The FRACTURE Index is a point-based tool that estimates 5-year hip fracture risk in older postmenopausal women. This implementation calculates a clinical score (no BMD) and a total score (clinical score plus hip BMD points when a total hip T-score is entered).

Component	Category	Points
Age (years)	younger than 65	0
Age (years)	65–69	1
Age (years)	70–74	2
Age (years)	75–79	3
Age (years)	80–84	4
Age (years)	≥85	5
Prior low-trauma fracture after age 50	Yes	1
Maternal hip fracture after age 50	Yes	1
Current weight	≤57 kg (≤125 lb)	1
Current smoker	Yes	1
Usually needs arms to stand from a chair	Yes	2
Total hip T-score (central DXA. Optional)	No value entered or ≥−1.0	0
Total hip T-score (central DXA. Optional)	≥−2.0 to <−1.0	2
Total hip T-score (central DXA. Optional)	≥−2.5 to <−2.0	3
Total hip T-score (central DXA. Optional)	<−2.5	4

The clinical FRACTURE Index is the sum of age, prior fracture, maternal hip fracture, low weight, current smoking and needing arms to stand (range 0–11). When a total hip T-score is entered, BMD points are added to give a combined score up to 15. If no T-score is entered, BMD points are 0 and the total score equals the clinical score.

FRACTURE Index 5-year hip fracture risk score