Osteoarthritis and falls in the older person

Age Ageing. 2013 Sep;42(5):561-6. doi: 10.1093/ageing/aft070. Epub 2013 Jul 17.

Abstract

Osteoarthritis and falls are common conditions affecting older individuals which are associated with disability and escalating health expenditure. It has been widely assumed that osteoarthritis is an established risk factor for falls in older people. The relationship between osteoarthritis and falls has, quite surprisingly, not been adequately elucidated, and published reports have been conflicting. Our review of the existing literature has found limited evidence supporting the current assumption that the presence of osteoarthritis is associated with increased risk of falls with suggestions that osteoarthritis may actually be protective against falls related fractures. In addition, joint arthroplasty appears to increase the risk of falls in individuals with osteoarthritis.

Keywords: accidental falls; fractures; older people; osteoarthritis.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Accidental Falls / prevention & control
  • Accidental Falls / statistics & numerical data*
  • Age Factors
  • Arthralgia / epidemiology
  • Arthroplasty, Replacement / adverse effects
  • Back Pain / epidemiology
  • Biomechanical Phenomena
  • Comorbidity
  • Fractures, Bone / epidemiology*
  • Fractures, Bone / physiopathology
  • Fractures, Bone / prevention & control
  • Humans
  • Osteoarthritis / epidemiology*
  • Osteoarthritis / physiopathology
  • Osteoarthritis / surgery
  • Prevalence
  • Preventive Health Services
  • Risk Factors