A Practical Approach to Adolescent Bone Health. A Guide for the Primary Care Provider

1. Optimizing Bone Mass Accrual in Healthy Adolescents 2. Normal Bone Physiology 101 3. Optimizing Nutrition to Promote Adolescent Bone Health 4. Physical activity to promote bone health in adolescents 5. The Bone Health History and Physical Examination in Adolescents6. Bone Health Laboratory Assessments7. Imaging to Evaluate Bone Health 8. Bone Health in Adolescents with Multiple Fractures 9. Bone Health in Adolescents with Eating Disorders 10. Bone Health of Adolescent Athletes 11. Bone Health in Adolescents with Chronic Disease 12. Bone Health in Immobile Adolescents 13. Treatment of Adolescent osteoporosis 14. Conclusion: A Clinical Bone Perspective

This comprehensive book thoroughly covers bone health in the adolescent, offering evidence-based guidance for clinical care in the primary care setting, and includes aspects of endocrinology, nutrition, radiology, sports medicine, and rehabilitation. A Practical Approach to Adolescent Bone Health begins with an in-depth review of normal bone physiology, and explains how to optimize bone mass accrual in the healthy adolescent. The following chapters detail the importance of nutrition and physical activity to the skeletal system, while later chapters provide a bone-centric review of clinical history taking, the physical examination, laboratory assessment, and imaging to evaluate bone health. Final chapters delve into providing comprehensive care for specific conditions commonly found in the adolescent, including adolescents with multiple fractures, eating disorders, athletic involvement, chronic illness, various ambulatory limitations, and bone fragility. Clinical vignettes are woven into chapters throughout the book, providing real-world application and highlighting key concepts for practitioners. A Practical Approach to Adolescent Bone Health is a unique resource,and ideal for the primary care clinician, including pediatricians, adolescent medicine specialists, and family medicine physicians, as well as endocrinologists, orthopedic surgeons, and any other practitioner working to guide adolescents towards optimal bone health.

Sarah Pitts, MD Divisions of Adolescent Medicine and of Endocrinology Boston Children's Hospital, Harvard Medical School Boston, MA USA

Catherine M. Gordon, MD, MSc Division of Adolescent and Transition Medicine, Cincinnati Children's Hospital Medical Center Department of Pediatrics, University of Cincinnati College of Medicine Cincinnati, OH USA