Fractures and Falls

Fractures and falls are a major health risk, especially in older adults with osteoporosis. Prevention and prompt management are key to reducing complications.

Intro

Falls are a leading cause of injury in older adults. When bones are weakened by osteoporosis, even minor falls can result in serious fractures — especially of the hip, wrist, and spine.

Key Points

  • Falls are the most common cause of fractures in older adults.
  • Hip and spine fractures carry the highest risks of disability and death.
  • Prevention strategies reduce both falls and fracture risk.
  • Prompt treatment of fractures improves recovery and independence.

Causes and Risk Factors

  • Bone weakness: osteoporosis or osteopenia.
  • Balance and mobility issues: weakness, nerve disorders, poor footwear.
  • Vision/hearing loss: harder to detect hazards.
  • Medications: sedatives, BP drugs, anything causing dizziness.
  • Environment: loose rugs, clutter, poor lighting.

Common Fracture Sites

  • Hip (femoral neck)
  • Spine (vertebrae)
  • Wrist/forearm
  • Shoulder, ankle, pelvis

Prevention

  • Exercise: weight-bearing, strength training, balance exercises (tai chi, yoga).
  • Home safety: remove hazards, add grab bars, improve lighting.
  • Vision checks and updated glasses.
  • Medication review: reduce sedatives.
  • Support devices: canes, walkers, hip protectors.

Treatment

  • Fracture care: casting, surgery, pain control, PT.
  • Rehabilitation: restores strength and mobility.
  • Bone health: address osteoporosis with medication and supplements.

FAQ

Q: What should I do if someone falls?
A: If they can’t move or suspect fracture → call emergency services.

Q: Are all fractures preventable?
A: No, but many can be avoided with strong bones + fall prevention.

Further Reading