Society guideline links: General fracture and stress fracture management in adults

Introduction — This topic includes links to society and government-sponsored guidelines from selected countries and regions around the world. We will update these links periodically; newer versions of some guidelines may be available on each society's website. Some societies may require users to log in to access their guidelines.

The recommendations in the following guidelines may vary from those that appear in UpToDate topic reviews. Readers who are looking for UpToDate topic reviews should use the UpToDate search box to find the relevant content.

Links to related guidelines are provided separately. (See "Society guideline links: Fractures of the skull, face, and upper extremity in adults" and "Society guideline links: Lower extremity (excluding hip) fractures in adults" and "Society guideline links: Hip fracture in adults".)

Canada

●Canadian Task Force on Preventive Health Care (CTFPHC): Recommendations on screening for primary prevention of fragility fractures (2023)

●Choosing Wisely Canada: Don't prescribe bisphosphonates for patients at low risk of fracture (2023)

●Osteoporosis Canada: Clinical practice guideline for management of osteoporosis and fracture prevention in Canada, update (2023)

●Scientific Advisory Council of Osteoporosis Canada: Recommendations for preventing fracture in long-term care (2015)

United States

●American Society for Bone and Mineral Research (ASBMR): Secondary fracture prevention – Consensus clinical recommendations from a multistakeholder coalition (2019)

●American College of Radiology (ACR): ACR Appropriateness Criteria for the management of vertebral compression fractures (revised 2022)

●ACR: ACR Appropriateness Criteria on rib fractures (revised 2018)

●US Preventive Services Task Force (USPSTF): Final recommendation statement on osteoporosis to prevent fractures – Screening (2018)

●USPSTF: Final recommendation statement on vitamin D, calcium, or combined supplementation for the primary prevention of fractures in community-dwelling adults – Preventive medication (2018)

●Consensus statement: Surgical stabilization of rib fractures rib fracture colloquium clinical practice guidelines (2017)

●Eastern Association for the Surgery of Trauma (EAST): Practice management guideline for the operative fixation of rib fractures after blunt trauma (2017)

●ACR: ACR Appropriateness Criteria on stress (fatigue/insufficiency) fracture, including sacrum, excluding other vertebrae (revised 2016)

●Western Trauma Association (WTA): Critical decisions in trauma – Management of rib fractures (2016)

●EAST: Practice management guidelines for prophylactic antibiotic use in open fractures, update (2011)

Europe

●European League Against Rheumatism (EULAR): 2019 points to consider for non-physician health professionals to prevent and manage fragility fractures in adults 50 years or older (published 2021)

●EULAR/European Federation of National Associations of Orthopaedics and Traumatology (EFORT): Recommendations for management of patients older than 50 years with a fragility fracture and prevention of subsequent fractures (2017)

United Kingdom

●National Institute for Health and Care Excellence (NICE): Guideline on fractures (complex) – Assessment and management (2016, updated 2022)

●Scottish Intercollegiate Guidelines Network (SIGN): A national clinical guideline for the management of osteoporosis and the prevention of fragility fractures (2015, revised 2021)

●British Association of Plastic, Reconstructive and Aesthetic Surgeons (BAPRAS) and British Orthopaedic Association (BOA): Standards for the management of open fractures (2020)

●BOA: Standard on fracture related infections (FRI) (2019)

●NICE: Medical technologies guidance on EXOGEN ultrasound bone healing system for long bone fractures with non-union or delayed healing (2013, updated 2019)

●NICE: Interventional procedures guidance on low-intensity pulsed ultrasound to promote healing of delayed-union and non-union fractures (2018)

●NICE: Interventional procedures guidance on low-intensity pulsed ultrasound to promote healing of fresh fractures at high risk of non-healing (2018)

●NICE: Interventional procedures guidance on low-intensity pulsed ultrasound to promote healing of fresh fractures at low risk of non-healing (2018)

●BOA and BAPRAS: Audit standards for trauma – Open fractures (2017)

●NICE: Guideline on fractures (non-complex) – Assessment and management (2016)

Australia–New Zealand

●Choosing Wisely Australia: Do not discharge patients with osteoporotic fractures without an assessment and/or treatment for osteoporosis (2017)