- Section 1 Ageing population and policy
- Section 2 Key concepts in care of older adults
- Section 3 Principles and organization of care
- Section 4 Age-related biological changes, altered physiology, and vulnerability to diseases and chronic conditions
- Section 5 Geriatric syndromes in clinical practice
- Section 6 Nutrition and metabolism
- Section 7 Mobility disorders: prevention, impact, and compensation
- Chapter 67 Gait disorders
- Chapter 68 Osteoporosis in the oldest old
- Chapter 69 Common fractures in older adults
- Chapter 70 Management of common fractures in older adults
- Chapter 71 Secondary prevention of fragility fractures
- Chapter 72 Osteoarthritis
- Chapter 73 Low back pain in older adults
- Chapter 74 Vasculitides in older people
- Chapter 75 Management of common types of arthritis in older adults
- Chapter 76 Foot problems
- Chapter 77 Injuries in sports activities in older people
- Chapter 78 Orthogeriatrics
- Section 8 Infections in older adults: epidemiology, pathophysiology, diagnosis, and management
- Section 9 Cancer: epidemiology, pathophysiology, diagnosis, and management
- Section 10 Vascular diseases: epidemiology, pathophysiology, diagnosis, and management
- Section 11 Neurological disorders: epidemiology, pathophysiology, diagnosis, and management
- Section 12 Cognitive decline and dementia in older adults: epidemiology, pathophysiology, diagnosis, and management
- Section 13 Mental health of older adults
- Section 14 Management of common medical conditions: epidemiology, pathophysiology, diagnosis, and management
- Section 15 Palliative medicine and end-of-life care
- Section 16 Healthy ageing
(p. 539) Management of common fractures in older adults
- Chapter:
- (p. 539) Management of common fractures in older adults
- Author(s):
V. Ana Sanguineti
, Jason R. Wild
, Bellal Joseph
, and Mindy J. Fain
- DOI:
- 10.1093/med/9780198701590.003.0070
Falls account for nearly 75% of all geriatric trauma, and are the most common cause of fractures in older people. Most falls occur from standing height or less, resulting in fragility fractures in older adults who often have multiple comorbidities and functional impairments. These fractures can lead to functional decline, institutionalization, and death. Fragility fractures are seen in the hip, spine, and wrist, pelvis, humerus, rib, and ankle. This fracture pattern identifies groups at increased risk for future falls and fractures, and those who can benefit from targeted programmes to prevent falls and optimize bone health. Management depends upon the site of fracture, the risks and benefits of non-surgical versus surgical intervention, and the patient’s goals of care.
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- Section 1 Ageing population and policy
- Section 2 Key concepts in care of older adults
- Section 3 Principles and organization of care
- Section 4 Age-related biological changes, altered physiology, and vulnerability to diseases and chronic conditions
- Section 5 Geriatric syndromes in clinical practice
- Section 6 Nutrition and metabolism
- Section 7 Mobility disorders: prevention, impact, and compensation
- Chapter 67 Gait disorders
- Chapter 68 Osteoporosis in the oldest old
- Chapter 69 Common fractures in older adults
- Chapter 70 Management of common fractures in older adults
- Chapter 71 Secondary prevention of fragility fractures
- Chapter 72 Osteoarthritis
- Chapter 73 Low back pain in older adults
- Chapter 74 Vasculitides in older people
- Chapter 75 Management of common types of arthritis in older adults
- Chapter 76 Foot problems
- Chapter 77 Injuries in sports activities in older people
- Chapter 78 Orthogeriatrics
- Section 8 Infections in older adults: epidemiology, pathophysiology, diagnosis, and management
- Section 9 Cancer: epidemiology, pathophysiology, diagnosis, and management
- Section 10 Vascular diseases: epidemiology, pathophysiology, diagnosis, and management
- Section 11 Neurological disorders: epidemiology, pathophysiology, diagnosis, and management
- Section 12 Cognitive decline and dementia in older adults: epidemiology, pathophysiology, diagnosis, and management
- Section 13 Mental health of older adults
- Section 14 Management of common medical conditions: epidemiology, pathophysiology, diagnosis, and management
- Section 15 Palliative medicine and end-of-life care
- Section 16 Healthy ageing