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[Old age and joint disease].

G d'Harcourt, S Meignan-Debray, Y Mémin

    Biomedicine & Pharmacotherapy = Biomedecine & Pharmacotherapie
    |January 1, 1987
    PubMed
    Summary
    This summary is machine-generated.

    Articular diseases in older adults cause significant functional loss, potentially leading to being bedridden. Early diagnosis and treatment of conditions like rheumatoid polyarthritis and osteoarthritis are crucial for maintaining mobility and quality of life.

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    Area of Science:

    • Geriatric Medicine
    • Rheumatology
    • Orthopedics

    Context:

    • Articular diseases pose a serious threat to the elderly, leading to functional decline and immobility.
    • Distinguishing between similar conditions like rheumatoid polyarthritis and rhizomelic pseudopolyarthritis is challenging in older patients.
    • Age-related changes increase susceptibility to various arthropathies, including metabolic, infectious, and degenerative types.

    Purpose:

    • To review the spectrum of articular diseases prevalent in the elderly population.
    • To highlight the diagnostic challenges and clinical features of common rheumatic conditions in senescence.
    • To emphasize the importance of timely medical and surgical interventions in managing these debilitating diseases.

    Summary:

    • Osteoarthritis is the predominant articular disease in the elderly, particularly affecting lower limbs, with knee involvement being less amenable to surgery than hip disease.

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  • Other significant conditions include metabolic arthropathies (e.g., chondrocalcinosis), septic arthritis, algoneurodystrophies, and spinal disorders like vertebral hyperostosis.
  • Complications such as osteochondromatosis and osteonecrosis can arise from pre-existing osteoarthritis.

    • Impact:

    • Effective management, including medical treatment, physiotherapy, and surgery, can significantly improve outcomes for elderly patients with articular diseases.
    • Interventions aim to prevent functional loss, reduce suffering, and avoid the progression to a bedridden state.
    • Addressing these conditions is vital for maintaining independence and enhancing the quality of life in geriatric populations.