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Sideline Management of Nonmusculoskeletal Injuries by the Orthopaedic Team Physician

Chen, Austin W., MD; Archbold, Cortney S., DDS; Hutchinson, Mark, MD; Domb, Benjamin G., MD

JAAOS - Journal of the American Academy of Orthopaedic Surgeons: February 15, 2019 - Volume 27 - Issue 4 - p e146–e155
doi: 10.5435/JAAOS-D-17-00237
Review Article

Although recognized as the most well-trained providers to address musculoskeletal injuries, many orthopaedic surgeons do not routinely treat patients with nonmusculoskeletal issues in their clinical practice. Nonetheless, when serving as a team physician, an orthopaedic surgeon may need to initiate management of or manage many nonmusculoskeletal issues. Knowing how to accurately diagnose and initiate management of sports-related medical and surgical conditions is an important facet of being an orthopaedic team physician. Common systems that may be involved include the cerebral/neurologic, ocular, dental, respiratory/pulmonary, cardiac, abdominal, and genitourinary systems. Each of these systems has specific pathologic processes and risks related to athletic or sporting participation. Orthopaedic team physicians must have a baseline familiarity with the most common nonmusculoskeletal issues to provide comprehensive quality care to athletes and patients.

From the Boulder Centre for Orthopedics, Boulder, CO (Dr. Chen), the American Hip Institute, Chicago, IL (Dr. Chen and Dr. Domb), the Lake Erie College of Osteopathic Medicine, School of Dental Medicine, Erie, PA (Dr. Archbold), and the Department of Orthopaedic Surgery, University of Illinois at Chicago College of Medicine, Chicago, IL (Dr. Hutchinson).

Dr. Hutchinson or an immediate family member serves as a board member, owner, officer, or committee member of the American Academy of Orthopaedic Surgeons, the American Board of Orthopaedic Surgery, the American College of Sports Medicine, the American Orthopaedic Society for Sports Medicine, and the Arthroscopy Association of North America. Dr. Domb or an immediate family member has received royalties from Arthrex, DJO Global, and Orthomerica; is a member of a speakers' bureau or has made paid presentations on behalf of Arthrex; serves as a paid consultant to Amplitude, Arthrex, Medacta, Pacira Pharmaceuticals, and Stryker; has received research or institutional support from Adventist Hinsdale Hospital, Arthrex, Athletic and Therapeutic Institute Physical Therapy, Breg, Medacta, Pacira Pharmaceuticals, and Stryker; and serves as a board member, owner, officer, or committee member of Arthroscopy Association of North America and the American Hip Institute. Neither of the following authors nor any immediate family member has received anything of value from or has stock or stock options held in a commercial company or institution related directly or indirectly to the subject of this article: Dr. Chen and Dr. Archbold.

© 2019 by American Academy of Orthopaedic Surgeons
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