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Decision making in upper extremity problems in the elderly

D R Steinberg1, R M Szabo

  • 1Department of Orthopaedics, University of California, Davis, USA.

Clinical Orthopaedics and Related Research
|July 1, 1995
PubMed
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Geriatric patients face unique upper extremity challenges due to aging. Orthopaedists must consider non-operative treatments and surgical options for conditions like fractures and arthritis to improve quality of life.

Area of Science:

  • Orthopaedics
  • Geriatric Medicine
  • Hand Surgery

Background:

  • Increasing life expectancy leads to a higher prevalence of upper extremity issues in older adults.
  • Geriatric patients exhibit diminished healing capacity and increased morbidity from prolonged immobilization.
  • Osteoporosis significantly impacts fracture management in the elderly population.

Purpose of the Study:

  • To highlight the importance of upper extremity knowledge for orthopaedists treating geriatric patients.
  • To discuss management strategies for common geriatric upper extremity conditions.
  • To emphasize improving quality of life through appropriate treatment interventions.

Main Methods:

  • Review of common upper extremity conditions in geriatric patients.

Related Experiment Videos

  • Discussion of alternative treatments for soft tissue injuries.
  • Consideration of surgical management for fractures in osteoporotic bone.
  • Evaluation of treatments for acquired soft tissue disorders and arthritis.

    • Main Results:

    • Non-operative alternatives are crucial for soft tissue injuries due to impaired healing.
    • Osteoporosis complicates fracture management in the elderly.
    • Nerve compression, Dupuytren's contractures, osteoarthritis, and rheumatoid arthritis require specific interventions.
    • Both conservative and operative treatments can enhance functional outcomes and quality of life.

    Conclusions:

    • Orthopaedists need specialized knowledge for geriatric upper extremity care.
    • Tailored treatment approaches, including non-operative and operative methods, are essential.
    • Effective management of these conditions significantly improves geriatric patients' quality of life.