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Kathy Fagan, MPT University of Evansville

This document outlines the topics that were covered in a clinical geriatric orthopedics course. It discusses common musculoskeletal changes that occur with aging including loss of flexibility, strength changes, postural changes, arthritic changes, and gait/balance problems. Specific conditions covered include osteoarthritis, rheumatoid arthritis, back pain, hip disorders, knee disorders like osteoarthritis and patellofemoral pain syndrome, foot issues like plantar fasciitis, shoulder impingement and rotator cuff injuries, and upper limb topics like carpal tunnel syndrome and Colles fractures. Anatomy, biomechanics, treatment approaches and patient education are discussed for various body regions.

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171 views26 pages

Kathy Fagan, MPT University of Evansville

This document outlines the topics that were covered in a clinical geriatric orthopedics course. It discusses common musculoskeletal changes that occur with aging including loss of flexibility, strength changes, postural changes, arthritic changes, and gait/balance problems. Specific conditions covered include osteoarthritis, rheumatoid arthritis, back pain, hip disorders, knee disorders like osteoarthritis and patellofemoral pain syndrome, foot issues like plantar fasciitis, shoulder impingement and rotator cuff injuries, and upper limb topics like carpal tunnel syndrome and Colles fractures. Anatomy, biomechanics, treatment approaches and patient education are discussed for various body regions.

Uploaded by

api-19729870
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PPT, PDF, TXT or read online on Scribd
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Clinical Geriatric Orthopedics

Kathy Fagan, MPT


University of Evansville
The Aging Process
• 2 handouts
• Developing the optimal mindset for working with
older patients
– Myths
– Statistics
– Medical study
– Physiological age changes
– Deleterious effects of bed rest
– Lack of motivation
– Efficacy of exercise programs
Common musculoskeletal changes
with age
• Loss of flexibility
• Strength changes
• Postural changes
• Arthritic changes
Osteoarthritis
Rheumatoid arthritis
Common musculoskeletal changes
with age
•Loss of flexibility
•Strength changes
•Postural changes
•Arthritic changes
•Gait and Balance problems
Tinetti gait and balance
assessment

Video link
Common musculoskeletal changes
with age
•Loss of flexibility
•Strength changes
•Postural changes
•Arthritic changes
•Gait and Balance problems
•Pain
Back pain and aging
• Some general statistics
• Common causes of back pain in the elderly
– Disc herniation
– Spondylosis
– Spondylolisthesis
– Osteoporosis
– Myeloma
– Metastatic bone tumors
– Osteomyelitis
– Lumbar stenosis
– Flexion Extension Assymetries
– Facet syndromes
– SI joint dysfunctions
Healthy Hips
• A review of hip anatomy
– Osteology
– Articular cartliage
– Ligaments and capsules
– Synovium
– Bursae
– Nutrition
– Biomechanics
Healthy Hips
• Functional hip AROM
• Hip Pain
– Bony and muscular tender points
– Diagnostic clues of hip pain
– Piriformis syndrome
– Bursitis
Healthy Hips
• Pathologies of the hip
– OA
– Hip Fracture
– Total Hip
Arthroplasties
LUNCH TIME
•WE’LL MEET
BACK HERE
AT 1:00 P.M.
Knowledgeable knees
• Review of pertinent knee anatomy
– Osseous structures
– Menisci
– Ligaments
– Bursae, synovia, and fat pads
Knowledgeable knees
• Biomechanics of the femoro-tibial joint
– Flexion / extension
– Transverse rotation

– Pathomechanics at the knee


• Structural alterations
• Intrinsic movement abnormalities
• Common loading conditions due to trauma
Knowledgeable knees
• Knee AROM

• PFPS
– Patellar tendonitis
– Chondromalacia patella
– Patellar malalignment
Knowledgeable knees
• Osteoarthritis of the
knee

• Total knee
replacement
Treat the feet
• Overview of anatomy
of the foot
• Biomechanics
• Congenital and
acquired foot
deformities
• Pt education
• Plantar Fasciitis
• Systemic disease
Supple shoulders
• Anatomical considerations
– Osseous structures
– Ligaments and capsule
– Bursae
– Vascularization of the rotator cuff
– Biomechanics of joint stabilization
– Influence of the joint capsule on movement
Supple shoulders
• AROM
• Shoulder
impingement
syndromes
• Rotator cuff injuries
• Adhesive capsulitis
• Humerus fractures
• Total shoulder
arthroplasty
Functional upper limbs
• AROM
• Radial head fractures
• Carpal tunnel syndrome
• Colles fracture
The end

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