Osteoporosis & bone health

Should we consider ankle fractures as osteoporotic fractures?

Osteoporos IntPublished Cross-sectional study

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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