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Participants were contacted every 4\u00a0mo to identify fractures confirmed by radiographic reports. Fractures were classified as fall- or non-fall-related and further categorized by degree of trauma: minimal (fall from \u2264 standing height), moderate (fall on stairs, steps or curb), or severe (fall from &amp;gt; standing height) for fall-related fractures; and minimal (eg, coughing), moderate (eg, collisions with objects during normal activity without falling), or severe (eg, motor vehicle accident) for non-fall-related fractures. Of 2351 clinical fractures in 1424 men during an average follow-up of 9.9\u00a0yr, 12.7% occurred at age &amp;lt;75\u00a0yr, 15.7% at age 75-79\u00a0yr, 26.1% at age 80-84\u00a0yr, and 45.5% at age \u226585\u00a0yr. A total of 1891 fractures (80.4% of all fractures) were the result of a fall. The proportion of fall-related fractures steadily rose with increasing age at time of fracture, ranging from 65.8% in men &amp;lt;75\u00a0yr rising to 84.7% in men \u226585\u00a0yr (p\u00a0&amp;lt;\u2009.001). Most fall-related fractures (76.4%) were due to minimal trauma; the proportion of all fractures due to a fall with minimal trauma steadily rose with increasing age (p\u00a0&amp;lt;\u2009.001). In contrast, approximately half of non-fall-related fractures (53.5%) were due to severe trauma. The proportion of all fractures due to severe trauma (whether fall-related or not) declined with advancing age (p\u00a0&amp;lt;\u2009.001). In conclusion, the most frequently occurring fracture circumstance in older men was a fall from \u2264standing height. This circumstance was increasingly common with advancing age occurring in 7 of every 10 fractures in men \u226585\u00a0yr, while a fracture (fall-related or not) due to severe trauma was less common with advancing age. Findings have implications for development of fracture prevention strategies in older men.<\/jats:p>","DOI":"10.1093\/jbmrpl\/ziaf005","type":"journal-article","created":{"date-parts":[[2025,1,10]],"date-time":"2025-01-10T18:26:31Z","timestamp":1736533591000},"source":"Crossref","is-referenced-by-count":3,"title":["Circumstances of clinical fracture events with advancing age in older men"],"prefix":"10.1093","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9069-3036","authenticated-orcid":false,"given":"Kristine E","family":"Ensrud","sequence":"first","affiliation":[{"name":"Division of Epidemiology & Community Health , University of Minnesota, Minneapolis, MN 55454,","place":["USA"]},{"name":"Center for Care Delivery and Outcomes Research , VA Health Care System, Minneapolis, MN 55417,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sheena","family":"Patel","sequence":"additional","affiliation":[{"name":"California Pacific Medical Center Research Institute , San Francisco, CA 94107,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa","family":"Langsetmo","sequence":"additional","affiliation":[{"name":"Center for Care Delivery and Outcomes Research , VA Health Care System, Minneapolis, MN 55417,","place":["USA"]},{"name":"Departement of Medicine , University of Minnesota, Minneapolis, MN 55455,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peggy M","family":"Cawthon","sequence":"additional","affiliation":[{"name":"California Pacific Medical Center Research Institute , San Francisco, CA 94107,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Howard A","family":"Fink","sequence":"additional","affiliation":[{"name":"Center for Care Delivery and Outcomes Research , VA Health Care System, Minneapolis, MN 55417,","place":["USA"]},{"name":"Departement of Medicine , University of Minnesota, Minneapolis, MN 55455,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John T","family":"Schousboe","sequence":"additional","affiliation":[{"name":"HealthPartners Institute , Bloomington, MN 55425,","place":["USA"]},{"name":"Division of Health Policy & Management , University of Minnesota, Minneapolis, MN 55455,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Douglas C","family":"Bauer","sequence":"additional","affiliation":[{"name":"Department of Medicine , University of California, San Francisco, CA 94115,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jane A","family":"Cauley","sequence":"additional","affiliation":[{"name":"Department of Epidemiology , University of Pittsburgh, Pittsburgh, PA 15261,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric S","family":"Orwoll","sequence":"additional","affiliation":[{"name":"Department of Medicine , Oregon Health & Science University, Portland, OR 97239,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"for the Osteoporotic Fractures in Men (MrOS) Study","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2025,1,10]]},"reference":[{"issue":"10","key":"2025022506370880800_ref1","doi-asserted-by":"publisher","first-page":"1236","DOI":"10.1093\/gerona\/glt092","article-title":"Epidemiology of fracture risk with advancing age","volume":"68","author":"Ensrud","year":"2013","journal-title":"J Gerontol A Biol Sci Med Sci"},{"issue":"6","key":"2025022506370880800_ref2","doi-asserted-by":"publisher","first-page":"789","DOI":"10.1093\/ageing\/afw129","article-title":"Prevalence and risk factors for falls in older men and women: the English longitudinal study of ageing","volume":"45","author":"Gale","year":"2016","journal-title":"Age 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