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Medical Wiki

Fracture and fall history

Past low-trauma fractures and falls often matter more than any single scan number.

What it is

A history of low-trauma fracture, repeated falls, height loss, or vertebral compression changes is an outcome signal, not just a background detail.[1,2]

Why it matters

Bone strength is judged by whether bone breaks under ordinary loads. A clean-looking number can miss fall risk, vertebral fracture, or inherited fragility context.[1]

What it affects

  • A fracture after a low-energy fall can shift the clinical meaning of BMD and T-score.[1]
  • In children and adolescents, fracture history is part of the osteoporosis definition; densitometry alone is not enough.[2]

Interpretation traps

  • Trauma level, age, location, medication exposure, and underlying disease change interpretation.[2]

Related conditions

Osteoporosis and fragility fractureLow bone mass / osteopeniaOsteogenesis imperfecta and heritable fragility