Aim <p>Dog ownership is associated with numerous health benefits for older adults but may also pose a risk for injury. Hip and pelvis fractures from dog-related falls are increasingly recognized as a public health concern, particularly in aging populations. This study aimed to evaluate the incidence, mechanisms, and outcomes of dog-related fractures in adults over the age of 55.</p> Subject and methods <p>A retrospective review was conducted of all patients aged 55 and older who presented to a level 1 trauma center in central Pennsylvania between 2011 and 2021 with hip or pelvis fractures resulting from a fall related to a dog or its leash. Electronic medical records and trauma registry data were analyzed for demographics, injury mechanisms, treatment approach, complications, and mortality.</p> Results <p>Among 1886 individuals with pelvis or hip fractures, 69 (3.6%) cases were dog-related. The number of cases increased from 3 to 13 per year during the study period. Tripping over the dog was the most frequent mechanism, in 31 patients (44.9%), followed by tripping over the dog leash or the dog pulling a leash in 29 cases (42%). Hip fractures occurred in 59 (85.5%) patients, all of which required surgical intervention. Fourteen patients (20%) died during the first 2 years after the injury.</p> Conclusion <p>Dog-related falls are a growing contributor to serious fractures in older adults, often requiring surgery and associated with significant morbidity and mortality. Prevention strategies, including patient education, pet training, and environmental safety, are essential to reduce injury risk in this vulnerable population.</p>