26th January 2024

A 57-year-old female presents to A&E after sustaining a fracture of her distal radius, following a low-impact fall.

A 57-year-old female presents to A&E after sustaining a fracture of her distal radius, following a low-impact fall. She was diagnosed with rheumatoid arthritis 10 years ago, and has been on methotrexate for the past 3 years, with no issues. Other than rheumatoid arthritis, she does not have any other medical conditions and had not sustained any fractures prior to this. She is a current smoker of 10 per day, and drinks 3-5 units per day.

Which of this patient’s risk factors for developing a fragility fracture are known to reduce bone mineral density?

Select the SINGLE most appropriate option from the list below. Select ONE option only.