Orthopedic surgeon website

Because they indicate serious anomalies of the musculoskeletal system:

What does an orthopaedist/traumatologist treat?

An orthopaedist/traumatologist treats musculoskeletal disorders affecting the bones, joints, muscles, tendons, upper and lower limbs. In Latin 'ortho' means straight, so an orthopedic surgeon is a doctor who puts or restores body parts into the correct position. Skeletal deformations can be caused by inflammatory processes, hereditary diseases, trauma and metabolic diseases.

With congenital diseases, children are born with altered body proportions. Some diseases do not become noticeable immediately, but only when the child grows. It lags behind peers in development, limbs become crooked. Treatment by an orthopedist is important not only for the correct external shape, but also for the correct functioning of the internal organs.

The health of all chest and abdominal organs - heart, stomach, kidneys and lungs - depends on the position of the back. Deformation of a joint in the leg can lead to destructive processes throughout the body, uneven loading of the spine and curvature of the spine.

What does an orthopedist and trauma surgeon treat?

• Problems with the spine – posture defects (lordosis, kyphosis, scoliosis, combined pathology), osteochondrosis.
• Joint problems - deforming arthrosis, habitual dislocations, abnormal structure.
• Congenital malformations of the skeletal, muscular and joint systems – dwarfism, hip dislocation, torticollis, clubfoot, underdevelopment of the limbs (arthrogyposis).
• Weakness of the muscular corset and ligaments, leading to anatomical curvatures - flat feet, varus and valgus deformities of the limbs.
• Bone abnormalities such as tumors, cysts, congenital changes in bone structure, osteoporosis and aseptic necrosis.
• All types of injuries - fractures, breaks, dislocations, subluxations, sprains, ruptured tendons, joint capsules, hemarthrosis (bleeding into the joint).

Fresh injuries are easier to treat than the consequences of previous injuries. Often people do not seek treatment after a bruise or fall. You wait for the symptoms to go away on their own. Fractures, sprains and cartilage injuries are not diagnosed.

Pain and discomfort may persist even after a long period of time. Bones may not heal properly, and torn muscles and ligaments heal, forming rough scars that restrict movement. Cartilage damage leads to degenerative and dystrophic processes in the joint. Subsequent treatment is always lengthy and expensive. It is therefore worth making an appointment with an orthopedist as soon as the first symptoms appear.

Types of orthopedic diseases

The orthopedist treats a wide range of diseases, which he divides into different groups depending on their cause:

• Traumatic orthopedic diseases. This group includes improper joints, torn ligaments or meniscus, dislocations (habitual and chronic), shortening of limbs, and traumatic amputations caused by inadequate treatment or failure to follow medical advice. All of these disorders are initially described as injuries that do not develop into orthopedic diseases with appropriate treatment.
• Congenital disorders include clubfoot, various skeletal defects, and abnormalities caused by hereditary and genetic diseases.
• Diseases resulting from degenerative processes (osteochondrosis, arthrosis) in which chronic pain and restricted movement in the affected parts of the body are accompanied by cartilage damage.
• Orthopedic diseases as a result of various diseases (arthroses of various origins, rheumatic joint damage).

What the orthopedic surgeon treats

• Osteoporosis. It is a polyetiological, chronic and progressive systemic metabolic disease of the skeleton or a clinical syndrome manifested by other diseases. Osteoporosis is characterized by reduced bone density (abnormalities in bone microarchitecture vary and depend on the predominant risk factor for the pathology), increased bone fragility and a long disease latency. Older age, larger height and lower body weight are risk factors for developing the disease. This pathology is three times more common in women than in men and occurs primarily in Caucasian and Mongoloid people.
• Osteochondrosis, a syndrome of dystrophic changes in articular cartilage. Pathology is associated with an upright posture and develops with age – with age there is a physiological decrease in the vascular bed in the intervertebral discs, which leads to their diffuse nutrition and causes dystrophic changes (the cartilage loses strength and elasticity, its texture and shape changes). It can occur in any joint, but the intervertebral discs are most commonly affected. Depending on the localization of the pathology, a distinction is made between cervical, thoracic and lumbar osteochondrosis. Dystrophic changes are favored by improper diet, poor posture, insufficient warm-up, use of soft pillows and mattresses, carrying bags on the shoulder. Flat feet and obesity contribute to the development of osteochondrosis.
• flatfoot. A change in foot shape that manifests as a prolapse of the longitudinal and/or transverse arch of the foot. It can be primary, transverse, and longitudinal, or a combination of both. Transverse flatfoot is accompanied by a flattening of the transverse arch of the foot, the forefoot rests on the heads of all five metatarsal bones, the fan-shaped spreading of which in connection with an outward deviation of the first toe and a hammer toe deformity of the middle toe leads to a shortening of the foot. Longitudinal flatfoot is characterized by a flattening of the longitudinal arch, in which almost the entire surface of the sole touches the ground, and the length of the foot is increased. It is directly related to body weight - the higher the weight, the more pronounced the longitudinal flatfoot (more common in women). It can be congenital (5-6 years of age), traumatic, debilitating, ricocheting and static.
• Hollow foot is a pathology in which the arch of the foot is abnormally elevated (the opposite of flatfoot). It results from trauma to the foot, is caused by certain disorders of the neuromuscular system, and can be inherited. In addition to the external deformation, the patient suffers from pain and fatigue when walking.
• Valgus deformity is a pathology in which the metatarsophalangeal joint of the first toe is curved and the other toes are hammer toes (a 'hump' gradually forms at the base of the big toe, making it impossible to wear normal footwear). The disease is associated with rapid leg fatigue and painful ankle pain.
• Herniated disc, in which the nucleus pulposus of the disc shifts and the fibrous ring ruptures. The lumbosacral spine is most commonly affected, much less often the cervical and thoracic spine. It manifests itself in the form of local pain in the area of bulging of the damaged intervertebral disc or in the form of irritating pain, numbness, weakness and sensory disturbances in the limbs, etc.
• Periarticular inflammation, which is a degenerative change in the tendon at its junction with bone. It is accompanied by the development of reactive inflammation in the affected tendon and localized serous effusions.
• Radiculitis is a symptom of damage to the spinal nerve roots and is characterized by pain along the nerve roots and nerves. Sensory disturbances occur and movement disorders can occur. The disease usually takes an acute course, but often turns into a chronic condition with phases of aggravation.
• spondyloarthritis. A chronic degenerative disease of the spine that develops as a result of displacement and thinning of the intervertebral discs. The increased pressure on the facet joints causes the hyaline cartilage to lose its elastic properties, leading to the gradual formation of osteophytes (bony prominences). Osteophytes can severely limit the mobility of the affected part of the spine. In advanced stages, reactive inflammation and complete loss of mobility of the affected area can occur.
• Heel spurs (plantar fasciitis), an overgrowth of the heel bone. The hypertrophy is located near the insertion of the Achilles tendon or near the tuber on the soleus side and has the shape of a spur or wedge. It occurs as a result of foot and heel trauma, circulatory disorders, metabolic disorders, obesity, etc.
• Scoliosis – a three-plane curvature of the spine that can be congenital, acquired or post-traumatic.
• Arthritis. This term refers to any disease (lesion) of the joints. Arthritis can be acute or chronic, affecting one or more joints.
• osteoarthritis. This degenerative-dystrophic joint disease is characterized by damage to the cartilage tissue of the joint surfaces, followed by an inflammatory reaction.

Which organs does the orthopedist treat?

The podiatrist treats feet and hands, shoulder blades, back, shoulder bones and joints (hips and knees).

Diseases treated by podiatrists

The diseases most commonly treated in the orthopedic practice are:

• Congenital malformations such as: torticollis, hip dysplasia;
• Disorders of the foot: clubfoot, twisting, flatfoot;
• Arthrosis, synovitis, characterized by an inflammatory process located in the articular capsule and in the joint;
• dislocations and fractures;
• osteochondrosis of the spine; (Also read: Causes, Symptoms and Prevention of Osteochondrosis)
• Ewing's tumor;
• Bone damage of autoimmune origin - disabling rheumatoid arthritis;
• osteogenic sarcoma;
• chondromysarcoma;
• deformed osteosis, etc.

When should you see an orthopedist?

The above diseases are not a complete list of musculoskeletal disorders. The variety of diseases determines the variety of treatment methods that an orthopedist uses in his practice. Its competencies include the treatment of diseases of the bones, joints and surrounding tissues, the etiology of which is different: they are caused by previous infections, trauma or congenital defects that cannot be ruled out. Acquired diseases are mostly due to injuries at work or metabolic disorders. In infectious diseases of the bones and joints, they occur as a concomitant disease of an inflammation or as a complication of a previous disease.

As a rule, bone diseases do not progress quickly, so the very first symptoms are alarming and should lead to a visit to the doctor. Also, the first symptoms of the disease are often unclear, and when they begin to manifest themselves clearly, this indicates a very advanced pathological process, characterized by extensive damage to the musculoskeletal system. For this reason, visits to the orthopedist should be routine and done at an early age.

Orthopedist and trauma surgeon: when is it necessary?

A visit to an orthopedic trauma surgeon may be necessary if:

• consequences of poliomyelitis;
• Consequences of primary fractures, secondary fractures;
• Persistent pain in the spine;
• pain in the joints and lower limbs;
• Frostbite of extremities, sprains and bruises, insect or animal bites;
• Deformities and dysfunctions of all parts of the musculoskeletal system.

Sometimes the treatment does not require opening the soft tissues and gaining access to the bone. The specialist in trauma orthopedics has a closed surgical technique called redression. It is performed manually and consists of several steps that correct the deformation of the joint components. Diseases that can be treated with this method include clubfoot, fractures, rickets, contractures, limb stiffness, etc. However, this treatment method is not always applicable, but only in certain cases determined by the doctor.

Orthopedic surgeon's website

About the company: NN Priorov CITO:
– Largest federal scientific center for traumatology and orthopedics
– Internationally known brand
– More than 100 years of experience in traumatology and orthopedics
– AOSpine Center of Excellence in Russia Full presentation
– More than 1,500 highly qualified specialists
– More than 10,000 patients treated per year
– More than 80 years
– Recent developments in orthopedic and neuro-orthopedic pathology
– State-of-the-art diagnostic methods
– Training of specialists from all over the world
– Promising scientific results Website: https://www.cito-priorov.ru/ Phone: +7 (495) 744-40-10

CITO removed a giant tumor from a patient and reconstructed her chest.

The 30-year-old woman with multiple chondrodysplasia exostosis has been observed since childhood at the Priorovo Scientific and Research Center of Traumatology and Orthopedics of the Russian Ministry of Health. Ministry of Health of the Russian Federation. A few years ago a tumor started growing in her ribs.

The mass rapidly enlarged and developed into a malignant G1 chondrosarcoma. The bone tumor was up to 15 cm in size and was pressing on the lungs and chest organs, and the patient was in severe pain.

The patient was in severe pain. The tumor had to be removed, but due to the size of the mass, the rib cage was no longer sustainable and unframed. Something had to be added to the ribs. A technical solution was found: CITO doctors, together with Russian engineers, developed a unique titanium breast prosthesis based on the patient's CT scan. The prosthesis replicates the patient's own lost ribs. In the 11th Department of Traumatology and Orthopedics (pediatric bone pathology and youth orthopedics), the orthopedist and traumatologist Dr. Within four hours, Alexander Snetkov and thoracic surgeon Dmitri Viktorovich Haspekov diagnosed a giant G1 chondrosarcoma with remnants of the affected ribs and successfully implanted the prosthesis.

Urgent consultation of an orthopedist: symptoms that make it necessary

There are a number of symptoms that warrant urgent consultation with a podiatrist, since these symptoms can indicate the beginning of a serious pathological process or even the onset of a disease. Such medical treatment may be required for the following symptoms

• crunching, stiffness in the joints;
• numbness in the hands
• swelling of the joints, pain when moving;
• back pain;
• Poor posture and a feeling of fatigue;
• Muscle pain caused by weather changes.

There are also a number of diseases that require regular check-ups by a specialist. The following are worth mentioning:

• Rheumatoid arthritis;
• spinal injuries;
• osteoarthritis;
• dislocated shoulder;
• dislocation of the knee joint;
• osteochondrosis;
• femoral neck fracture.

In the case of active sporting activities and extreme leisure activities, an orthopedic trauma surgeon is required as a prophylactic measure. With such prophylaxis, micro-injuries can be corrected in a timely manner, which, in turn, will help to avoid problems later.

Pediatric orthopaedist: when is it worth taking the child to an orthopedist?

There are a number of circumstances that make it necessary for parents and their child to see this specialist. If consultation with an orthopedist occurs early enough, effective results can be achieved in the treatment of developing pathologies, and there is an opportunity to correct their congenital forms. These circumstances include:

• hip deformity in an infant (ie congenital dislocation);
• fatigue of the child when walking, a noticeably difficult gait (in this case there may be flat feet);
• visible bending of the child;
• Persistent tilt of the child's head on one shoulder (this may indicate torticollis);
• The child complains of pain in the arms or legs, in the neck or in the back;
• A clubfoot where the child walks with the foot in normal alignment.

What is the task of the specialist doctor?

A podiatrist is a specialist with a medical degree who has completed postgraduate training (internship/residency) and has specialized in a sub-area. In addition to the traditional treatment of diseases and injuries of the musculoskeletal system, the specialist is familiar with field surgery, prosthetics, sports traumatology, rehabilitation, clinical biomechanics and bone pathologies.

The main focus of the doctor is the prevention and treatment of orthopedic diseases and the consequences of mechanical injuries in an outpatient setting. Diagnosis, therapy and prevention are carried out in specialized medical institutions such as trauma departments of hospitals, rehabilitation centers, orthopedic sanatoriums, etc.

The following is a non-exhaustive list of conditions treated by orthopedists:

• foot deformities, clubfoot, or flatfoot;
• Congenital disorders of the musculoskeletal system (eg, hip dysplasia);
• arthritis, synovitis, bursitis, joint inflammation;
• osteochondrosis (dystrophic diseases of articular cartilage);
• Mechanical injuries, dislocations, fractures and other trauma;
• Ewing's sarcoma (malignant neoplasm of the skeleton).

What you should know about pediatric orthopaedics

Specialists in pediatric orthopedics form a special category. The field itself deals with the prevention and treatment of skeletal defects. Consultation of an orthopedist is necessary not only for children of school age, but also for preschoolers. The doctor will diagnose the child's musculoskeletal system, determine the child's strengths/weaknesses, determine the child's readiness for future stress (school/university) and advise the parents on how many problems can be avoided.

An urgent visit to a specialist doctor is advisable in the following cases:

• malposition of the infant hip (congenital dislocation);
• Difficult gait, child tires easily after a few steps or minutes of walking;
• slouching;
• constant tilting of the head towards the shoulder;
• Child complains of occasional leg/back/neck/shoulder pain;
• clubfoot.

Observe your own child and analyze the pace of development. If a doctor is not consulted in time, there is a risk of complications, lengthy treatment and a reduced quality of life for the child.

How to prevent orthopedic problems

An adult who does not wish to have orthopedic problems in the future, advise therapists:

1. control body weight – being overweight increases stress on bones;
2. giving up unhealthy habits;
3. To do sport;
4. to avoid hypothermia; not to lift too much weight; to wear comfortable shoes;
5. eat properly.

The recommendations are more than obvious, but few people are able to follow them all. Be careful and take care of your health!

Author of the article: Kristina Chekhova

I wish you good luck!!! See you soon on the pages of the WhoNaNovenkogo.ru blog

Comments and Opinions (2)

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Kirill: That's true, because our whole country has trained economists and lawyers, but there is no one for manual work. That's why the prices are so exorbitantly high - there's hardly any competition.

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President of the Union of Traumatologists and Orthopedists of Russia, Chief Traumatologist and Orthopedist of the Ministry of Health Protection of the Russian Federation, Doctor of Medical Sciences, Academician of the Russian Academy of Sciences, President of the National Medical Research Center of Traumatology and Orthopedics NN Priorov, Ministry of Health Protection of the Russian Federation federation

Download certificate of registration of ATOR at the tax office

Download the state registration certificate ATOR

Currently, a process of unification of doctors according to their specialties is taking place everywhere, since the processes taking place in modern society dictate the need for a consolidated expression of professional interests and their protection. The Union of Traumatologists and Orthopedists of Russia (ATOR), established in 2014, is a public association of traumatologists and orthopedists whose main goal is to promote the improvement and increase in the quality of specialist medical care in the field of traumatology and orthopedics for the Russian population and interests to represent the profession at all levels of administration and government.

In order to become a member of the ATOR and receive timely information about participation in thematic conferences, symposia and master courses published under the auspices of the ATOR, as well as access to the electronic library, you need to register in the Personal Cabinet and pay the initial membership fee in the amount of 1,000 rubles, which is levied annually.

After completing the formalities and paying the membership fee, you will receive a membership certificate from the All-Russian Public Organization 'Association of Orthopedic Traumatologists of Russia'. The certificate can be picked up at the ATOR event or by post.

examinations and diagnostics

The orthopedist usually orders the following examinations:

• blood test, urine test;
• examination of hemostasis, examination of synovial fluid;
• blood test to examine the rheumatic functions;
• indices of blood coagulation;
• Prothrombin time (PTV) and its index.

If the examinations are insufficient, the orthopedist decides on additional diagnostics: X-ray, CT, MRI, electromyography, ultrasound, vasography, densitometry of the limbs are performed.

Possible treatments and procedures

The orthopedist usually uses 2 treatment methods: conservative and radical. Conservative treatment includes the use of pain relievers, antibiotics, NSAIDs, and injections of drugs into the joint.

The conservative method involves the use of:

• therapeutic exercises;
• chiropractic treatment;
• poultices, ointments;
• massage, acupuncture;
• Physical therapy, shock wave therapy, etc.

If conservative methods do not help, then radical therapy is used:

• bone grafts;
• endoprostheses;
• metal osteosynthesis;
• corrective surgery, repositioning, revision;
• arthroscopic surgery.

Today we know what an orthopedist treats, and the success of the treatment not only depends on the orthopedist's qualifications, timely diagnosis and optimal treatment.

Rheumatologist with many years of experience and author of the website nehrusti.com. For more than 20 years he has been helping people to successfully treat various joint problems.

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