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High-risk patients should have appropriate non-pharmacological and pharmacological treatment to decrease the risk of subsequent fracture. Osteoporosis is the most common cause of fragility fractures.

Correspondence to: Professor M Doherty, Academic Rheumatology, Clinical Sciences Building, University of Nottingham, City Hospital, Hucknall Road, Nottingham NG5 1PB, UK; Michael.Doherty{at}Nottingham ...