Osteoporosis in Medical Disciplines
The first step in any assessment is the separation of “primary” or “idiopathic” from the “secondary” osteoporoses which have an underlying cause, i.e. a specific disease or disorder. “Primary osteoporosis” refers mainly to postmenopausal and age-related i
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Reiner Bartl • Bertha Frisch
Osteoporosis Diagnosis, Prevention, Therapy Second Revised Edition In Collaboration with Christoph Bartl
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Prof. Dr. Reiner Bartl Bavarian Center of Osteoporosis University of Munich Marchioninistraße 15 81377 Munich Germany [email protected] Christoph Bartl, MD Department of Orthopaedic and Trauma Surgery University of Ulm Steinhövelstraße 9 89075 Ulm Germany
ISBN: 978-3-540-79526-1
Prof. Dr. Bertha Frisch Professor of Hematology Departments of Pathology and Hematology Sourasky Medical Center University of Tel-Aviv 6 Weizmann Street 64233 Tel-Aviv Israel [email protected]
e-ISBN: 978-3-540-79527-8
DOI: 10.1007/ 978-3-540-79527-8 Library of Congress Control Number: 2009922223 © Springer-Verlag Berlin Heidelberg 2004, 2009 This work is subject to copyright. All rights are reserved, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcast-ing, reproduction on microfilm or in any other way, and storage in data banks. Duplication of thispublication or parts thereof is permitted only under the provisions of the German Copyright Law of September 9, 1965, in its current version, and permission for use must always be obtained from Sprin-ger. Violations are liable to prosecution under the German Copyright Law. The use of general descriptive names, registered names, trademarks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant pro-tective laws and regulations and therefore free for general use. Product liability: The publishers cannot guarantee the accuracy of any information about dosage and application contained in this book. In every individual case the user must check such information by consulting the relevant literature. Cover design: Frido Steinen-Broo, eStudio Calamar, Spain Printed on acid-free paper 987654321 springer.com
Preface
With the dawn of the 21th century has come the realization that bone and joint diseases are the major cause of pain and physical disability worldwide. Moreover, according to the WHO Scienti¿c Group, there are more than 150 musculoskeletal diseases and syndromes, all of which are usually associated with pain and loss of function. It is undoubtedly these insights that prompted the WHO to declare the ¿rst 10 years of the new century as “The Bone and Joint Decade 2000–2010”. This declaration obviously made a highly signi¿cant impact on international, national and medical authorities, as well as on physicians, scientists and citizens worldwide as evidenced by an overwhelming Àood (a regular tsunami) of articles, studies and books on the subject in the last few years alone! That is not to mention the coverage in newspapers and journals, on the radio and television and of course all the up-to-date information freely available on the Internet. The number of people suffering from these diseases – already many millions in the developed and underdeveloped countries of th
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