Abstract: The prevalence of osteoarthritis (OA) and osteoporosis (OP) in China is increasing every year and they are often co-affected, seriously affecting the health and quality of life of elderly people. Primary care institutions, especially community health centers, should play an important role in the management of these two diseases. However, there is a lack of consensus or guidelines for the community management of OA and OP. To further improve the diagnosis and treatment of OA and OP in primary care institutions, the Joint Surgery Branch of Beijing Orthopaedic Association referred to the guideline development method recommended by the World Health Organization, identified important clinical questions that needed to be defined through surveys, conducted a systematic review of published guidelines in the field of OA and OP, and compiled this consensus based on current evidence-based evidence. After Delphi voting and expert group discussions, 14 recommendations were finally formed, covering the diagnosis of OA and OP, risk screening, patient self-assessment, community treatment and appropriate clinic treatment models. The aim is to provide guidance and assistance for the community management of OA and OP co-morbidities.