TABLE 3.
(a). Fractures (categorized as listed in ICD-CM codes) more likely to be due to osteoporosis and 3(b) fractures less likely to be due to osteoporosis listed by median score.
| (a). | ||||||||
|---|---|---|---|---|---|---|---|---|
| Sex | Women | Men | Women | Men | ||||
| Race/Ethnicity | C | AA | C | AA | C | AA | C | AA |
| Age | > 80 |
> 80 |
> 80 |
> 80 |
65– 79 |
65– 79 |
65– 79 |
65– 79 |
| Femoral neck | 9 | 9 | 9 | 9 | 9 | 8 | 8 | 8 |
| Pathologic vertebral fractures | 9 | 9 | 8 | 9 | 8 | 8 | 8 | 7 |
| Lumbar | 9 | 9 | 8 | 8 | 8 | 8 | 8 | 8 |
| Thoracic | 9 | 9 | 8 | 8 | 8 | 8 | 8 | 7 |
| Closed distal forearm and radius/ulna (NOS) | 9 | 9 | 8 | 8 | 8 | 8 | 7 | 7 |
| Pelvis | 9 | 8 | 8 | 8 | 8 | 8 | 8 | 7 |
| Closed femur, shaft | 8 | 8 | 8 | 8 | 8 | 8 | 8 | 8 |
| Closed humerus, proximal and distal | 8 | 8 | 8 | 8 | 8 | 8 | 8 | 8 |
| Vertebral (NOS) | 8 | 8 | 8 | 8 | 8 | 8 | 8 | 7 |
| Closed forearm, upper and shaft | 8 | 8 | 8 | 8 | 8 | 8 | 7 | 7 |
| Pathologic fracture of the humerus | 8 | 8 | 8 | 8 | 8 | 8 | 7 | 8 |
| Closed humerus, shaft | 8 | 8 | 8 | 8 | 8 | 8 | 7 | 7 |
| Pathologic fracture of the distal radius/ulna | 8 | 8 | 8 | 8 | 8 | 8 | 7 | 7 |
| Closed femur, distal | 8 | 8 | 8 | 8 | 8 | 7 | 7 | 7 |
| C-spine | 8 | 8 | 8 | 8 | 8 | 7 | 7 | 7 |
| Pathologic fractures of the femur | 8 | 8 | 8 | 8 | 8 | 7 | 7 | 7 |
| Closed ankle/malleolus | 8 | 8 | 8 | 8 | 7 | 7 | 7 | 7 |
| Rib | 8 | 8 | 8 | 8 | 7 | 7 | 7 | 7 |
| Open radius/ulna (NOS) | 8 | 8 | 7 | 7 | 8 | 7 | 6 | 6 |
| Sacrum | 8 | 8 | 7 | 7 | 7 | 7 | 7 | 6 |
| Open distal humerus and open distal forearm | 8 | 8 | 7 | 7 | 7 | 7 | 6 | 6 |
| Closed tibia & fibula (NOS) | 8 | 7 | 7 | 6 | 7 | 7 | 6 | 6 |
| Closed proximal tibia & fibula | 8 | 8 | 7 | 7 | 6 | 6 | 6 | 6 |
| Pathologic fracture of the tibia and fibula | 8 | 7 | 7 | 7 | 6 | 6 | 6 | 6 |
| Open femur, shaft | 7 | 7 | 7 | 7 | 7 | 7 | 7 | 7 |
| Open humerus shaft; open forearm (upper & shaft); Ill-defined fractures of the upper limb | 7 | 7 | 7 | 7 | 7 | 7 | 6 | 6 |
| Multiple fractures involving both upper limbs and upper limb with rib(s) and sternum | 7 | 7 | 7 | 7 | 7 | 7 | 6 | 5 |
| Closed tibia & fibula shaft | 7 | 7 | 6 | 6 | 6 | 5 | 5 | 5 |
| Patella | 7 | 7 | 7 | 5 | 6 | 6 | 5 | 5 |
| Open ankle/malleolus | 7 | 7 | 6 | 6 | 6 | 6 | 5 | 5 |
| (b). | ||||||||
|---|---|---|---|---|---|---|---|---|
| Sex | Women | Men | Women | Men | ||||
| Race/Ethnicity | C | AA | C | AA | C | AA | C | AA |
| Age | > 80 |
> 80 |
> 80 |
> 80 |
65– 79 |
65– 79 |
65– 79 |
65– 79 |
| Closed clavicle | 6 | 6 | 6 | 6 | 6 | 6 | 5 | 5 |
| Other, multiple and ill-defined fractures of lower limb | 6 | 6 | 6 | 6 | 5 | 5 | 5 | 5 |
| Pathologic fracture, unspecified site | 6 | 5 | 6 | 6 | 5 | 5 | 5 | 5 |
| Open tibia & fibula fracture (NOS) | 6 | 6 | 5 | 4 | 4 | 4 | 3 | 3 |
| Sternum | 6 | 6 | 5 | 5 | 4 | 4 | 4 | 4 |
| Pathologic fracture of other specified site | 5 | 5 | 6 | 6 | 5 | 5 | 5 | 5 |
| Fracture of unspecified bones | 5 | 5 | 5 | 5 | 5 | 5 | 5 | 5 |
| Hand (carpal, metacarpal) | 5 | 5 | 5 | 5 | 5 | 4 | 4 | 4 |
| Foot (tarsal, metatarsal) | 5 | 5 | 5 | 5 | 5 | 5 | 4 | 4 |
| Coccyx | 5 | 5 | 5 | 4 | 4 | 4 | 4 | 4 |
| Open proximal tibia & fibula | 5 | 5 | 4 | 4 | 4 | 3 | 3 | 3 |
| Open shaft tibia & fibula | 5 | 5 | 4 | 4 | 4 | 3 | 3 | 3 |
| Ill-defined bones of trunk | 5 | 5 | 5 | 5 | 4 | 4 | 3 | 3 |
| Open clavicle | 4 | 3 | 3 | 3 | 3 | 3 | 3 | 2 |
| Phalanges--hand | 3 | 3 | 3 | 3 | 3 | 2 | 2 | 2 |
| Scapula | 3 | 3 | 3 | 3 | 2 | 2 | 2 | 2 |
| Phalanges--foot | 3 | 2 | 3 | 3 | 2 | 2 | 2 | 2 |
| Multiple fractures involving both lower limbs, lower with upper limb, lower limb(s) with rib(s) and sternum | 2 | 2 | 2 | 2 | 2 | 1 | 2 | 1 |
| Skull/facial; flail chest; larynx and trachea | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 |
| Open proximal humerus | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 |
Fractures were scored from 1 to 9 with 1 representing those least likely due to osteoporosis and 9 those most likely due to osteoporosis. Fractures were scored within the clinical fracture risk groups of sex, race (Caucasian {C} or African American {AA}) and age (65–79 years old and 80 years old or older). The likelihood of a fracture being due to osteoporosis increases as the number rises, as indicated by the shading (4a: darker shade indicates fractures more likely due to osteoporosis, 4b: darker shade indicates fractures less likely to be due to osteoporosis). From left to right and top to bottom, the likelihood of a fracture being due to osteoporosis declines.
NOS = not otherwise specified.