Prevention of fractures in the elderly: A review

Osteoporotic fractures of the proximal humerus in elderly Finnish persons: Sharp increase in 1970-1998 and alarming projections for the new millennium

“…In Malmö, Sweden, the incidence of proximal humeral fractures doubled in elderly women between 1950between and 1982between (Bengnér et al 1988. In a study between 1976 and 1984, Lauritzen et al (1993) observed no significant change in the total and age-specific incidence of fractures of the proximal humerus in one hospital area in Denmark, while in a small Japanese study in 1986-1995, Hagino et al (1999 found a significant rise in the incidence of these fractures in persons 35 years of age or more. In our study, the incidence of osteoporotic fractures of the proximal humerus in Finnish people aged 60 years or more tripled during 1970-1998. This development is alarming for two reasons.…”

“…Osteoporotic fractures among the elderly are a worldwide epidemic and increasingly tight control of health care resources makes it necessary to predict the fracture increase with time (Melton 1988, Obrant et al 1989, Jones et al 1994, Johnell 1995, Kannus et al 1999. Such a predic-tion requires knowledge of whether the number of fractures is increasing more rapidly than can be accounted for by the demographic changes alone.…”

“…n The commonest and best known forms of osteoporotic fractures occur in the distal forearm, spine, and hip (Melton 1988, Jones et al 1994, Kannus et al 1999. Nevertheless, a considerable number of osteoporotic fractures also occur in the proximal humerus, pelvis, knee, and ankle, and their treatment is also demanding and expensive and needs special attention (Horak and Nilsson 1975, Melton et al 1981, Rose et al 1982, Cummings et al 1985, Bengnér et al 1986 Osteoporotic fractures of the proximal humerus in elderly Finnish persons Sharp increase in 1970Sharp increase in -1998 , Bengnér et al 1988, Lind et al 1989, Obrant et al 1989, Kelsey et al 1992, Lauritzen et al 1993, Nevitt 1994, Johnell 1995.…”

Does Rehabilitation Matter in Patients With Femoral Neck Fracture and Cognitive Impairment? A Prospective Study of 246 Patients

“…Studies have shown that between 10%-56% of all hospitalized elderly patients have cognitive impairment and the rates are 3-6 times higher in hip fracture patients than other hospitalized patients 37,38 . The reason for this is that dementia is a risk factor for fall and fracture [39][40][41][42][43][44][45] . Moreover the trauma and the following stress, hospitalization and pain might affect the central nervous system resulting in delirium after a hip fracture.…”