Journal of orthopaedic rheumatology vol:8 issue:1 pages:3-7
It is widely accepted that chronic steroid therapy is associated with spinal bone loss and vertebral osteoporotic fractures. However, recent evidence suggests that the use of steroids is also associated with an increased incidence of hip fractures. Steroid therapy will mainly affect the risk of hip fracture in the elderly through steroid-induced bone loss at the proximal femur as well as through steroid myopathy. Sufficient data do not exist to allow recommendation of any definite protocol to prevent corticosteroid-induced bone loss at the proximal femur.