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Annals of The Royal College of Surgeons of England logoLink to Annals of The Royal College of Surgeons of England
. 2004 Sep;86(5):344–346. doi: 10.1308/147870804371

Treatment of osteoporosis: missed opportunities in the hospital fracture clinic.

M G Smith 1, P Dunkow 1, D M Lang 1
PMCID: PMC1964232  PMID: 15333170

Abstract

AIM: To identify what proportion of patients who, having sustained an initial distal radial fragility fracture and a subsequent femoral neck fracture, had had their osteoporosis addressed in the interval between the two events. PATIENTS and METHODS: The hospital electronic information system was used to identify all patients aged over 50 years treated for a distal radial fracture, in our fracture clinic, between 1995-2000. In addition all patients admitted to our hospital, during the same time period, with a femoral neck fracture were identified. RESULTS: A study cohort of 74 patients were identified. The proportion of patients who received investigation of, or treatment for, osteoporosis between their wrist and femoral neck fracture was 8% whereas 84% did not. CONCLUSIONS: Current mechanisms for identifying patients with osteoporosis before they sustain a femoral neck fracture are inadequate.

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