Question

A 73-year-old woman sustains a low-trauma distal radius fracture after falling from standing height. Bone mineral density later confirms osteoporosis. According to the 2023 Osteoporosis Canada guideline, how should her fracture risk be conceptualised and what is the best management?

Accepted Answer

She is high fracture risk due to fragility fracture and should be offered pharmacotherapy plus lifestyle measures

Answer

She remains low risk; reassure and repeat BMD in 5 years

Answer

She is moderate risk; BMD alone determines treatment need

Answer

She is low risk because distal radius fractures are not fragility fractures

Answer

Only calcium and vitamin D are indicated; pharmacotherapy is unnecessary

Practice question

A 73-year-old woman sustains a low-trauma distal radius fracture after falling from standing height. Bone mineral density later confirms osteoporosis. According to the 2023 Osteoporosis Canada guideline, how should her fracture risk be conceptualised and what is the best management?