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Kiebzak et al¹ should be congratulated on their efforts to highlight the undertreatment of osteoporosis in men who have had a hip fracture. Methodological constraints due to the retrospective collection of data are evident, particularly on their assessment of comorbidity and risk factors. But the poor rates of prefracture and postfracture osteoporosis treatment, particularly in men, will make for uncomfortable reading among orthopedic surgeons across the globe.

These patients are often seen by orthopedic services on multiple occasions. Robinson et al² have prospectively studied the rates of refracture in individuals who had previously experienced wrist, proximal humerus, ankle, or hip insufficiency fractures. Men older than 45 years were shown to be at significantly higher risk of insufficiency fractures compared with women (relative risk, 5.55 [men] vs 2.94 [women]). Interestingly, this increased risk was sustained in all age group cohorts from 45 to 85 years or older. Previous hip, wrist, and . . . [Full Text of this Article]

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