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Management of Osteoporotic Patients with Distal Radial Fractures

This article was updated on May 13, 2014. The third bullet point, which had previously read “Patients who have or are at risk of sustaining a distal radial fracture generally are elderly, are female, and have lower bone mineral densities and lower serum vitamin-D levels” was redundant with the second bullet point. The third bullet point now reads as follows: “Patients with a distal radial fracture are at an increased risk for future falls, which can lead to further morbidity and mortality.”

As a consequence of our aging population, the public health burden of osteoporosis has reached epidemic proportions1. In 2004, 10 million persons in the United States carried the diagnosis of osteoporosis, and the prevalence of osteopenia reached 34 million2. Every third postmenopausal woman and every fifth man older than fifty years is estimated to have osteoporosis3. The World Health Organization (WHO) defines osteoporosis as a bone mineral density more than 2.5 standard deviations below the young adult mean for a given population4. Patients with decreased bone mineral density have increased bone fragility and are at increased fracture risk, especially for distal radial fracture5.

The incidence of osteoporotic fractures was greater than 2 million in 2005 …