An update on osteoporosis management and fracture prevention strategies.

Every 3 seconds worldwide, a fracture due to osteoporosis occurs. Yet approximately 80% of individuals who have sustained a fragility fracture are not identified as having osteoporosis or treated for the condition. Many misconceptions and barriers plague care for this "silent" condition, contributing to a health care gap with catastrophic consequences. Importantly, clear guidance on screening, prevention, and treatment is available, paving the way for clinicians who are willing to "own the bone" and narrow the gap. Most recently, the US Preventive Services Task Force (USPSTF) published updated guidance for osteoporosis screening in early 2025. This guidance largely supports previous recommendations, strengthening the firm foundations clinicians use to address this critical need.