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Fragility Fracture — SCE Rheumatology MCQ

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HardMetabolic Bone DiseaseFragility FractureSCE Rheumatology

A 72-year-old woman sustains a low-trauma distal-radius fracture. Hip T-score is −2.0 and she has no previous fracture. What is the next treatment-planning step?

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Correct answer: A — Use FRAX and compare risk with NOGG intervention thresholds

The best answer is “Use FRAX and compare risk with NOGG intervention thresholds”. A fragility fracture in a woman over 50 prompts fracture-risk assessment, but a distal-radius fracture does not by itself create an unconditional treatment rule independent of overall risk. A T-score above −2.5 does not remove risk, frequent repeat DXA is unhelpful, and calcium or vitamin D alone is not definitive anti-fracture therapy when drug treatment is indicated.

Reference: NOGG fracture-risk assessment and case finding: https://www.nogg.org.uk/full-guideline/section-3-fracture-risk-assessment-and-case-finding