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The incidence of pancreatic cancer has increased threefold over the last 40 years with the greatest rate of growth occurring in the elderly. In the past it was suggested that elderly patients tolerated pancreaticoduodenectomy less well than younger patients with higher mortality rates. This single-institution experience examines the question of whether age is a significant factor in relation to morbidity and mortality in patients undergoing pancreaticoduodenectomy. Between 1994 and 1999 outcomes of 122 patients who underwent pancreaticoduodenectomy were reviewed. There were 48 patients 70 years of age and older and 74 patients less than 70 years of age. Both groups were compared with respect to preoperative clinical prognostic determinates and perioperative factors affecting morbidity and mortality. There was no significant difference between the two groups comparing their comorbidities, use of preoperative antibiotics, intraoperative blood loss, or length of hospital stay (11.9 and 10.8 days respectively). The two groups were also similar with regard to pathologic diagnosis with pancreatic adenocarcinoma being the most frequently encountered neoplasm. There was one death in the less-than-70-year-old group and none in the older group. No significant difference in the rate of complications was appreciated. These data demonstrate that pancreaticoduodenectomy can be performed safely in patients 70 years of age and older with morbidity and mortality rates similar to those of younger individuals.

Athletes have the potential to sustain a myriad of injuries, ranging from muscle strains and overuse to fractures and dislocations. The team physician and sideline medical professionals must be keenly aware of the risk potential, and have an emergency plan in place to address any potential injuries. Bone injury can range from unstable, open fractures to overuse and stress fractures. Coaches and players may challenge recommendations regarding not only treatment, but also return-to-play issues. The fundamental guideline must always be what is safe for the athlete. Decisions must be individualized for each athlete, anatomic site, and injury. If the athlete is not at significant risk to himself, the fracture is healed or can be protected, and the athlete can function at his previous level with a protective device, he may be able to return to sport.