title: [Psychosomatics in orthopedics].
abstract: Psychosomatics applies to orthopaedic surgery in several ways. Illness, accident, pain, physical handicap present an individual and subjective meaning in each patient story. Every one can date his first symptom back to an important emotional event. The way the illness and its symptoms break out, reveals patient personality. Illness, accident, and their surgical treatment may be felt as a psychic traumatism which troubles mental stability. Discussion with a psychologist enables to reveal the meaning which everyone gives to his symptoms, and to understand why it is sometimes difficult for the patient to give them up. Finally, psychosomatics shows that the healing function of orthopaedic surgery can sometimes concern negotiation of a compromise between acceptable physical pain and bearable physical pain, more than the desire to totally suppress painful or functional complaint.
authors.affiliation: Service de Chirurgie Orthopédique (Pr THOMINE), CHU de Rouen.
authors.forename: I
authors.initials: I
authors.lastname: Clerc
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009985:Orthopedics; D010003:Osteoarthritis / Q000150:complications; D010556:Personality Tests; D011602:Psychophysiologic Disorders / Q000503:physiopathology* / Q000601:surgery; D011611:Psychosomatic Medicine
vernacular_title: Psychosomatique en orthopédie.