骨科外科儿科运动医学：描述实践模式和亚专业。

Orthopaedic Surgery Pediatric Sports Medicine: Characterizing Practice Patterns and Subspecialization.

机构信息

Department of Orthopaedic Surgery, Washington University School of Medicine, St. Louis, MO.

University of Texas Southwestern Medical Center, Dallas.

出版信息

J Pediatr Orthop. 2022 Sep 1;42(8):e833-e838. doi: 10.1097/BPO.0000000000002209. Epub 2022 Jul 19.

DOI:10.1097/BPO.0000000000002209

PMID:35856492

Abstract

BACKGROUND

Pediatric sports medicine is a new and rapidly growing subspecialty within orthopaedic surgery. However, there is very limited literature on the practice of pediatric sports medicine in North America. Therefore, the purpose of this study was to evaluate and describe the current practice patterns of orthopaedic surgeons specializing in pediatric sports medicine.

METHODS

An online survey was distributed to orthopaedic surgeons specializing in pediatric sports medicine through the Pediatric Research in Sports Medicine Society. The purpose of the survey was to characterize (1) surgeon demographics, (2) the breakdown of different joint specialization, and (3) the specific procedures for joints that the surgeons specialize in.

RESULTS

Responses from 55 orthopaedic surgeons were collected and analyzed. Most respondents considered pediatric sports medicine as the primary focus of their practice (89.1%, n=49/55). The number of fellowships completed was almost evenly split between either a single fellowship (52.7%, n=29/55) or 2 or more (47.3%, n=26/55). The most common combination of fellowships was pediatric orthopaedics and adult sports medicine (32.7%, n=18/55). Most survey respondents had been in practice for <10 years (69.0%, n=38/55) and were affiliated with an academic center (61.8%, n=34/55). On average, 77.5% of the patients treated were <18 years old. The knee joint was the most specialized joint, with 98.2% (n=54/55) respondents reporting that the knee joint constituted ≥25% of their practice. The knee joint constituted a mean of 52.1% of the respondents' overall practice, followed by the shoulder (15.2%), hip (13.9%), ankle (7.5%), elbow (7.1%), and wrist (4.2%).

CONCLUSIONS

Pediatric sports medicine practices are variable and have distinct practice patterns in pediatric, orthopaedic, and adult sports practices. In the current study, most surgeons are less than 10 years into practice, affiliated with academic centers, and have typically completed either 1 or 2 fellowships after residency. Surgeons were most commonly specialized in the knee joint and cared for patients <18 years old.

LEVEL OF EVIDENCE

Level of evidence IV.

摘要

背景

儿科运动医学是矫形外科中一个新兴且快速发展的亚专科。然而，北美的儿科运动医学实践文献非常有限。因此，本研究的目的是评估和描述专门从事儿科运动医学的矫形外科医生的当前实践模式。

方法

通过小儿运动医学研究学会向专门从事儿科运动医学的矫形外科医生在线分发调查。调查的目的是描述（1）外科医生的人口统计学特征，（2）不同关节专业化的细分，以及（3）外科医生专门从事的关节的具体手术。

结果

共收集并分析了 55 名矫形外科医生的回复。大多数受访者认为儿科运动医学是其主要的执业重点（89.1%，n=49/55）。完成的奖学金数量几乎平分秋色，要么是单一奖学金（52.7%，n=29/55），要么是两个或更多（47.3%，n=26/55）。最常见的奖学金组合是儿科骨科和成人运动医学（32.7%，n=18/55）。大多数调查受访者的从业时间不到 10 年（69.0%，n=38/55），并且与学术中心有关联（61.8%，n=34/55）。平均而言，77.5%的治疗患者年龄<18 岁。膝关节是专业化程度最高的关节，98.2%（n=54/55）的受访者报告说，膝关节构成他们实践的≥25%。膝关节占受访者整体实践的平均比例为 52.1%，其次是肩部（15.2%）、臀部（13.9%）、踝关节（7.5%）、肘部（7.1%）和手腕（4.2%）。