Geyman J P, Gordon M J
J Fam Pract. 1979 Apr;8(4):759-65.
The spectrum of orthopedic problems encountered by family physicians in everyday practice has received little study in the past. This paper presents and analyzes the incidence and distribution of orthopedic problems in general/family practice based on four sources of secondary data. These sources include the National Ambulatory Medical Care Survey, a Family Practice Service in a large military teaching hospital, a state wide study in Virginia, and two community-based family practice settings in Washington State. Orthopedic problems constitute about ten percent of all office visits in family practice. Over one half of these involve chronic, nontraumatic musculoskeletal problems. Major differences are noted in the distribution of sprains, strains, and fractures in adults and children. Fractures of the hand, foot, forearm, lower leg, and clavicle comprise between 50 and 80 percent of fractures seen in the settings under study. This kind of information should be helpful in better defining goals and methods for graduate training of family practice residents in orthopedics.
家庭医生在日常诊疗中遇到的骨科问题范围，过去很少受到研究。本文基于四个二手数据来源，呈现并分析了普通/家庭医疗中骨科问题的发病率和分布情况。这些来源包括国家门诊医疗调查、一家大型军事教学医院的家庭医疗服务、弗吉尼亚州的一项全州范围研究，以及华盛顿州的两个社区家庭医疗机构。骨科问题约占家庭医疗中所有门诊就诊的10%。其中超过一半涉及慢性、非创伤性肌肉骨骼问题。在成人和儿童的扭伤、拉伤及骨折分布上存在显著差异。在所研究的机构中，手部、足部、前臂、小腿和锁骨骨折占所见骨折的50%至80%。这类信息应有助于更好地明确家庭医疗住院医师骨科研究生培训的目标和方法。
