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2 results

  • Chapter 37 - Musculoskeletal Injuries

  • from Section III - Care of the Elderly by Organ System
  • Edited by Jan Busby-Whitehead, University of North Carolina, Chapel Hill, Samuel C. Durso, The Johns Hopkins University, Maryland, Christine Arenson, Thomas Jefferson University, Philadelphia, Rebecca Elon, The Johns Hopkins University School of Medicine, Mary H. Palmer, University of North Carolina, Chapel Hill, William Reichel
  • Book:
    Reichel's Care of the Elderly
    Published online:
    30 June 2022
    Print publication:
    21 July 2022, pp 440-456

  • Summary

    Traumatic orthopedic injuries in the elderly patient present both a medical and surgical challenge. This growing population requires management tailored to specific patient needs and particular attention to bone quality and soft tissue management to avoid complications. Injury treatment is dependent on host factors, injury factors, and other special considerations in order to optimize outcome. The goal of treatment in the elderly patient is to allow for return to preinjury functional status, obtain fracture healing, and restore mobility. This chapter will focus on the treatment of some of the most common musculoskeletal injuries encountered in the elderly, including proximal humerus fractures, wrist fractures, hip fractures, ankle fractures, and vertebral compression fractures.

  • Shoulder surgery in older patients: recommendations and techniques

  • M. Valencia, E. Calvo
  • Journal:
    Reviews in Clinical Gerontology / Volume 23 / Issue 4 / November 2013
    Published online by Cambridge University Press:
    18 October 2013, pp. 295-306
    Print publication:
    November 2013

  • Shoulder disorders are very common in the older population. These can be traumatic injuries such as proximal humerus fractures, or degenerative pathology, with rotator cuff disease being the most frequently diagnosed. Lower functional demands along with the presence of co-morbidities means that conservative management is usual. However, surgery can provide pain relief and improve functional outcomes in selected patients. A thorough pre-operative assessment should be performed to avoid surgical or post-operative complications. Osteoporosis is the major concern when undertaking bone fixation in orthopaedic implants and should be routinely ruled out and treated in order to achieve better results.