Work-related musculoskeletal pain among orthopaedic surgeons: A systematic literature search and narrative synthesis

Q2 Medicine

Journal of Clinical Orthopaedics and Trauma Pub Date : 2025-03-26 DOI:10.1016/j.jcot.2025.102984

Joel Richard , Seungjae Cho , W. Shane Journeay

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引用次数: 0

Abstract

Background

Performing surgery is associated with physical demands and musculoskeletal hazards. Orthopaedic surgery is a particularly physically demanding surgical discipline. We aimed to systematically examine the literature characterizing the prevalence and nature of work-related musculoskeletal (MSK) pain among orthopaedic surgeons.

Methods

Systematic search and narrative synthesis methodology of studies on MSK pain among orthopaedic surgeons was conducted in MEDLINE, Embase, and CINAHL. Data extraction of study characteristics was performed and further analyzed for prevalence, pain outcome measures, and anatomical location of MSK pain. This review is registered in PROSPERO CRD420250650511.

Results

25 studies met our inclusion criteria. 14 studies were published since 2019, with no articles before 1995. 11 papers studied surgeons in the USA and the remaining from other countries. The range of overall MSK pain prevalence was 51.7–97.0 %. 11 studies reported on pain in 1–2 anatomical regions, while 9 studies reported on >3 regions. MSK pain was most frequently reported in the lower back (prevalence of 17.1–77.0 %); neck (10.4–74.4 %); and shoulder (12.8–66.7 %). 13 studies determined MSK pain via author-made or unspecified instruments while 12 papers used validated tools for surveying MSK pain. 17 studies specified a time period in which MSK pain reports were captured.

Conclusion

Orthopaedic surgeons report a high frequency of MSK pain, in the lower back, neck and shoulder regions. There was considerable heterogeneity of research methods and outcome measures utilized. Further research is needed to better understand the role of preventive measures and the potential influence of MSK pain on surgeon occupational function, and the orthopaedic surgeon workforce.

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骨科医生中与工作相关的肌肉骨骼疼痛：系统的文献检索和叙述综合

背景：手术与身体需求和肌肉骨骼危害有关。骨科手术是一门对身体要求特别高的外科学科。我们的目的是系统地研究骨科医生中工作相关肌肉骨骼（MSK）疼痛的患病率和性质的文献。方法采用MEDLINE、Embase和CINAHL数据库对骨科手术患者MSK疼痛的研究进行系统检索和叙事综合方法。对研究特征进行数据提取，并进一步分析MSK疼痛的患病率、疼痛结局测量和解剖位置。本综述注册号为PROSPERO CRD420250650511。结果25项研究符合我们的纳入标准。自2019年以来，共发表了14项研究，1995年之前没有发表过任何文章。11篇论文研究了美国的外科医生，其余的来自其他国家。总体MSK疼痛发生率为51.7% ~ 97.7%。11项研究报道了1-2个解剖区域的疼痛，9项研究报道了3个解剖区域的疼痛。MSK疼痛最常见于下背部（患病率为17.1 - 77.0%）；颈部（10.4 - 74.4%）；肩关节（12.8 - 66.7%）。13项研究通过作者自制或未指定的仪器确定MSK疼痛，而12篇论文使用经过验证的工具来测量MSK疼痛。17项研究指定了捕获MSK疼痛报告的时间段。结论骨科医生报告下背部、颈部和肩部的MSK疼痛发生率很高。使用的研究方法和结果测量有相当大的异质性。需要进一步的研究来更好地了解预防措施的作用以及MSK疼痛对外科医生职业功能和骨科医生队伍的潜在影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Clinical Orthopaedics and Trauma Medicine-Orthopedics and Sports Medicine

CiteScore

4.30

自引率

0.00%

发文量

181

审稿时长

92 days

期刊介绍： Journal of Clinical Orthopaedics and Trauma (JCOT) aims to provide its readers with the latest clinical and basic research, and informed opinions that shape today''s orthopedic practice, thereby providing an opportunity to practice evidence-based medicine. With contributions from leading clinicians and researchers around the world, we aim to be the premier journal providing an international perspective advancing knowledge of the musculoskeletal system. JCOT publishes content of value to both general orthopedic practitioners and specialists on all aspects of musculoskeletal research, diagnoses, and treatment. We accept following types of articles: • Original articles focusing on current clinical issues. • Review articles with learning value for professionals as well as students. • Research articles providing the latest in basic biological or engineering research on musculoskeletal diseases. • Regular columns by experts discussing issues affecting the field of orthopedics. • "Symposia" devoted to a single topic offering the general reader an overview of a field, but providing the specialist current in-depth information. • Video of any orthopedic surgery which is innovative and adds to present concepts. • Articles emphasizing or demonstrating a new clinical sign in the art of patient examination is also considered for publication. Contributions from anywhere in the world are welcome and considered on their merits.