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The article by Khan and colleagues¹ found a low rate of osteoporosis follow-up after minor trauma wrist fractures. We have recently completed a similar study in people who had a hip fracture.² We contacted 231 survivors of a hip fracture and found that only 9% were receiving a bisphosphonate therapy, hormone replacement therapy, or calcitriol therapy, and only 12% were taking calcium supplements alone. Only 10% had a bone density examination performed. Ironically, people younger than 65 years were more likely to be receiving treatment for osteoporosis despite the considerably greater risk of fracture for those older than 65 years.

Khan and colleagues suggest that more attention be given to case finding for people at risk of fracture. We agree. In our cohort, vitamin D concentrations were low in 22 (67%) of 33 people.

People who have already had a fracture are at very high risk of osteoporosis and another . . . [Full Text of this Article]

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RELATED ARTICLE

Osteoporosis Follow-up After Wrist Fractures Following Minor Trauma
Sophia A. Khan, Carolyn de Geus, Brian Holroyd, and Anthony S. Russell
Arch Intern Med. 2001;161(10):1309-1312.
ABSTRACT | FULL TEXT