orthopedic MCQS online Shoulder and Elbow 1- Figures 1 and 2 show the current radiographs of a 25-year-old skier who presents 2 weeks after undergoing open reduction and internal fixation (ORIF) of a right elbow fracture dislocation. On examination, he has a well-healed posterior incision
Shoulder and elbow: Mcqs AND EMQS Answers MCQs e. The posterior rotator cuff. The primary cause of internal impingement is often anterior capsular laxity, which may result in posterior capsular tightness. This results in anterior shift of the axis of rotation of the
Shoulder And Elbow: Questions Mcqs AND EMQS MCQs The term internal impingement is used in throwers to describe a condition where the posterosuperior glenoid labrum impinges on which structure? a. The anterior glenohumeral
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Questions in Trauma and Orthopaedics for the FRCS Section 6 Lower Limb and Pelvic Trauma Viva 41 This 27-year-old has been involved in a road traffic accident (RTA). Describe what you see in this picture and explain your initial
Figures 1 and 2 show the current radiographs of a 25-year-old skier who presents 2 weeks after undergoing open reduction and internal fixation (ORIF) of a right elbow fracture dislocation. On examination, he has a well-healed posterior incision without any signs of infection. He
Figures 1 and 2 show the current radiographs of a 25-year-old skier who presents 2 weeks after undergoing open reduction and internal fixation (ORIF) of a right elbow fracture dislocation. On examination, he has a well-healed posterior incision without
ACROMIOCLAVICULAR
SHOULDER AND ELBOW MCQS FREE 2021 1- Figures 1 and 2 show the current radiographs of a 25-year-old skier who presents 2 weeks after undergoing open reduction and internal fixation (ORIF) of a right elbow fracture dislocation. On examination, he has a well-healed posterior
FREE Orthopedics MCQS 2022 1501-1550 1501. (2354) Q4-2812: All of the following may be seen with preganglionic lesion except: 1) Hornerâs syndrome 3) Positive histamine test 2) Hemidiaphragmatic palsy 5) Root avulsion sleeve on myelogram 4) Tinelâs
FREE Orthopedics MCQS 2022 1351 -1400 1351. (3926) Q3-7868: Following ankle injury, which radiographic parameter is indicative of syndesmotic instability: 1) Medial clear space greater than 2 mm 3) Syndesmotic overlap of less than 1 mm measured 1 cm above the ankle
Scapula Fractures overview. Summary Scapula Fractures are uncommon fractures to the shoulder girdle caused by high energy trauma and associated with pulmonary injury, head injury, and increased injury severity scores. Diagnosis can be made with plain radiographs and CT studies
Intramedullary Fixation of Clavicle Fractures DEFINITION ■ The clavicle is one of the most commonly fractured bones. ■ The site on the clavicle most often fractured is the middle third.9 ■ The midclavicular region is the thinnest
Medial Clavicle Excision and Sternoclavicular Joint Reconstruction DEFINITION ■ Many pathologic disorders affect the medial clavicle, the most common of which is osteoarthritis. ■ Other conditions include rheumatoid arthritis, seronega- tive
Acute Repair and Reconstruction of Sternoclavicular Dislocation DEFINITION ■ Sternoclavicular dislocation is one of the rarest dislocations, but one most shoulder surgeons will encounter several times during a career (more in a practice with significant exposure to
Plate Fixation of Clavicle Fractures DEFINITION ■ Displaced, comminuted fractures of the clavicle are at risk for nonunion and malunion3–5,7–9 and can be considered for open reduction and internal fixation with a plate and
clavicle fracture Anatomy of clavicle The clavicle is the bone that connects the breastplate (sternum) to the shoulder. It is a very solid bone that has a slight S-shape and can be easily seen in many people. It connects to the sternum at a joint with cartilage called the sternoclavicular
Bone Fractures-Broken Bones Bone fractures are a very common injury and can affect anyone at any age. If you’re older than 50 or have a family history of osteoporosis, talk to your provider about a bone density screening. We treat all types of fractures , throughout all stages of