Bone Health Clinic

SIU Bone Health Clinic The Bone Health Clinic is a multidisciplinary clinic, involving SIU Orthopaedics, Internal Medicine (Rheumatology), and Obstetrics & Gynecology. The mission and purpose of this clinic is to provide primary and secondary fracture prevention, as well as bone fragility treatment, care, and education to at-risk patients in the central and southern Illinois area. Osteoporosis is the most common bone disease in humans and represents a significant health issue. It is a costly, and sometimes fatal, disease.

Utilizing the resources available, the Bone Health Clinic seeks to identify patients at risk for fragility fractures, and develop a ‘one stop shop’ system for education and treatment. Once a patient is found or thought to be at risk, the patient’s bone density is scanned using SIU’s DXA (Dual-energy X-ray absorptiometry) machines, and then the patient is scheduled to see one of the Bone Health Clinic providers. The physicians discuss various treatment options and develop a plan of care specific to each patient, factoring in the patient’s lifestyle habits and family history. The long term, overall goal of the Bone Health Clinic is to decrease the occurrence of fragility fractures through treatment and education.

Breakthroughs: SIU's Bone Health Clinic (excerpt from Aspire to Inspire)

Casey Younkin, MD
Dr. Younkin discusses the importance of taking vitamin D
with Pieretta Patterson.

“I was seeing all these post-menopausal women who had fractures that weren’t being addressed,” says Casey Younkin, MD, associate professor of obstetrics and gynecology. “A woman who breaks a hip and leaves the hospital with no follow-up care has a higher likelihood of breaking the other hip. Only a small percentage of those who need treatment are being treated.”
Khaled Saleh, M.D., professor and chair of the division of orthopaedics, treats the fractures of many of these women. He and Dr. Younkin realized the need for SIU to create a multi-disciplinary bone health clinic to treat and educate those with osteoporosis, a service unique to the SIU service area. The clinic is staffed by SIU obstetricians/gynecologists, rheumatologists, orthopaedists and endocrinologists who provide primary and secondary fracture prevention, as well as bone fragility treatment, care and education to at-risk patients in the central and southern Illinois area. The team researches and publishes bone fragility data regarding the impact the care has on the community.
Pieretta Patterson, 65, of Springfield doesn’t seem to fit most of the risk categories for bad bones. She’s a healthy African-American with no family history of osteoporosis. However, Dr. Saleh performed a knee replacement on her right knee in February 2013. In May, Patterson had a bone density scan to be sure that her bones were strong enough to support her artificial joint. “It’s important for her to have a bone density scan because the artificial joint relies on the surrounding bone to hold it in place,” Dr. Younkin says. “Often the artificial joint can get loose, especially if the bone is deteriorating around it.”
Patterson will continue to follow up with the physicians in the bone health clinic to be sure she maintains strong, healthy bones.
- written by Rebecca Budde, Publications Editor
Article first appeared in aspects 36-3.

Bone Health brochure - download here

For more information regarding Osteoporosis, visit the National Osteoporosis Foundation’s website

To make an appointment with the SIU Bone Health Clinic, please call us at 545-8000.

Holly Brockman, MD
Orthopaedic Surgery
Specializing in: Trauma

Anne Miller, M.D.Anne Miller, MD               
Internal Medicine
Specializing in: Rheumatology

Sriya Ranatunga,M.D. Sriya Ranatunga,MD
Internal Medicine
Specializing in: Rheumatology

Casey Younkin, M.D.Casey Younkin, MD
Obstetrics & Gynecology
Specializing in: Menopausal Treatment