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Management of common fractures in older adults 

Management of common fractures in older adults
Chapter:
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
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date: 18 August 2019

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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