How can you assess for the presence of osteoporosis in patients with multiple fractures?

Assessing for osteoporosis in patients who have suffered multiple fractures is best accomplished through bone density scanning or DEXA scans. These scans measure the density of bones and provide a quantitative assessment of bone strength, which is crucial in identifying osteoporosis. A lower bone density score indicates a higher risk of fractures, making DEXA an essential tool in both diagnosing osteoporosis and evaluating fracture risk in patients with a history of fractures.

While reviewing family history for fractures can provide insights into possible genetic predisposition to osteoporosis, it does not directly measure bone density or strength. Similarly, a physical exam may help identify areas of sensitivity but does not provide a definitive diagnosis of osteoporosis. Lastly, calcium levels, measured through blood tests, do not directly correlate with bone density or osteoporosis since they can be maintained in cases of osteoporosis due to regulatory mechanisms. Therefore, the use of DEXA scans is the most effective and direct method for assessing osteoporosis in such patients.