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Orthopedic services
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Orthopedic services

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Orthopedics, or orthopedic services, is the medical specialty that involves the treatment of the musculoskeletal system, which is made up of your body’s bones, joints, ligaments, tendons, and muscles.

Any number of medical problems can affect the bones, joints, ligaments, tendons, and muscles.

Bone problems may include:

  • Bone deformities
  • Bone infections
  • Bone tumors
  • Fractures
  • Need for amputation
  • Nonunions and malunions
  • Spinal deformities

Joint problems may include:

  • Arthritis
  • Bursitis
  • Dislocation
  • Joint pain
  • Joint swelling
  • Ligament tears

Common orthopedic-related diagnoses based on body part:

Ankle and foot:

  • Bunions
  • Fasciitis
  • Foot and ankle deformities
  • Fractures
  • Hammer toe
  • Heel pain
  • Heel spurs
  • Joint pain and arthritis
  • Sprains
  • Tarsal tunnel syndrome
  • Sesamoiditis

Hand and wrist:

  • Fractures
  • Joint pain
  • Arthritis
  • Tendon or ligament injury
  • Carpal tunnel syndrome
  • Ganglion cyst
  • Rheumatoid arthritis
  • Tendinitis

Shoulder:

  • Arthritis
  • Bursitis
  • Dislocation
  • Frozen shoulder (adhesive capsulitis)
  • Impingement syndrome
  • Loose or foreign bodies
  • Rotator cuff tear
  • Rotator cuff tendinitis
  • Separation
  • Torn labrum
  • SLAP tears

Knee:

  • Cartilage and meniscus injuries
  • Dislocation of the kneecap (patella)
  • Ligament sprains or tears (anterior cruciate, posterior cruciate, medial collateral, and lateral collateral ligament tears)
  • Loose or foreign bodies
  • Osgood-Schlatter disease
  • Pain
  • Tendinitis

Elbow:

  • Arthritis
  • Bursitis
  • Dislocation or separation
  • Ligament sprains or tears
  • Loose or foreign bodies
  • Pain
  • Tennis or golfers elbow (epicondylitis or tendinitis)
  • Elbow stiffness or contractures

Spine:

  • Herniated (slipped) disc
  • Infection of the spine
  • Injury to the spine
  • Scoliosis
  • Spinal stenosis
  • Spinal tumor
  • Fractures
  • Spinal cord injuries

SERVICES AND TREATMENTS

Imaging procedures can help diagnose or even treat many orthopedic conditions. Your health care provider may order:

  • Arthrogram (joint x-ray)
  • Bone scans
  • Computed tomography (CT) scan
  • Discography
  • Magnetic resonance imaging (MRI) scan
  • X-rays

Sometimes, treatment involves injections of medicine into the painful area. This may involve:

  • Corticosteroid injections into joints, tendons, and ligaments, and around the spine
  • Hyaluronic acid injection to help relieve arthritis pain

Surgical procedures used in the treatment of orthopedics include:

  • Amputation
  • Arthroscopic surgeries
  • Bunionectomy and hammer toe repair
  • Cartilage repair or resurfacing procedures
  • Cartilage surgery to knee
  • Fracture care
  • Joint replacement (arthroplasty)
  • Ligament reconstructions
  • Repair of torn ligaments and tendons
  • Spine surgery, including diskectomy, foraminotomy, laminectomy, and spinal fusion

Newer orthopedic services procedures include minimally invasive surgery techniques, advanced external fixation, and the use of bone graft substitutes and bone-fusing protein.

WHO IS INVOLVED

Orthopedic care often involves a team approach. Your team may include a doctor, as well as a non-doctor specialist such as a physical therapist, as well as others.

  • Orthopedic surgeons receive 5 or more extra years of training in the care of disorders of the bones, muscles, tendons, and ligaments. They are trained to manage joint problems with both operative and non-operative techniques.
  • Physical medicine and rehabilitation doctors have 4 or more extra years of training in this type of care after they graduate from medical school. They are also referred to as physiatrists. They do not perform surgery, although they can give joint injections.
  • Sports medicine physicians are doctors with experience in sports medicine who have a primary specialty in family practice, internal medicine, emergency medicine, pediatrics, or physical medicine and rehabilitation. Most have 1-2 years of additional training in sports medicine through subspecialty programs in sports medicine. Sports medicine is a special branch of orthopedics designed to provide complete medical care to active people of all ages.

Other doctors that may be a part of the orthopedics team include:

  • Neurologists
  • Pain specialists
  • Primary care doctors
  • Psychiatrists

Non-doctor health professionals that may be a part of the orthopedics team include:

  • Athletic trainers
  • Counselors
  • Nurse practitioners
  • Physical therapists
  • Physician assistants
  • Psychologists
  • Social workers
  • Vocational workers

I Would Like to Learn About:

  • Information

    Any number of medical problems can affect the bones, joints, ligaments, tendons, and muscles.

    Bone problems may include:

    • Bone deformities
    • Bone infections
    • Bone tumors
    • Fractures
    • Need for amputation
    • Nonunions and malunions
    • Spinal deformities

    Joint problems may include:

    • Arthritis
    • Bursitis
    • Dislocation
    • Joint pain
    • Joint swelling
    • Ligament tears

    Common orthopedic-related diagnoses based on body part:

    Ankle and foot:

    • Bunions
    • Fasciitis
    • Foot and ankle deformities
    • Fractures
    • Hammer toe
    • Heel pain
    • Heel spurs
    • Joint pain and arthritis
    • Sprains
    • Tarsal tunnel syndrome
    • Sesamoiditis

    Hand and wrist:

    • Fractures
    • Joint pain
    • Arthritis
    • Tendon or ligament injury
    • Carpal tunnel syndrome
    • Ganglion cyst
    • Rheumatoid arthritis
    • Tendinitis

    Shoulder:

    • Arthritis
    • Bursitis
    • Dislocation
    • Frozen shoulder (adhesive capsulitis)
    • Impingement syndrome
    • Loose or foreign bodies
    • Rotator cuff tear
    • Rotator cuff tendinitis
    • Separation
    • Torn labrum
    • SLAP tears

    Knee:

    • Cartilage and meniscus injuries
    • Dislocation of the kneecap (patella)
    • Ligament sprains or tears (anterior cruciate, posterior cruciate, medial collateral, and lateral collateral ligament tears)
    • Loose or foreign bodies
    • Osgood-Schlatter disease
    • Pain
    • Tendinitis

    Elbow:

    • Arthritis
    • Bursitis
    • Dislocation or separation
    • Ligament sprains or tears
    • Loose or foreign bodies
    • Pain
    • Tennis or golfers elbow (epicondylitis or tendinitis)
    • Elbow stiffness or contractures

    Spine:

    • Herniated (slipped) disc
    • Infection of the spine
    • Injury to the spine
    • Scoliosis
    • Spinal stenosis
    • Spinal tumor
    • Fractures
    • Spinal cord injuries

    SERVICES AND TREATMENTS

    Imaging procedures can help diagnose or even treat many orthopedic conditions. Your health care provider may order:

    • Arthrogram (joint x-ray)
    • Bone scans
    • Computed tomography (CT) scan
    • Discography
    • Magnetic resonance imaging (MRI) scan
    • X-rays

    Sometimes, treatment involves injections of medicine into the painful area. This may involve:

    • Corticosteroid injections into joints, tendons, and ligaments, and around the spine
    • Hyaluronic acid injection to help relieve arthritis pain

    Surgical procedures used in the treatment of orthopedics include:

    • Amputation
    • Arthroscopic surgeries
    • Bunionectomy and hammer toe repair
    • Cartilage repair or resurfacing procedures
    • Cartilage surgery to knee
    • Fracture care
    • Joint replacement (arthroplasty)
    • Ligament reconstructions
    • Repair of torn ligaments and tendons
    • Spine surgery, including diskectomy, foraminotomy, laminectomy, and spinal fusion

    Newer orthopedic services procedures include minimally invasive surgery techniques, advanced external fixation, and the use of bone graft substitutes and bone-fusing protein.

    WHO IS INVOLVED

    Orthopedic care often involves a team approach. Your team may include a doctor, as well as a non-doctor specialist such as a physical therapist, as well as others.

    • Orthopedic surgeons receive 5 or more extra years of training in the care of disorders of the bones, muscles, tendons, and ligaments. They are trained to manage joint problems with both operative and non-operative techniques.
    • Physical medicine and rehabilitation doctors have 4 or more extra years of training in this type of care after they graduate from medical school. They are also referred to as physiatrists. They do not perform surgery, although they can give joint injections.
    • Sports medicine physicians are doctors with experience in sports medicine who have a primary specialty in family practice, internal medicine, emergency medicine, pediatrics, or physical medicine and rehabilitation. Most have 1-2 years of additional training in sports medicine through subspecialty programs in sports medicine. Sports medicine is a special branch of orthopedics designed to provide complete medical care to active people of all ages.

    Other doctors that may be a part of the orthopedics team include:

    • Neurologists
    • Pain specialists
    • Primary care doctors
    • Psychiatrists

    Non-doctor health professionals that may be a part of the orthopedics team include:

    • Athletic trainers
    • Counselors
    • Nurse practitioners
    • Physical therapists
    • Physician assistants
    • Psychologists
    • Social workers
    • Vocational workers

Related Information

     

References

Canale ST, Beaty JH, eds. Campbell's Operative Orthopaedics. 11th ed. Philadelphia, PA: Elsevier Mosby; 2007.

Silverstein JA, Moeller JL, Hutchinson MR. Common issues in orthopedics. In: Rakel RE, ed. Textbook of Family Medicine. 8th ed. Philadelphia, PA: Elsevier Saunders; 2011:chap 30.

Musculoskeletal disorders. In:Frontera, WR, Silver JK, Rizzo TD Jr, eds. Essentials of Physical Medicine and Rehabilitation. 2nd ed. Philadelphia, PA: Elsevier Saunders; 2008:chap 1-88. 

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Review Date: 3/8/2014  

Reviewed By: C. Benjamin Ma, MD, Assistant Professor, Chief, Sports Medicine and Shoulder Service, UCSF Department of Orthopaedic Surgery, San Francisco, CA. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.

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