Aim To evaluate the role of dexa scan and assessment of risk factors as predictors for fragility hip fracture. Method Prospective study of 240 patients with suspected osteoporosis and underwent dexa scan.The inclusion criteria are patients above 50 years of age and trivial injury. The exclusion criteria are any pathological fracture, age below 50 years, any associated fractures. All 240 patients were assessed by various risk factors like age, gender, weight,alcohol etc. Result The mean T score for normal, osteopenic and osteoporosis patient are -0.47,-1.71 and -3.43 respectively. On taking in to account of the risk factors 92% of patient between age group seventy one to eighty,51% of male ,59% of smokers ,60% of alcoholic,74% of chronic medical illness had fractures. Conclusion The negative t-score value along with risk factors increases the risk of osteoporosis fragility hip fracture significantly .