title: Musculoskeletal disorders among orthopedic pediatric surgeons: an overlooked entity.
abstract: BACKGROUND
  Forceful and repetitive maneuvers constitute the majority of pediatric orthopedic surgical tasks, thus subjecting surgeons to the risk of musculoskeletal (MSK) injuries during their years in practice. The aim of this study was to assess the prevalence, characteristics and impact of MSK disorders among pediatric orthopedic surgeons.
  
  
  METHODS
  A modified version of the physical discomfort survey was sent to surgeons who were members of the Pediatric Orthopedic Society of North America (POSNA) via e-mail. The collected data were analyzed using descriptive statistics, one-way analysis of variance, and Fisher's exact test. p values of <0.05 were considered statistically significant.
  
  
  RESULTS
  Of the 402 respondents, 67 % reported that they had sustained a work-related MSK injury, of which the most common diagnoses were low back pain (28.6 %) and lateral elbow epicondylitis (15.4 %). Among those which reported an injury, 26 % required surgical treatment and 31 % needed time off work as a direct result of their injury. The number of work-related injuries incurred by a surgeon increased significantly with increasing age (p < 0.001), working in a non-academic institute (p < 0.05), working in more than one institute (p < 0.05), and being in active practice for >21 years (p < 0.05). The need to undergo treatment or take time off due to the injury was associated with increased number of injuries (p < 0.001). In addition, surgeons were more likely to require time off work when they were >56 years of age (p < 0.001), had been in practice for >21 years (p < 0.001), required surgical management of their disorder (p < 0.001), and had experienced an exacerbation of a previous disorder (p < 0.001).
  
  
  CONCLUSIONS
  This study is the first of its kind to assess MSK injuries sustained by pediatric orthopedic surgeons. The high incidence of these disorders may place a financial and psychological burden on these surgeons and thus the healthcare system. These results should shed a light on awareness and the need for further studies to prevent and help decrease the incidence of these disorders not only in orthopedic surgeons but also in the surgical population in general.
authors.affiliation: Division of Orthopaedic Surgery, Shriners Hospital for Children, Montreal Children Hospital, McGill University, 2000 Drummond, Apt.1203, Montreal, QC H3G 2X1 Canada.|Division of Orthopaedic Surgery, McGill University, Montreal, QC Canada.|Department of Orthopaedic Surgery, University of Dammam, Dammam, Saudi Arabia.
authors.forename: Mohammad M
authors.initials: MM
authors.lastname: Alzahrani
authors.affiliation: Division of Orthopaedic Surgery, Shriners Hospital for Children, Montreal Children Hospital, McGill University, 2000 Drummond, Apt.1203, Montreal, QC H3G 2X1 Canada.|Division of Orthopaedic Surgery, McGill University, Montreal, QC Canada.|Department of Orthopaedic Surgery, University of Dammam, Dammam, Saudi Arabia.
authors.forename: Saad M
authors.initials: SM
authors.lastname: Alqahtani
authors.affiliation: Division of Orthopaedic Surgery, McGill University, Montreal, QC Canada.
authors.forename: Michael
authors.initials: M
authors.lastname: Tanzer
authors.affiliation: Division of Orthopaedic Surgery, Shriners Hospital for Children, Montreal Children Hospital, McGill University, 2000 Drummond, Apt.1203, Montreal, QC H3G 2X1 Canada.|Division of Orthopaedic Surgery, McGill University, Montreal, QC Canada.
authors.forename: Reggie C
authors.initials: RC
authors.lastname: Hamdy
keywords: Disorder; Musculoskeletal; Orthopedic; Pediatric