Occupational injuries among pediatric orthopedic surgeons

Alsiddiky, Abdulmonem; Alatassi, Raheef; Altamimi, Saad M.; Alqarni, Mahdi M.; Alfayez, Saud M.

doi:10.1097/md.0000000000007194

Cited by 9 publications

(26 citation statements)

References 26 publications

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“…Similar to this study, prior studies of general orthopedic surgeons in Tennessee and pediatric orthopedic surgeons in Saudi Arabia have found the hand to be the most common site of orthopedic workplace injury [1,2]. Davis et al found that 44% of respondents reported having sustained one or more occupational injuries among 140 orthopedic surgeons in Tennessee, with the hand being the most commonly injured area (25.0%), followed by the low back (19.3%) and neck (10.0%), but did not report on the gender breakdown of survey respondents [1].…”

Section: Discussionsupporting

confidence: 84%

“…Davis et al found that 44% of respondents reported having sustained one or more occupational injuries among 140 orthopedic surgeons in Tennessee, with the hand being the most commonly injured area (25.0%), followed by the low back (19.3%) and neck (10.0%), but did not report on the gender breakdown of survey respondents [1]. A 2017 survey of 39 pediatric orthopedic surgeons in Saudi Arabia (2.5% female) found that 82.5% of respondents reported having sustained an occupational injury, with the most commonly injured areas being the hands (54.5%, mostly from intraoperative injuries by sharp instruments), eyes (24.2%) and back (15.2%) [2].…”

Section: Discussionmentioning

confidence: 99%

“…A 2013 survey by Davis et al of 140 orthopedic surgeons of many different subspecialties found that 44% reported sustaining an occupational injury [1]. Subspecialtyspecific survey studies have been published on pediatric orthopedic surgeons [2,5], spine surgeons [3], and orthopedic trauma surgeons [6] regarding occupational musculoskeletal injuries. Adult reconstruction is considered to be one of the more physically taxing orthopedic subspecialties, and a 2016 study by Alqahtani et al surveying adult reconstruction surgeons found that 66.1% reported having experienced a work-related injury [7].…”

mentioning

confidence: 99%

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Repetitive Musculoskeletal Injuries: A Survey of Female Adult Reconstruction Surgeons

Cohen-Rosenblum

Varady

Leonovicz

et al. 2022

The Journal of Arthroplasty

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Section: Discussionsupporting

confidence: 84%

Section: Discussionmentioning

confidence: 99%

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confidence: 99%

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Repetitive Musculoskeletal Injuries: A Survey of Female Adult Reconstruction Surgeons

Cohen-Rosenblum

Varady

Leonovicz

et al. 2022

The Journal of Arthroplasty

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“…Two studies reported the most common adaptations as change in body position (58% to 80%), use of specialized footwear (35% to 64%), and change of surgical field height (39% to 49%) 31,32 . In addition, 33.3% to 59.3% of responding surgeons indicated that their operative performance was affected or will be affected in the future 6,9,27,31,32 , with 12.1% to 15.1% believing they will be unable to meet the demands of their job until their intended retirement age 8,39 .…”

Section: Resultsmentioning

confidence: 99%

The Biomechanical Burden of Orthopaedic Procedures and Musculoskeletal Injuries Sustained by Orthopaedic Surgeons

Covarrubius

Yakkanti

et al. 2023

JBJS Reviews

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Background:Orthopaedic surgeons are at high risk for experiencing work-related musculoskeletal (MSK) injuries and chronic pain due to repetitive large magnitude forces, altered posture from lead vests, and prolonged irregular body positions. We sought to synthesize available evidence regarding (1) the biomechanics of orthopaedic surgery and (2) MSK injuries sustained by orthopaedic surgeons with subsequent treatment and consequences.Methods:To conduct this systematic review, we queried 4 databases (PubMed, Embase, MEDLINE, and Web of Science) for original research studies presenting on the biomechanics of orthopaedic surgery or MSK injuries sustained by orthopaedic surgeons. Studies were excluded if they were not original research (i.e., reviews) or reported on non-MSK injuries and injuries in patients or nonorthopaedic specialists. The literature search yielded 3,202 publications, 34 of which were included in the final analysis.Results:Eight studies reported on the biomechanics of orthopaedic surgery. Surgeons spent an average 41.6% of operating time slouched. Head and whole spine angles were closest to natural standing position when using a microscope for visualization and with higher surgical field heights. Use of lead aprons resulted in a shifted weight distribution on the forefoot, gain in thoracic kyphosis, and increase in lateral deviation from postural loading. Twenty-six studies reported on MSK symptoms and injuries experienced by orthopaedic surgeons, with an overall prevalence from 44% to 97%. The most common body regions involved were lower back (15.2%-89.5%), hip/thigh (5.0%-86.6%), neck (2.4%-74%), hand/wrist (10.5%-54%), shoulder (7.1%-48.5%), elbow (3.1%-28.3%), knee/lower leg (7.9%-27.4%), and foot/ankle (7%-25.7%). Of surgeons with any reported MSK symptom or injury, 27% to 65.7% required nonoperative treatment, 3.2% to 34.3% surgery, and 4.5% to 31% time off work. Up to 59.3% of surgeons reported that their injuries would negatively influence their ability to perform surgical procedures in the future.Conclusions:The orthopaedic surgeon population experiences a high prevalence of MSK symptoms and injuries, likely secondary to the biomechanical burdens of tasks required of them during strenuous operations.Level of Evidence:Level III. See Instructions for Authors for a complete description of levels of evidence.

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“…As compared to general surgeons, orthopaedic surgeons were found to have a higher prevalence of musculoskeletal injuries 7 . Studies done in specific groups of orthopaedic subspecialties [8][9][10][11] and even orthopaedic residents 12 also reported high levels of musculoskeletal symptoms.…”

Section: Introductionmentioning

confidence: 97%

Musculoskeletal Occupational Injuries in Orthopaedic Surgeons and Residents

Tan

Kwek

2020

Malays Orthop J

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Introduction: Orthopaedic surgeons are significantly predisposed to musculoskeletal injury, and these injuries can have negative effects on surgeon function and patient outcomes. While this phenomenon has been studied in the non-Asian population of surgeons, no study has been carried out in the local or regional Asian setting. The aim of this study was to determine the prevalence, characteristics and associations of occupational injuries in orthopaedic surgeons and residents, and to assess its functional impact. Materials and Methods: The Nordic Musculoskeletal Questionnaire was sent out to all orthopaedic consultants and residents at two institutions in Singapore, via an email link to an online survey. Separately, further questions on symptom description, severity and treatment were surveyed. Additional information like age, gender, height and weight were obtained as well. Results: A total of 87.5% respondents have at least one injury. Neck symptoms (66.1%) were the most prevalent, and back symptoms had the highest median severity score (4.5/10). The 74.1% of these injuries were reported as directly attributable to work. Age was found to be associated with an increase in the total number of anatomical areas affected (p = 0.016). A seated operating position was associated with more severe back pain (p = 0.040). Conclusion: There is a high prevalence of occupational injuries sustained in our population of orthopaedic surgeons. Neck symptoms, followed by back and wrist symptoms, were the predominant symptoms in our population. Targeted ergonomic interventions may be considered to prevent specific musculoskeletal injuries in our population of orthopaedic surgeons.

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Occupational injuries among pediatric orthopedic surgeons

Cited by 9 publications

References 26 publications

Repetitive Musculoskeletal Injuries: A Survey of Female Adult Reconstruction Surgeons

Repetitive Musculoskeletal Injuries: A Survey of Female Adult Reconstruction Surgeons

The Biomechanical Burden of Orthopaedic Procedures and Musculoskeletal Injuries Sustained by Orthopaedic Surgeons

Musculoskeletal Occupational Injuries in Orthopaedic Surgeons and Residents

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