Bagaria Vaibhav
Department of Orthopaedic Surgery, Sir H N Reliance Foundation Hospital, Girgaum, Mumbai, Maharashtra 400004 India.
Indian J Orthop. 2021 May 3;55(Suppl 2):518-519. doi: 10.1007/s43465-021-00412-7. eCollection 2021 Jul.
Today the orthopedic world with respect to COVID remains focused on resumption of elective surgery and impact of the pandemic on scientific activities. However, it is equally important that we keep our eyes on the phenomenon that is quietly unraveling in front of the eyes. The phenomenon of post-COVID musculoskeletal sequelae may become a major orthopedic public health problem in coming months and needs to be investigated in depth. The usual post-COVID symptoms include arthralgia and myalgia that are common in many viral diseases. It is the unusual symptoms like occurrence of primary septic joint infection and elevated rates of post-operative infections that warrant attention and further investigation. Could this be attributed to immune consumption leading to a phase of temporary immunosuppression is a matter of speculation and hypothesizing. A short communication here reveals a glimpse of musculoskeletal sequalae that COVID may bring in coming months. These could be usual arthralgia or myalgia which are self-limiting but could also be more sinister like spontaneous osteonecrosis and primary joint infections.
如今,骨科领域对于新冠疫情仍聚焦于择期手术的恢复以及疫情对科研活动的影响。然而,我们同样要关注眼前正在悄然显现的现象。新冠后肌肉骨骼后遗症现象在未来几个月可能会成为一个主要的骨科公共卫生问题,需要深入研究。新冠后的常见症状包括关节痛和肌痛,这在许多病毒性疾病中都很常见。值得关注和进一步研究的是一些不寻常的症状,如原发性化脓性关节感染的发生以及术后感染率的升高。这是否可归因于免疫消耗导致暂时免疫抑制阶段,这只是猜测和假设。此处的一篇简短通讯揭示了新冠在未来几个月可能带来的肌肉骨骼后遗症的一些情况。这些可能是自限性的常见关节痛或肌痛,但也可能更严重,如自发性骨坏死和原发性关节感染。