When doctors evaluate an older person who has fallen and broken a bone, they immediately look for signs of osteoporosis, the brittle-bone disease. Conventional wisdom holds that low bone-mineral density, the hallmark of osteoporosis, is chiefly responsible for fractures when elderly people fall from a standing position. But when an elderly person breaks a bone in a high-trauma accident, such as a car crash or a fall from a ladder, doctors don’t usually check bone density.
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