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Related Concept Videos

Drug Dosing: Geriatric Patients01:15

Drug Dosing: Geriatric Patients

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Elderly individuals encompass a diverse population with varying degrees of age-related physiological changes. Defining the elderly presents challenges, as the geriatric population is often arbitrarily categorized as individuals older than 65. However, many individuals in this group lead active and healthy lives, with an increasing number surpassing 85 years and falling into the older elderly category. Physiological changes associated with aging impact performance capacity and homeostatic...
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Drug distribution in the human body is influenced by several factors, including plasma protein concentration, body composition, blood flow, tissue-protein concentration, and tissue fluid pH. Among these, changes in plasma protein concentration and body composition due to aging significantly affect how drugs are distributed within the body. Specifically, aging is associated with a decrease in albumin levels by about 10% and an increase in α1-acid glycoprotein levels. These alterations are...
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Muscles of the Shoulder01:23

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The muscles surrounding the shoulder girdle, including the clavicle and scapula, primarily stabilize the scapula. This stable base allows other muscles to move the humerus effectively. Scapular movements often mirror those of the humerus and extend its range of motion. For instance, raising the arm above the head would not be feasible without simultaneous upward rotation of the scapula.
Anterior Thoracic Muscles
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Related Experiment Video

Updated: Mar 26, 2026

Reverse Total Shoulder Arthroplasty
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[Shoulder Surgery in the Elderly Patient].

Dominik C Meyer1, Karl Wieser1

  • 11 Orthopädie, Universitätsklinik Balgrist, Zürich.

Praxis
|January 21, 2016
PubMed
Summary

Elderly patients present unique challenges and advantages for shoulder disorder treatment. Reverse total shoulder implants offer reliable solutions for severe rotator cuff tears and osteoarthritis in this population.

Area of Science:

  • Orthopedic Surgery
  • Geriatric Medicine
  • Biomedical Engineering

Background:

  • Elderly patients exhibit distinct physiological changes impacting shoulder disorder treatment.
  • Age-related factors include reduced bone, tendon, and cartilage quality, and diminished blood flow.
  • Older adults often have more realistic expectations and conservative limb usage, mitigating implant longevity concerns.

Purpose of the Study:

  • To outline the considerations for treating shoulder disorders in elderly patients.
  • To identify age-specific challenges and benefits in orthopedic treatment.
  • To recommend optimal treatment strategies for common shoulder pathologies in the aged population.

Main Methods:

  • Literature review of age-related physiological changes affecting shoulder tissues.
Keywords:
AlterBehandlungChirurgieSchulterageshouldersurgerytreatment

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  • Analysis of treatment outcomes for various shoulder pathologies in elderly cohorts.
  • Evaluation of implant reliability and rehabilitation protocols for geriatric shoulder patients.

    • Main Results:

    • Local pathologies like AC-joint issues or biceps tendinopathy can be managed with injections or arthroscopy.
    • Significant rotator cuff tears and osteoarthritis in the elderly are best addressed with (reverse) total shoulder arthroplasty.
    • Implant longevity is less critical due to limited life expectancy, favoring reliable, uncomplicated solutions.

    Conclusions:

    • Treatment of shoulder disorders in the elderly requires tailored approaches considering biological and patient-specific factors.
    • Reverse total shoulder implants provide a reliable and effective option for advanced shoulder degeneration in older adults.
    • Conservative and surgical interventions should be selected based on the specific pathology and patient profile for optimal outcomes.