Court-Brown Charles - Musculoskeletal Trauma in the Elderly

Edited by

Charles M Court-Brown, MD, FRCSEd(Orth)

University of Edinburgh, UK

Margaret M McQueen, MD, FRCSEd(Orth)

University of Edinburgh, UK

Marc F Swiontkowski, MD

University of Minnesota Minneapolis, MN, USA

David Ring MD, PhD

Dell Medical School, The University of Texas at Austin, USA

Susan M Friedman MD, MPH

University of Rochester School of Medicine and Dentistry, USA

Andrew D Duckworth, MSc, PhD, FRCSEd(Tr&Orth)

Edinburgh Orthopaedic Trauma Unit and University of Edinburgh, UK

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Version Date: 20160601

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Charles M. Court-Brown and Kate E. Bugler

Katrin Singler and Cornel Christian Sieber

Joseph A. Nicholas

Richard D. Southgate and Stephen L. Kates

Bruce H. Ziran, Adam G. Hirschfeld and Jarrad A. Barber

Margaret M. McQueen, Roger M. Atkins and Peter V. Giannoudis

Houman Javedan and Samir Tulebaev

Patrick Kortebein

Susan M. Friedman

Alexandra Stavrakis, Susan V. Bukata and Susan M. Friedman

Stuart H. Ralston

Oddom Demontiero, Derek Boersma and Gustavo Duque

Lisa K. Cannada and Tina K. Dreger

Julie A. Switzer and Lisa K. Schroder

Nicholas D. Clement

Wakenda K. Tyler

Adam Sassoon and George Haidukewych

Jan Bartonek

Patrick D.G. Henry and Michael D. McKee

Stig Brorson

Sang-Jin Shin

Amy S. Wasterlain and Kenneth A. Egol

Nathan Sacevich, George S. Athwal and Graham King

Andrew D. Duckworth

Taylor A. Horst, David C. Ring and Jesse B. Jupiter

Margaret M. McQueen

Andrew D. Duckworth

Mark Henry

Guang Yang, Evan P. McGlinn and Kevin C. Chung

Paul A. Anderson

S. Rajasekaran, Rishi Mugesh Kanna, Ajoy Prasad Shetty and Anupama Mahesh

John Keating

Sameer Jain and Peter V. Giannoudis

Kjell Matre and Jan-Erik Gjertsen

Paul M. Lafferty

Joyce S.B. Koh and Tet Sen Howe

Eleanor Davidson and Charles M. Court-Brown

Olivia C. Lee and Mark S. Vrahas

Matthew D. Karam and J. Lawrence Marsh

Leela C. Biant and Charles M. Court-Brown

Paul S. Whiting and William T. Obremskey

Murray D. Spruiell and Cyril Mauffrey

Dolfi Herscovici, Jr. and Julia M. Scaduto

Nicola Maffulli, Alessio Giai Via, Eleonora Piccirilli and Francesco Oliva

Marc Tompkins, Robby Sikka and David Fischer

The last 20 to 30 years have seen a massive increase in the number of fractures and other injuries in the older population. Both the fracture morphology and overall health of the patients are very different from the fractures and the patients who were seen and treated in the heady days of expanding trauma systems in the 1970s and 1980s, which were developed mainly to treat high energy trauma. We believe that it is only now that surgeons are realizing that the techniques developed to cope with high energy injuries are not always appropriate for the older patient. However, there has also been a realization that high energy injuries in younger patients and low energy injuries in older patients have a number of similarities, the main one being that an interdisciplinary approach is required to treat both types of patients. As a result, orthogeriatric units are being established in many countries.

Medical literature has failed to keep pace with the rapid expansion of musculoskeletal trauma in the older patient. Studies of fragility fractures have concentrated mainly on proximal femoral fractures, and there is still a belief that the only musculoskeletal problems in the elderly are the common fragility fractures. This is clearly not the case and we are grateful to a distinguished group of orthopaedic authors from 11 different countries who have detailed the spectrum of musculoskeletal trauma in older adults together with appropriate treatment algorithms.