1. The EU laying hen directive, which bans standard battery cages from 2012, has implications for animal welfare, particularly since housing laying hens in extensive systems, while increasing natural behaviour and improving bone strength, is associated with a greater level of bone fractures, predominantly of the keel bone, compared to birds housed in cages. 2. The aetiology and welfare consequences of keel and other bone fractures are not well understood and could have important implications for housing system designs. While proposed alterations to layer housing are based on the desire to fulfil behavioural needs and increase bone strength, there appears to have been little consideration of the effect of system on potential injury. 3. In addition, there are variations in how the directive is interpreted. For example, egg producers housing hens in extensive systems in Scotland and Northern Ireland must provide hens with aerial perches, whereas in England and Wales they do not. Aerial perches may be implicated in bone fracture injuries. 4. This paper reviews the prevalence of bone fractures in the egg-laying sector of the poultry industry and the literature on perches. It also explores how bone fractures may be occurring. 5. We propose some means of reducing bone fracture, namely through improved housing designs and genetic selection.