Osteoporosis: Identification, intervention and prevention of fractures

  • H De Wet University of the Witwatersrand
Keywords: osteoporosis, bone mineral density, risk assessment, falls assessment, bone densitometry, bisphosphonates, denosumab, teriparatide


Osteoporosis may result in fragility fractures with associated significant morbidity. Yet this common skeletal disease, characterised by low bone mass, is often not screened for, and is underdiagnosed and undertreated. Risk assessment (including imminent fracture risk), falls risk, DXA to assess bone mineral density, potential adjuvant calcium and vitamin D, and anti-resorptive agents, are important considerations to prevent fractures. This review highlights the salient points for general practitioners.

Author Biography

H De Wet, University of the Witwatersrand

Donald Gordon Medical Centre, University of the Witwatersrand, South Africa