Which body parts are considered "major osteoporotic fractures"?

• A. Wrist, ankle, elbow, knee
• B. Hip, shoulder, spine, wrist
• C. Wrist, hip, collarbone, femur
• D. Spine, pelvis, rib, ankle

Answer: (B)

The correct answer identifies the body parts that are recognized as major osteoporotic fractures, which include the hip, shoulder, spine, and wrist. These areas are clinically significant because fractures occurring in these regions are often associated with advanced osteoporosis and can lead to serious medical complications and increased morbidity in affected individuals.

The hip is particularly critical because fractures in this area can significantly impact mobility and independence in older adults. Similarly, spinal fractures can lead to deformities, chronic pain, and a decrease in quality of life. Wrist fractures are also common consequences of falls, a typical risk for those with decreased bone density.

In contrast, the other options list body parts that do not align with the primary concerns of major osteoporotic fractures. The ankle, for instance, while important, is not typically classified as a major site for osteoporotic fractures, and areas like the elbow and knee do not have the same risk implications in the context of osteoporosis. Therefore, the selection of hip, shoulder, spine, and wrist as major osteoporotic fracture sites is based on their clinical significance and association with the most detrimental impacts of osteoporosis.