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Updated: May 7, 2026

Evaluating the Function of the Foot Core System in the Elderly

Evaluating the Function of the Foot Core System in the Elderly

Published on: March 11, 2022

Ankle fractures in elderly patients.

Sandro Giannini¹, Eugenio Chiarello, Valentina Persiani

¹Orthopaedic and Traumatologic Clinic, University of Bologna, Rizzoli Orthopaedic Institute, Bologna, BO, Italy.

Aging Clinical and Experimental Research

|September 19, 2013

Summary

Ankle fractures (AFs) in the elderly are increasing and predict other osteoporotic fractures. Low-trauma AFs in postmenopausal women suggest underlying osteoporosis, warranting similar consideration to other osteoporotic fractures.

Related Experiment Videos

Last Updated: May 7, 2026

Evaluating the Function of the Foot Core System in the Elderly

Evaluating the Function of the Foot Core System in the Elderly

Published on: March 11, 2022

Area of Science:

Geriatric Medicine
Orthopedic Surgery
Osteoporosis Research

Background:

Rising incidence of ankle fractures (AFs) in the elderly population due to increased life expectancy.
AFs serve as a predictor for subsequent osteoporotic fractures at other skeletal sites, rather than being solely linked to osteoporosis.
In women, AFs correlate with weight and Body Mass Index (BMI).

Purpose of the Study:

To highlight the significance of ankle fractures in the elderly.
To discuss the categorization and treatment options for ankle fractures.
To propose considering low-trauma AFs in postmenopausal women as indicative of osteoporosis.

Main Methods:

Review of current literature on ankle fractures in the elderly.
Analysis of the relationship between AFs, osteoporosis, and patient comorbidities.
Consideration of bone microarchitecture and stiffness data in postmenopausal women.

Main Results:

Ankle fractures are increasingly common in the elderly and predict future osteoporotic fractures.
Treatment decisions for AFs require consideration of fracture type and patient comorbidity.
Postmenopausal women with AFs exhibit compromised bone microarchitecture and reduced stiffness.

Conclusions:

Low-trauma ankle fractures in postmenopausal women should be evaluated similarly to other osteoporotic fractures due to evidence of altered bone quality.
Comprehensive assessment including local and general comorbidity is crucial for guiding AF treatment.
Further research into the underlying causes and optimal management of AFs in the elderly is warranted.