Tan Ksk, Kwek Ebk
Department of Orthopaedic Surgery, Tan Tock Seng Hospital, Singapore.
Department of Orthopaedic Surgery, Woodlands Health Campus, Singapore.
Malays Orthop J. 2020 Mar;14(1):24-27. doi: 10.5704/MOJ.2003.004.
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.
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.
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).
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.
骨科医生极易遭受肌肉骨骼损伤，这些损伤会对医生的工作能力和患者的治疗结果产生负面影响。虽然这一现象已在非亚洲地区的外科医生群体中得到研究，但尚未在亚洲本地或地区范围内开展相关研究。本研究的目的是确定骨科医生和住院医生职业损伤的患病率、特征及关联，并评估其功能影响。
通过电子邮件链接向新加坡两家机构的所有骨科顾问医生和住院医生发送北欧肌肉骨骼问卷，以进行在线调查。另外，还对症状描述、严重程度和治疗等进一步问题进行了调查。同时获取了年龄、性别、身高和体重等额外信息。
共有87.5%的受访者至少有一处损伤。颈部症状（66.1%）最为普遍，背部症状的中位严重程度评分最高（4.5/10）。其中74.1%的损伤报告为直接归因于工作。研究发现年龄与受影响的解剖区域总数增加有关（p = 0.016）。坐姿手术体位与更严重的背痛有关（p = 0.040）。
我们的骨科医生群体中职业损伤的患病率很高。颈部症状，其次是背部和手腕症状，是我们群体中的主要症状。可考虑采取有针对性的人体工程学干预措施，以预防我们骨科医生群体中的特定肌肉骨骼损伤。
