Background: Fracture Liaison Services (FLS) are traditionally outpatient-based and led by orthopedists or endocrinologists. In the United States, over 1 million patients are hospitalized yearly with osteoporotic fractures and internal medicine hospitalists are frequently involved in their co-management. Purpose: Internal medicine hospitalists have an integral role in the prompt recognition and early treatment of patients [...]

Background: Although hip fractures in the elderly are largely due to osteoporosis, rates of treatment for osteoporosis after fragility fracture have been reported as

Background: Bisphosphonates are the most commonly prescribed medications for treatment for osteoporosis (OP). Although increasing evidence supports a good safety profile, there is an emerging concern regarding the cardiovascular safety of these agents. Whereas the association with superficial phlebitis has been well documented, the risk of VTE is still not established. Limited data exist on [...]

Background: Osteoporosis is common and carries a significant burden of morbidity and mortality. Early pharmacologic therapy for osteoporosis can reduce osteoporotic fractures. Thus, the USPSTF recommends dual energy x-ray absorptiometry (DXA) screening for osteoporosis in women above the age of 65. Screening for osteoporosis is often seen as a responsibility of the primary care provider. [...]

Case Presentation: A 61-year-old woman initially presented to our clinic with a sternal fracture after “being hugged too tightly” by a friend. Her physical exam was notable for tenderness to palpation over the 4th intercostal space bilaterally. Sternal x-ray showed a non-displaced fracture along with diffuse demineralization of her sternum. Subsequent DXA scan showed osteoporosis [...]

Background: Fracture Liaison Services (FLS) are traditionally outpatient-based and led by orthopedists or endocrinologists. In the United States, over 1 million patients are hospitalized yearly with osteoporotic fractures and internal medicine hospitalists are frequently involved in their co-management. Purpose: Internal medicine hospitalists have an integral role in the prompt recognition and early treatment of patients [...]