Should we consider ankle fractures as osteoporotic fractures?
Authors' conclusion
Screening should be provided and conducted as part of fracture management due to the substantial number of patients who require screening.
Study context
- Population
- Patients aged 45 or older with ankle fractures over a 24-month period, screened for osteoporosis risk factors (DVO guideline, FRAX)mean age 65 years
- Participants
- 131 patients
- Outcome
- Proportion of patients with ankle fractures with an indication for osteoporosis screening (diagnostic testing per DVO guideline)
Main finding
As reported in the abstract
Indication for osteoporosis screening
Osteoporosis screening necessary
61 percent
Observational data: associations, not effects.
Further findings
Osteoporosis screening recommended, aged 60 years or older (subgroup)
- Recommended for screening
- 85%
Indication for specific osteoporosis therapy, aged 61 years and above (subgroup)
- Indication for specific therapy
- Fifty-five percent
Treatment gap in patients requiring specific therapy
- Treatment gap
- 97%
Original publication
Should we consider ankle fractures as osteoporotic fractures? Osteoporos Int. Published 19 September 2025. doi:10. 1007/ s00198-025-07690-z
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