Alqahtani Saad M, Alzahrani Mohammad M, Bicknell Ryan, Pichora David
Department of Orthopaedics, Imam Abdulrahman Bin Faisal University, Dammam 34212, Saudi Arabia.
Department of Orthopaedics, Queens University, Kingston K7L 3N6, Ontario, Canada.
World J Orthop. 2022 May 18;13(5):465-471. doi: 10.5312/wjo.v13.i5.465.
The nature of tasks required by hand surgeons require both forceful and repetitive maneuvers, thus subjecting these surgeons to the risk of musculoskeletal (MSK) injuries during their years in practice.
To assess the prevalence, characteristics and impact of MSK disorders among hand surgeons.
A modified version of the physical discomfort survey was sent to surgeons who were members of the American Society for Surgery of the Hand e-mail. The collected data were analyzed using descriptive statistics, one-way analysis of variance, and Fisher's exact test. values of < 0.05 were considered statistically significant.
Of the 578 respondents, 60.4% reported that they had sustained a work-related MSK injury, of which the most common diagnoses were lateral elbow epicondylitis (18.7%), low back pain (17.1%) and carpal tunnel syndrome (15.6%). Among those that reported an injury, 73.1 % required treatment and 29.2 % needed time off work as a direct result of their injury. The number of work-related injuries incurred by a surgeon increased significantly with increasing age ( < 0.003), increasing years in practice ( < 0.001) and higher case load ( < 0.05).
To our knowledge this study is the first of its kind to assess MSK injuries sustained by Hand surgeons with a high incidence. These results should increase awareness on this aspect and fuel future studies directed at preventing these types of work-related injuries, thus minimizing the financial and psychological burden on these surgeons and the healthcare system.
手外科医生所要求执行的任务性质既需要有力的操作，又需要重复性动作，因此在他们多年的执业过程中，这些外科医生面临肌肉骨骼（MSK）损伤的风险。
评估手外科医生中肌肉骨骼疾病的患病率、特征及影响。
通过电子邮件向美国手外科协会的外科医生发送一份经过修改的身体不适调查问卷。使用描述性统计、单因素方差分析和费舍尔精确检验对收集到的数据进行分析。P值<0.05被认为具有统计学意义。
在578名受访者中，60.4%报告称他们遭受过与工作相关的肌肉骨骼损伤，其中最常见的诊断是外侧肘上髁炎（18.7%）、腰痛（17.1%）和腕管综合征（15.6%）。在报告受伤的人中，73.1%需要治疗，29.2%因受伤直接需要休假。外科医生发生的与工作相关的损伤数量随着年龄的增长（P<0.003）、执业年限的增加（P<0.001）和病例量的增加（P<0.05）而显著增加。
据我们所知，本研究是同类研究中首个评估手外科医生肌肉骨骼损伤的研究，此类损伤发生率较高。这些结果应提高对这方面的认识，并推动未来针对预防此类与工作相关损伤的研究，从而将这些外科医生以及医疗系统所承受的经济和心理负担降至最低。
