Increasingly, the care of patients with musculoskeletal problems is being provided by teams of providers with varied professional backgrounds and diverse types of experience. The treatment of orthopaedic problems in athletes involves athletic trainers, physical therapists, chiropractors, orthopaedic surgeons, and primary-care physicians who have special training in sports medicine. The care of hospitalized patients with musculoskeletal problems involves physician assistants, registered nurses, hospitalists, physical therapists, and orthopaedic surgeons. The care of patients with spinal problems often involves physiatrists, radiologists, anesthesiologists trained in pain management, and orthopaedic surgeons and neurosurgeons. The list of examples could go on.
We are introducing a new article type in JBJS Reviews to address this evolution in care. We will present a clinical problem/scenario and then have experienced practitioners from these varied backgrounds (and others) comment on how they view the problem and the important aspects of diagnosis and treatment from their perspectives. In this month’s issue of JBJS Reviews, we present our inaugural “team approach” article, entitled “Treatment of Head and Neck Injuries in the Helmeted Athlete,” by Diduch et al. In an upcoming issue, we will publish another such article, focusing on the team approach to the care of diabetic foot ulcers. Through these vignettes and the discussions that they promote, we hope to foster enhanced communication and perhaps to stimulate further research into optimum care for musculoskeletal problems with a team-based interaction and approach.
- Copyright © 2016 by The Journal of Bone and Joint Surgery, Incorporated