To the Editor: We have comments regarding the study of high-trauma fractures and low bone mineral density in older women and men by Ms Mackey and colleagues.1 First, it appears that the majority of high-trauma fractures described were due to rather minimal trauma, given that 37.7% of patients in the Study of Osteoporotic Fractures (SOF) cohort and 51.1% in the Osteoporotic Fractures in Men Study (MrOS) cohort sustained fracture due to a fall from more than standing height. This could have contributed to the positive association of osteoporosis with high trauma.
Kumar K. V. S. H, Verma A. Bone Mineral Density and High-Trauma Fractures. JAMA. 2008;299(13):1542-1543. doi:10.1001/jama.299.13.1542-b