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Why brittle bones aren’t just a woman’s problem

Men over 50 face underdiagnosis of osteoporosis despite 50% of screened men showing signs; experts call for increased screening and treatment to reduce fractures and mortality.

  • In 2006, Ronald Klein in North Wales, Pennsylvania, fractured his hip and shoulder after a biking fall, and a follow-up scan showed he had developed osteoporosis.
  • Despite evidence, osteoporosis remains seen as a women's disease, slowing recognition in men while Medicare and many private insurers generally won’t cover screening for men without fractures, though experts recommend testing men 50 and older with risk factors and all men over 70.
  • The nurse-run bone health service increased screening; 49% of those tested had osteoporosis or osteopenia, and bone density improved after 18 months.
  • About 1 in 5 men over age 50 will suffer an osteoporotic fracture, and men who fracture face worse outcomes, with 25% to 30% mortality within a year, experts warn.
  • Experts say progress has been stalled for decades, with Colón-Emeric noting, `Clinical practice guidelines are all over the place`, and Bauer calling screening rates `Shockingly low` with DXA scans costing $100 to $300 out of pocket.
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Ronald Klein was riding his bike through his neighborhood in North Wales, Pennsylvania, in 2006 when he tried to jump a ditch. “But I was going too slow; I didn’t have enough momentum,” he recalled. As his bike fell, he put out his left arm to break the fall. It didn’t look serious, but “I couldn’t get up.” In the emergency room, X-rays showed he had fractured his hip, which required surgery, and his shoulder. Klein, a dentist, returned to work …

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Why brittle bones aren’t just a woman’s problem

Ronald Klein was biking around his neighborhood in North Wales, Pennsylvania, in 2006 and tried to jump a curb. "But I was going too slow — I didn't have enough momentum," he recalled.

·United States
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News Medical broke the news in United States on Tuesday, October 14, 2025.
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