Margaret A.WinkerMD, Deputy EditorIndividualAuthorPhil B.FontanarosaMD, Interim CoeditorIndividualAuthorStephenLurieMD, PhDIndividualAuthor
Copyright 1999 American Medical Association. All Rights Reserved.
Applicable FARS/DFARS Restrictions Apply to Government Use.1999
To the Editor: In her excellent review of osteoporosis,
Dr Greenspan1 might have made more comment
about Mrs Z's history of multiple fractures prior to her first bone density
and "formal" diagnosis of osteoporosis. A guide entitled Physician's Guide to Prevention and Treatment of Osteoporosis, which
was published by the National Osteoporosis Foundation,2
lists 4 risk factors for hip fracture that are independent of bone density:
personal history of fracture as an adult, history of fracture in a first-degree
relative, current cigarette smoking, and low body weight (<57 kg).
Kleerekoper M. Pathology. JAMA. 1999;282(18):1723. doi:10-1001/pubs.JAMA-ISSN-0098-7484-282-18-jbk1110