How do you approach osteoporosis screening in men?

While osteoporosis is more prevalent in postmenopausal women, it is often under-recognized in men. The risk of mortality after hip fracture is higher in men, and that risk may extend over 10 years after injury. Men who sustain a wrist fracture are more likely to have severe osteoporosis and a higher subsequent risk of hip fracture.

Evaluation of men with osteoporosis is similar to that for women. Patients with the lowest T-score of ≤ -2.5 on dual-energy x-ray absorptiometry (DEXA) (spine, hip, or...