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Related Concept Videos

Bone Disorders01:29

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Aging and its effect on bone remodeling is the most common cause of bone disorders. In young and healthy people, bone deposition and resorption happen at an equal rate to maintain optimal bone health.
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Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
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Several body functions deteriorate with age. The external signs of aging are easily identifiable. For example, the skin becomes dry, less elastic, and thins out, forming wrinkles. The skin of the face begins to appear looser due to a decrease in the levels of elastic and collagen fibers in the connective tissue. Additionally, melanin production in the hair follicle decreases with age, resulting in gray hair. Moreover, the senses of sight and hearing decline, so glasses and hearing aids may...
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Flail Chest-I01:24

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Overview of Flail Chest
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
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Drug Dosing: Geriatric Patients01:15

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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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In geriatric patients, renal physiology undergoes significant changes, including diminished renal blood flow and a lower glomerular filtration rate (GFR), leading to alterations in medication clearance. Drugs such as aminoglycoside antibiotics, lithium, and digoxin, which rely on glomerular filtration for removal from the body, particularly impact pharmacokinetics. These drugs tend to have slower clearance rates in older adults, necessitating careful dosage considerations.Evaluation of renal...
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Global Forum: Fractures in the Elderly.

Charles M Court-Brown1, Margaret M McQueen2

  • 1University of Edinburgh, Edinburgh, Scotland ccb@courtbrown.com.

The Journal of Bone and Joint Surgery. American Volume
|May 6, 2016
PubMed
Summary

Elderly fractures are rising, with older age and comorbidities increasing risks. Low-energy falls cause most fractures, and premature hospital discharge may worsen mortality rates.

Area of Science:

  • Geriatric Medicine
  • Orthopedic Surgery
  • Public Health

Background:

  • Fractures in the elderly represent a growing global health concern.
  • An aging population worldwide exacerbates the incidence and impact of these injuries.

Purpose of the Study:

  • To describe the epidemiology of fractures in individuals aged 65 and older.
  • To identify common fracture patterns and analyze risk factors in this demographic.

Main Methods:

  • Epidemiological analysis of fracture incidence in the elderly population.
  • Identification and categorization of six distinct fracture patterns.
  • Analysis of factors contributing to fracture occurrence and outcomes.

Main Results:

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  • Fracture incidence, including multiple and open fractures, increases with advanced age.
  • Elderly women experience open fractures at rates comparable to young men.
  • Low-energy falls account for over 90% of elderly fractures, with significant mortality.

    • Conclusions:

    • Fracture risk and mortality in the elderly are associated with older age, comorbidities, and potentially premature hospital discharge.
    • Socioeconomic deprivation is identified as a contributing factor to increased fracture incidence.