One of the most remarkable manifestations of the normal aging process is loss of bone after age 45-50 in apparently normal women. The magnitude of this loss is such that after the age of 80 virtually all women have bone masses that are smaller than those of normal women before the age of 45, i.e., the two populations with respect to bone mass are entirely different. The relationship of such "physiologic" bone loss to structural failure (vertebral compressions, fractured femoral necks) is discussed by comparing the radiologically measured bone mineral mass in the proximal radius in normal women throughout the adult age range with that in a group of 71 women with vertebral compressions and 36 women with femoral-neck fractures. At a time of life when the incidence of structural failure is still low, a critical range of bone mass can be defined in which the abnormality (bone loss) is clearly recognized in the radius. The prevention of further bone loss at this stage should markedly lower the incidence of both the "crushed vertebrae syndrome" and femoral-neck fracture. This approach is particularly appropriate for those geriatric female patients who still enjoy active life, including sports and travel.Radiologic estimates of bone mass by various methods in normal people show similar patterns of bone loss with age in different racial groups, geographic areas, and groups with different dietary backgrounds (1-6). Generally, there is no significant change of bone mass in normal female populations up to age 45-50, but a steady decrease thereafter (Fig. 1). If "normal bone mass" is defined as values within the 95% confidence limit of the bone mass of young adult women, then half of the normal female population at age 67 and virtually all