Question

A 72-year-old woman sustains a low-trauma distal radius fracture after tripping on a curb. She has not previously been diagnosed with osteoporosis. DEXA scan reveals a femoral neck T-score of −2.1. According to Osteoporosis Canada, which statement best reflects the recommended management?

Accepted Answer

Initiate antiresorptive therapy because she has a fragility fracture, regardless of T-score

Answer

She should not receive pharmacologic therapy because her T-score is above −2.5

Answer

Treat only with calcium and vitamin D supplementation

Answer

Delay pharmacologic therapy until she has a hip or vertebral fracture

Answer

Order spinal radiography and defer any treatment decisions

Practice question

A 72-year-old woman sustains a low-trauma distal radius fracture after tripping on a curb. She has not previously been diagnosed with osteoporosis. DEXA scan reveals a femoral neck T-score of −2.1. According to Osteoporosis Canada, which statement best reflects the recommended management?