CONTEXT An expert opinion perspective on why osteoporosis is underdiagnosed and undertreated. OBJECTIVE To highlight the potential reasons for why osteoporosis is undertreated. DESIGN Literature review from PubMed, Plos One, and Science Direct search engines from 1900-2015 under terms: sub-trochanteric and atypical femur fractures, bisphosphonate clinical trial and bisphosphonate review art...

A 56-year-old woman with a past medical history signifi cant for sarcoidosis, hypertension, and osteoporosis presented to the ED via emergency medical services after sustaining a right leg injury in a fall at home. She said she was carrying groceries into her house when she tripped over the threshold, landing on a fl exed right knee. She had immediate pain to her right thigh and was unable to b...

BACKGROUND Studies show conflicting results regarding the possible excess risk of atypical fractures of the femoral shaft associated with bisphosphonate use. METHODS In Sweden, 12,777 women 55 years of age or older sustained a fracture of the femur in 2008. We reviewed radiographs of 1234 of the 1271 women who had a subtrochanteric or shaft fracture and identified 59 patients with atypical fr...