injuries poisoning
Overview of Fractures
Geriatrics Essentials: Fractures
Older people are predisposed to fractures because of the following: A tendency to fall frequently (eg, due to age-related loss of proprioception, adverse effects of drugs on proprioception or postural reflexes, orthostatic hypotension) Impaired protective reflexes during falls Osteoporosis, which becomes more common with aging Age-related fractures include fractures of the distal radius, proximal humerus, pelvis, proximal femur, and vertebrae. For older patients, the goal of treatment is rapid return to activities of daily living rather than restoration of perfect limb alignment and length. Because immobility (joint immobilization or bed rest) is more likely to have adverse effects in older patients, use of open reduction with internal fixation (ORIF) to treat fractures is increasing. Early mobilization (made possible by ORIF) and physical therapy are essential to recovery of function. Coexisting disorders (eg, arthritis) can interfere with recovery. 