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The Fracture Phenotypes in Women and Men of 50 Years and Older with a Recent Clinical Fracture

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Abstract

Purpose of Review

We review the literature about patients 50 years and older with a recent clinical fracture for the presence of skeletal and extra-skeletal risks, their perspectives of imminent subsequent fracture, falls, mortality, and other risks, and on the role of the fracture liaison service (FLS) for timely secondary fracture prevention.

Recent Findings

Patients with a recent clinical fracture present with heterogeneous patterns of bone-, fall-, and comorbidity-related risks. Short-term perspectives include bone loss, increased risk of fractures, falls, and mortality, and a decrease in physical performance and quality of life. Combined evaluation of bone, fall risk, and the presence of associated comorbidities contributes to treatment strategies.

Summary

Since fractures are related to interactions of bone-, fall-, and comorbidity-related risks, there is no one-single-discipline-fits-all approach but a need for a multidisciplinary approach at the FLS to consider all phenotypes for evaluation and treatment in an individual patient.
Title
The Fracture Phenotypes in Women and Men of 50 Years and Older with a Recent Clinical Fracture
Authors
P. Geusens
J. van den Bergh
C. Roux
R. Chapurlat
J. Center
D. Bliuc
C. Wyers
M. K. Javaid
N. Li
D. Whittier
W. F. Lems
Publication date
10-09-2024
Publisher
Springer US
Published in
Current Osteoporosis Reports / Issue 6/2024
Print ISSN: 1544-1873
Electronic ISSN: 1544-2241
DOI
https://doi.org/10.1007/s11914-024-00885-z
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