- Bone diseases are a category of conditions that can increase the risk of fractures by affecting bone strength, structure, growth, and remodeling.
- Causes may include genetic factors, nutritional problems, abnormalities in growth or bone remodeling, infections, and tumors.
- Bone is living tissue in which formation and resorption are repeated throughout life; if this balance is disrupted, bone density and mechanical strength may change.
- Representative clinical manifestations include fractures, bone pain, deformity, growth abnormalities, or impairment of movement and function.
- Individual presentations vary depending on the cause and subtype, age, genetic background, nutritional and activity status, and comorbidities.
- Symptoms and course range from asymptomatic to recurrent fractures and progressive functional decline, and the patterns may differ between pediatric-onset and adult-onset.
- Diagnosis is made by combining imaging tests and blood tests based on medical history, family history, and physical examination, and considering genetic or tissue testing if necessary.
- The cause and severity of a disease cannot be determined solely by bone density or single test results; age, growth stage, skeletal site, and testing conditions must be interpreted together.
- Management focuses on reducing fractures and pain and preserving function, with treatment of the cause, rehabilitation, nutrition, and safe physical activity adjusted to individual circumstances.
- Treatment varies depending on the disease subtype and cause, and there is no single standard treatment applicable to all bone diseases.