Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2022 Jun;20(3):163-169.
doi: 10.1007/s11914-022-00730-1. Epub 2022 Apr 20.

Osteoporosis Diagnosis, Management, and Referral Practice After Fragility Fractures

Phillip Snodgrass  1 , Anthony Zou  2 , Ugis Gruntmanis  3 , Ida Leah Gitajn  2
Affiliations
Review

Osteoporosis Diagnosis, Management, and Referral Practice After Fragility Fractures

Phillip Snodgrass et al. Curr Osteoporos Rep. 2022 Jun.

Abstract

Purpose of review: The purpose of this manuscript is to review the current diagnosis, management, and referral practices of patients with osteoporosis after a fragility fracture from the orthopedic surgeon's perspective.

Recent findings: Effective treatments are available for osteoporosis that significantly decrease the risk of additional fractures. Despite recommendations for improved post-fragility fracture osteoporosis management, the rate of diagnosis and treatment is still unacceptably low. Patients sustaining a low-energy fracture should be evaluated for osteoporosis with discussion of beginning pharmacological treatment. Antiresorptive and anabolic agents are available treatment options. Fracture Liaison Services can help to coordinate the care of these patients and improve the rate of diagnosis and initiation of therapy. Dartmouth-Hitchcock is working to improve the bone health for our patients utilizing a multidisciplinary team-based approach. This process is intended to lead to increased recognition of osteoporosis within our institution and close the capture gap between hospital discharge and initiation of osteoporosis pharmacotherapy.

Keywords: DEXA; Fragility fracture; Hip fracture; Osteoporosis.

PubMed Disclaimer

References

    1. Tosi LL, Lane JM. Osteoporosis prevention and the orthopaedic surgeon: when fracture care is not enough. J Bone Joint Surg Am. 1998;80:1567–9. - DOI
    1. American Orthopaedic Association. Leadership in orthopaedics: taking a stand to own the bone. American Orthopaedic Association position paper. J Bone Joint Surg Am. 2005;87(6):1389–91. https://doi.org/10.2106/JBJS.E.00449 .
    1. Anderson PA, Jeray KJ, Lane JM, et al. Bone health optimization: beyond own the bone: AOA Critical Issues. J Bone Joint Surg Am. 2019;101:1413–9. AOA critical issues article describes the current bone health crisis, and the importance of including osteoporosis evalaution in the preoperative assessment of elective orthopedic procedures - DOI
    1. Levitt EB, Patch DA, Ponce BA, Razi AE, Kates SL, Patt JC. Barriers and Resources to Optimize Bone Health in Orthopaedic Education: Own the Bone (OTB): Bone Health Education in Residency. JB & JS Open Access. 2021;6:e21.00026.
    1. Burge R, Dawson-Hughes B, Solomon DH, Wong JB, King A, Tosteson A. Incidence and economic burden of osteoporosis-related fractures in the United States, 2005-2025. J Bone Miner Res: the official journal of the American Society for Bone and Mineral Research. 2007;22:465–75. - DOI

MeSH terms

Substances

LinkOut - more resources