Osteoporosis may cause rotator cuff repair to fail

I’m 78-years old and have been diagnosed with a rotator cuff tear and osteoporosis. I’ve been told the osteoporosis puts me at risk for a failed rotator cuff repair. If the muscle is the problem, what difference does it make if the bones are brittle?

The tendons attach to the bone and must be reattached after injury in order to give you back shoulder motion and strength. Some of the newer ways of repairing rotator cuff tears involve drilling holes through the bone. Then the doctor threads the sutures through the tunnel to the other side. This gives the repair strength and the shoulder stability.

The sutures may not hold if the bone is soft or brittle from osteoporosis. In cases of bone problems, they can use special anchors that look like buttons to help hold the stitches in place.

The information contained herein is compiled from a variety of sources. It may not be complete or timely. It does not cover all diseases, physical conditions, ailments or treatments. The information should NOT be used in place of visit with your healthcare provider, nor should you disregard the advice of your health care provider because of any information you read in this topic. For more information on this subject, visit www.zehrcenter.com.

Is osteoporosis hereditary?

There seems to be quite a few older adults in my family with hip fractures from osteoporosis. Is this a hereditary disease?

 

There is new evidence that genetics plays a role in osteoporosis. Many different genes affect bone growth. Genes to code the structure of proteins that help build bone are important. Genes involved in making sex hormones are involved. Estrogen and testosterone are key factors in bone growth.

Vitamin D is needed for calcium to be used in forming bone. A special gene is linked with this activity, too. In general these kinds of genes are called osteoporosis candidate genes. Any changes in these genes can cause a problem with bone growth.

Men seem to be more affected by genetic factors than women. A study of families show bone mass is lower in relatives of men with osteoporosis. Increasing age seems to be related to increased bone loss in men with certain types of gene structure.

More research is needed in this area to know what and how genetics plays a role in osteoporosis. There may be some major differences between genetic factors in men versus women.

The information contained herein is compiled from a variety of sources. It may not be complete or timely. It does not cover all diseases, physical conditions, ailments or treatments. The information should NOT be used in place of visit with your healthcare provider, nor should you disregard the advice of your health care provider because of any information you read in this topic. For more information on this subject, visit www.zehrcenter.com.

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How could I have dislocated my hip after a total hip replacement?

A year ago I had a total hip replacement done. Last week I was out gardening on my hands and knees and it dislocated. I thought I was all healed. What happened?

 

Many factors can play a part in hip dislocation after replacement. For example, which side of your hip is the scar located? Any position you get in that can push the hip in that direction has the potential to cause a dislocation.

When you are on your hands and knees, you have your body weight against that hip. If you twist or angle your body against the hip, injury can occur. Your weight and bone density are also important factors. Being overweight means that much more pressure through the hip. Having osteoporosis (brittle bones) or decreased bone density makes it harder for the bone to grow around the new implant and hold it in place. Bone or muscle weakness can also lead to injury.

Most patients are given positioning precautions for the first 12 weeks post-op. In theory at 12 months you should be free to assume any position possible. In practice, sometimes our theories (and hips) don’t hold up.

The information contained herein is compiled from a variety of sources. It may not be complete or timely. It does not cover all diseases, physical conditions, ailments or treatments. The information should NOT be used in place of visit with your healthcare provider, nor should you disregard the advice of your health care provider because of any information you read in this topic. For more information on this subject, visit www.zehrcenter.com