International Journal of Molecular Sciences Review Osteoporosis in Men: A Review of an Underestimated Bone Condition Giuseppe Rinonapoli 1,*, Carmelinda Ruggiero 2 , Luigi Meccariello 3, Michele Bisaccia 1, Paolo Ceccarini 1 and Auro Caraffa 1 1 Orthopaedic and Traumatology Department, University of Perugia, Ospedale S.Maria della Misericordia, S. Andrea delle Fratte, 06156 Perugia, Italy;
[email protected] (M.B.);
[email protected] (P.C.);
[email protected] (A.C.) 2 Orthogeriatric Service, Geriatric Unit, Institute of Gerontology and Geriatrics, Department of Medicine, University of Perugia, Ospedale S.Maria della Misericordia, S. Andrea delle Fratte, 06156 Perugia, Italy;
[email protected] 3 Department of Orthopaedics and Traumatology, AORN San Pio “Gaetano Rummo Hospital”, via R.Delcogliano, 82100 Benevento (BN), Italy;
[email protected] * Correspondence:
[email protected] Abstract: Osteoporosis is called the ‘silent disease’ because, although it does not give significant symptoms when it is not complicated, can cause fragility fractures, with serious consequences and death. Furthermore, the consequences of osteoporosis have been calculated to weigh heavily on the costs of health systems in all the countries. Osteoporosis is considered a female disease. Actually, the hormonal changes that occur after menopause certainly determine a significant increase in osteoporosis and the risk of fractures in women. However, while there is no doubt that women are more exposed to osteoporosis and fragility fractures, the literature clearly indicates that physicians tend to underestimate the osteoporosis in men. The review of the literature done by the authors Citation: Rinonapoli, G.; Ruggiero, C.; shows that osteoporosis and fragility fractures have a high incidence also in men; and, furthermore, Meccariello, L.; Bisaccia, M.; the risk of fatal complications in hip fractured men is higher than that for women.