Page 119 - C:\Users\cbaro\OneDrive\Documents\Flip PDF Professional\Study Guide for the Orthopaedic Technology Certification Exams\

Chapter 11: Pediatric and Geriatric

Considerations in Orthopaedics

Introduction

Orthopaedic conditions vary significantly across the lifespan, requiring tailored approaches for
both pediatric and geriatric populations. Children’s musculoskeletal systems are in a dynamic
state of growth, making them susceptible to growth plate injuries, congenital deformities, and
developmental orthopaedic conditions. Their bones are more flexible, leading to unique
fracture patterns such as greenstick and torus fractures, which necessitate specific
management techniques to ensure proper healing and continued growth. Additionally, early
diagnosis and intervention are critical in conditions like developmental dysplasia of the hip
(DDH) and Legg-Calvé-Perthes disease to prevent long-term disability.

In contrast, geriatric orthopaedics focuses on maintaining bone health, preventing falls, and
managing degenerative joint diseases. Aging leads to decreased bone density, joint stiffness,
and an increased risk of osteoporosis, which significantly raises the likelihood of fragility
fractures, particularly in the hip, wrist, and spine. Fall prevention strategies, bone-
strengthening exercises, nutritional interventions, and pharmacologic treatments are
essential components of care for this population. Additionally, proper casting and bracing
techniques are crucial, considering the fragile skin and reduced healing capacity of older adults.

Orthopaedic technologists play a crucial role in managing these populations by understanding
their distinct anatomical, physiological, and biomechanical differences. The ability to
properly fit age-appropriate braces, apply casts safely, and assist in rehabilitation
significantly enhances patient outcomes. Furthermore, patient education and caregiver
involvement are vital for ensuring treatment adherence and preventing complications.

This chapter explores pediatric-specific fracture management, common childhood
orthopaedic conditions, geriatric fall prevention, osteoporosis, and specialized casting and
bracing techniques. By mastering these principles, orthopaedic technologists can provide high-
quality, individualized care that optimizes mobility, reduces complications, and improves the
overall quality of life for both young and elderly patients.

Orthopaedic conditions vary significantly across the lifespan, with unique considerations
required for both pediatric and geriatric populations. In children, growth plate injuries,
congenital deformities, and developmental orthopaedic conditions are primary concerns,
whereas in older adults, osteoporosis, fall prevention, and degenerative joint diseases become
the focus. Orthopaedic technologists play a crucial role in managing these populations by
understanding their distinct anatomical, physiological, and biomechanical differences.

This chapter explores pediatric-specific fracture management, common childhood
orthopaedic conditions, geriatric fall prevention, bone health considerations, and special