Muscle dysfunction in elderly individuals with hip fracture.

Gonzalez-Crespo, M R; Arenas, J; Gomez-Reino, J J; Campos, Y; Borstein, B; Martin, M A; Cabello, A; Garcia-Rayo, R et al. · J Rheumatol · 1999

case_control · Level III

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Abstract

To investigate muscle metabolism in elderly people with hip fracture. Free carnitine, carnitine esters, and respiratory chain enzyme activity were measured in muscle tissue from 54 patients over 65 years who underwent surgery for hip fracture, and from 40 healthy controls. Eighty-five percent of patients older than 85 have either abnormal carnitine distribution or defects in the respiratory chain. Elderly patients with hip fracture have muscle metabolic alterations that may contribute to neuromuscular impairment and be amenable to therapy.

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