World Health Organization (WHO) sustains the introduction in clinical practice of fracture risk assessment tool (FRAX), an algorithm for evaluation of the fracture risk. FRAX is a tool approved for evaluation of fracture risk using the measurement of bone mineral density (BMD) at hip by dualenergy x-ray absorptiometry (DXA) assessment. For each subject, this algorithm evaluates fracture risk like age, sex, weight, height, previous fracture, parental history of fracture, smocking, treatment with glucocorticoids, alcohol consumption, rheumatoid arthritis. Recent studies demonstrated the utility of introduction in FRAX for some another parameters, such as fall risk, bone markers, using of ultrasonographic assessment of bone mass density and diabetes mellitus. In Romania, FRAX is still little used by family doctors and specialist doctors. Although it has a number of limitations, FRAX should be used in medical activity to identify elderly at increased risk of osteoporotic fractures