Upper limb fragility fractures: A missed opportunity

Global ageing has led to a rise in osteoporosis1 and fragility fractures, which are fractures that occur due to low-energy trauma. Upper limb fragility fractures, particularly proximal humerus and distal radius fractures, are known risk factors for future hip fractures.2 Clinical guidelines recommend secondary preventive assessments and interventions after any fragility fracture. These include fall risk evaluation, lifestyle modifications, calcium and vitamin D supplementation, and bone mineral density (BMD) testing to detect and guide osteoporosis treatment.3 However, implementation rates of secondary prevention after upper limb fractures remain poorly studied.