• James Levins


Osteoporosis is a highly prevalent disease and is increasing due to an aging population. The disease is commonly seen in post-menopausal women due to hormonal changes resulting in decreased bone mineralization; however, osteoporosis can be seen in older men and may also be the result of steroid use, alcoholism, hyperparathyroidism, or multiple other etiologies. Fragility fractures are low-energy injuries that result from falls in patients with poor bone quality. When a patient sustains a fragility fracture, orthopedic surgeons are often some of the first physicians to address the diagnosis of osteoporosis. While orthopedists dictate the acute management of fractures, patients should be appropriately referred for follow-up testing and long-term therapy for the disease to prevent complications and secondary fractures.


Osteoporosis Fragility fracture Bisphosphonates Hip fracture 


  1. 1.
    Schnell S, Friedman SM, Mendelson DA, Bingham KW, Kates SL. The 1-year mortality of patients treated in a hip fracture program for elders. Geriatr Orthop Surg Rehabil. 2010;1(1):6–14. Scholar

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© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • James Levins
    • 1
  1. 1.Department of Orthopaedic SurgeryBrown UniversityProvidenceUSA

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