Assessment

All patients with a fragility fracture should be assessed for both osteoporosis and for the risk of future falls. Appropriate interventions should then be instituted [1].

Any older person that presents to the emergency department following a fall, should be screened for risk factors for future fragility fractures. This is a combination of clinical examination, history and risk-assessment, in addition to simple measurements such as postural BP, and where appropriate the patient should be referred to a dedicated falls outpatient clinic.