Workshops Day Three

Workshops Day Three

W1


Dr Kassim Javaid
Hon Consultant in Metabolic Bone Disease, University of Oxford

Fracture Liaison Service models including non-hip fracture database: Hall 10b

Questions Answered

  • What are the key methods for case finding?
  • What are the key assessment / investigations to recommend?
  • How should I monitor patients?

Synopsis

Delivering effective secondary fracture prevention is challenging and requires coordination between hospitals and community services. Different FLS model systems have evolved to deliver the key components of an effective service. The aim of the workshop is to allow attendees to understand the strengths and weakness of these models and use this information to develop new services or improve existing ones.

W2


Professor Opinder Sahota
Consultant Care of the Elderly, QMC, Nottingham

Management of individuals with symptomatic vertebral fracture: Hall 10a

Questions Answered

  • What investigations should I undertake in patients with a vertebral fracture?
  • How should I manage a patient with an acute vertebral fracture?
  • What is the difference between vertebroplasty and kyphoplasty?

Synopsis

Vertebral fragility fractures (VFFs) are common - and can be associated with acute severe back pain. Traditionally, these are managed conservatively: however, over the past few years there has been a shift towards active management, with the use of vertebral augmentation. The aim of the workshop is to present a treatment pathway for the management of acute VFFs and sacral insufficiency fractures.

W3


Professor Peter Selby
Consultant Endocrinologist, Manchester Royal Infirmary

Hall 11a

Questions Answered

  • Not available at this time
  • Not available at this time
  • Not available at this time

Synopsis

Not available at this time

W4

 
Professor Tash Masud
Professor in Musculoskeletal Gerontology, Nottingham University Hospitals NHS Trust, Nottingham, UK

Gait and balance: Hall 6a

Questions Answered

  • How do I screen for gait and balance disorder?
  • How do I use gait and balance assessment to help make a diagnosis?
  • How do I incorporate gait and balance assessments into busy osteoporosis clinic?

Synopsis

Examination of gait and balance are essential components of  assessing falls risk and are therefore very relevant to the holistic approach to fracture prevention. Clinicians of all disciplines in busy clinics sometimes tend to neglect this important area. This workshop will teach a structured, quick  and easy to use approach to assessing gait and balance which will aid diagnosis of gait and balance disorders which will help in further management of the patient in reducing fractures.

W5


Dr Jennifer Walsh
Senior Clinical Lecturer, University of Sheffield

Osteoporosis in young adults: Hall 11b

Questions Answered

  • At what level of BMD should I be concerned about a young adult?
  • What investigations should I do in a young adult with low BMD?
  • It is ever appropriate to use osteoporosis medication in young adults?

Synopsis

Young adults may present to metabolic bone clinics because they have risk factors for low bone density (such as inflammatory disease or low body weight) or because they have had unusual fractures. This workshop will review how to identify possible underlying contributors to low bone density through history and investigation. We will discuss how to address treatable causes and modifiable risk factors, and the uncommon situations where pharmacological treatment might be considered.

W6


Dr Sanjeev Patel
Consultant Physician and Rheumatologist at St Helier Hospital, Senior lecturer in Rheumatology at St Georges Hospital Medical School, London

Clinical Conundrums including complications of treatment: Room Executive 1

Questions Answered

  • How is fracture risk defined and how can osteoporosis treatment thresholds be used?
  • How do secondary causes of osteoporosis (such as chronic kidney disease) - affect fracture risk and influence treatment decisions?
  • How do potential complications of osteoporosis drug treatment, such as atypical femoral fractures, influence treatment decisions, and how are such complications managed?

Synopsis

This workshop presents practical issues in osteoporosis management using a case-based discussion format. The convenors will present cases to the audience for review and comment prior to a discussion on the actual management and outcomes. The focus will be on making decisions on when to treat, managing secondary causes of osteoporosis, and complications of osteoporosis treatment.

W7


Dr Nicola Crabtree
Principle Clinical Scientist in Bone Densitometry, Birmingham Children’s Hospital, UK

Bone Densitometry: technical interpretation from the cradle to the grave: Room Executive 2

Questions Answered

  • What is the most important technical limitation when interpreting DXA in children?
  • What factors are likely to impact the interpretation of DXA scans in young (
  • What technical factors need to be considered when assessing and interpreting older adults?

Synopsis

DXA is the preferred tool for the assessment of bone density and fracture risk in both children and adults. However, the technical considerations when interpreting DXA scans vary throughout the life-course. Issues such as scan site, scan quality and follow up scanning can differ by age and clinical condition. The aim of this workshop is to discuss, using a series of pertinent case studies, the technical challenges faced when interpreting DXA scans.

W8


Ali Doyle
Lead Nurse Falls and Fractures, Falls and Fracture Programme Lead - Birmingham Public Health

Quality improvement of osteoporosis and Fracture Liaison Services: Hall 6b

Questions Answered

  • How do I apply the NOS FLS standards to an FLS in an acute setting?
  • How do I capture and measure patient experience of an FLS?
  • How do I integrate falls prevention in an FLS?

Synopsis

Delivering a modern FLS is often a challenge. The NOS has provided a set of standards against which we can measure the quality of the service we deliver. Often and traditionally, falls and fracture services are seen as being delivered by different services. The aim of the workshop is to present a model that demonstrates that it is possible to deliver the NOS standards, report against these to the commissioners and capture patient experience to make sure we are delivering a patient-centred approach.