A cross-sectional study of diseases prevailing in an orthopaedic OPD at a tertiary care hospital in the Mumbai metropolitan region

Authors

  • Girish Rathod Department of Orthopaedics, Bhaktivedanta Hospital and Research Institute, Mira Road, Mumbai, Maharashtra, India
  • Pushkar Borole Department of Orthopaedics, Bhaktivedanta Hospital and Research Institute, Mira Road, Mumbai, Maharashtra, India
  • Chandan Shetty Department of Orthopaedics, Bhaktivedanta Hospital and Research Institute, Mira Road, Mumbai, Maharashtra, India
  • Nitin Raut Department of Orthopaedics, Bhaktivedanta Hospital and Research Institute, Mira Road, Mumbai, Maharashtra, India
  • Namrata Britto Department of Orthopaedics, Bhaktivedanta Hospital and Research Institute, Mira Road, Mumbai, Maharashtra, India
  • Vijaykumar Gawali Department of Orthopaedics, Bhaktivedanta Hospital and Research Institute, Mira Road, Mumbai, Maharashtra, India

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20220603

Keywords:

Orthopaedic OPD, COVID-19, Backache, Arthritis, Joint stiffness, Epidemiology

Abstract

Background: The orthopaedic out-patient department of a tertiary care hospital plays a crucial role in the health care system as it attends to a large number of patients. The goal of the study is to observe the etiological patterns of common issues that prevail in an Orthopaedics OPD of a hectic tertiary care hospital, which could in turn help to understand the distribution of illnesses in a particular geographical area.

Methods: Analysis of 1605 patient records was carried out from the period July 2020 to December 2020, to assess the orthopaedic out-patient load and prevailing diseases. Initial medical records of the patients were analyzed and the data collected were subjected to statistical analysis using IBM SPSS software version 1.0.

Results: The primary diagnosis of patients visiting the orthopaedic OPD during the Covid-19 period are observed to be as follows: acute and chronic back ache (27.29%), arthritis (26.23%), joint stiffness (10.03%), ligamentous sprains (9.84%), neck-related problem (6.92), tendinopathies and enthesopathies (6.60%), non-specific body aches (5.11%), post-operative follow-up (4.05%),bone fractures (2.37%), soft tissue injuries (0.93%), and neuropathies (0.62%).

Conclusions: The study presenting the overview of diseases prevailing in an orthopaedic OPD in a tertiary care center could help in formulating better prevention and treatment strategies to overcome such medical conditions irrespective of the presence of a pandemic.

Author Biographies

Girish Rathod, Department of Orthopaedics, Bhaktivedanta Hospital and Research Institute, Mira Road, Mumbai, Maharashtra, India

Head Of Orthopaedics Department, Bhaktivedanta Hospital & Research Institute Mira Road, Mumbai

Pushkar Borole, Department of Orthopaedics, Bhaktivedanta Hospital and Research Institute, Mira Road, Mumbai, Maharashtra, India

Consultant Orthopaedics at Bhaktivedanta Hospital & Research Institute Mira Road, Mumbai.

Chandan Shetty, Department of Orthopaedics, Bhaktivedanta Hospital and Research Institute, Mira Road, Mumbai, Maharashtra, India

Consultant Orthopaedics at Bhaktivedanta Hospital & Research Institute Mira Road, Mumbai

Nitin Raut, Department of Orthopaedics, Bhaktivedanta Hospital and Research Institute, Mira Road, Mumbai, Maharashtra, India

Consultant Orthopaedics at Bhaktivedanta Hospital & Research Institute Mira Road, Mumbai.

Namrata Britto, Department of Orthopaedics, Bhaktivedanta Hospital and Research Institute, Mira Road, Mumbai, Maharashtra, India

Senior Clinical Research Coordinator at Bhaktivedanta Hospital & Research Institute Mira Road, Mumbai.

Vijaykumar Gawali, Department of Orthopaedics, Bhaktivedanta Hospital and Research Institute, Mira Road, Mumbai, Maharashtra, India

Head of Medical Research Department at Bhaktivedanta Hospital & Research Institute Mira Road, Mumbai

References

Kumar A, Dalai C, Banerjee S. Distribution of illness of orthopaedic outpatient department in a tertiary care teaching hospital in West Bengal: a cross sectional study. Acta Orthop Scand Suppl. 2018;452:52-9

Syed MA, Azim SR, Baig M. Frequency of orthopedic problems among patients attending an orthopedic outpatient department: a retrospective analysis of 23 495 cases. Ann Saudi Med. 2019; 39(3):172-7.

Gani A, Bhat S, Gupta A. Pattern and prevalence of orthopaedic outdoor patients at a tertiary level care hospital in Jammu, India. J K Sci. 2016;42:558-9.

Jagiasi J, Ubale T, Marfatiya H, More A, Sahu D. Etiological pattern of problems in an orthopaedics outpatient department of a tertiary care center. J Dent Med Sci. 2017:45;50-9.

Gupta KNP. A Study of Distribution of Orthopaedic Morbidities among Outdoor Patients in a Medical College in Bihar. Asian J Med Res. 2019;8(2):OR06-8.

Vikash R. Morbidity pattern among patients attending Orthopedic OPD at IQ City Medical College, Durgapur. J Dent Med Sci. 2019;18(2):9-13.

Al-Shehri FS, Moqbel MM, Al-Khaldi YM, Al-Shahrani AM, Abu-Melha WS, Alqahtani AR, et al. Prevention and management of obesity: Saudi guideline update. Saudi J Obes. 2016;4:25-40.

Gupta S, Uddin Darokhan MA, Singh O, Muzaffar J. LBA As An Increasing Health Problem In India. JK Sci. 2016;18;172-6.

Kent S. Tennis Elbow and Prolotherapy. Available at: https://www.naturmend.com/blog/2014/11/07/tennis-elbow-prolotherapy/. Accessed on 20 September 2021.

Centers for disease control and prevention. Prevalence of self-reported arthritis or chronic joint symptoms among adults--United States, 2001. Morb Mortal Wkly Rep. 2002;51:948-50.

Chapple CM, Nicholson H, Baxter GD, Abbott JH. Patient characteristics that predict progression of knee osteoarthritis: a systematic review of prognostic studies. Arthritis Care Res. 2011;63:1115-25.

Woolf AD, Pfleger B. Burden of major musculoskeletal conditions. Bull World Health Organ. 2003;81:646-56.

Richie AM, Francis ML. Diagnostic approach to polyarticular joint pain. Am Fam Physic. 2003;68: 1151-60.

Tighe CB, Oakley WS. The prevalence of a diabetic condition and adhesive capsulitis of the shoulder. South Med J. 2008;101(6):591-5.

Anton HA. Frozen shoulder. Can Fam Physician. 1993;39:1773-8.

Lundberg BJ. The frozen shoulder. Clinical and radiographical observations. The effect of manipulation under general anesthesia. Structure and glycosaminoglycan content of the joint capsule. Local bone metabolism. Acta Orthop Scand Suppl. 1969; 119:1-59.

Bridgman JF. Periarthritis of the shoulder and diabetes mellitus. Ann Rheum Dis. 1972;31(1):69-71.

Thomas SJ, McDougall C, Brown ID, Jaberoo MC, Stearns A, Ashraf R, Fisher M, Kelly IG. Prevalence of symptoms and signs of shoulder problems in people with diabetes mellitus. J Shoulder Elbow Surg. 2007;16(6):748-51.

Miakotko L. The impact of smartphones and mobile devices on human health and life. Available at: https://www.nyu.edu/classes/keefer/waoe/miakotkol.pdf. Accessed on 20 September 2021.

Khatri D, Mahendrakar D. Neck pain and disability, an unwanted guest after the covid-19 pandemic outbreak! How to deal with it?. Available at: https://www.researchgate.net/publication/353070704_neck_pain_and_disability_an_unwanted_guest_after_the_covid-19_pandemic_outbreak_how_to_deal_ with_it. Accessed on 20 September 2021.

Wong J, Cheung K. Impact of COVID-19 on Orthopaedic and Trauma Service. J Bone Joint Surg. 2020;102(14):e80.

Royal College of Surgeons. Guidance for surgeons working during the COVID-19 pandemic. 2020 Mar 20. Available at: https://www.rcseng.ac.uk/ corona virus/joint-guidance-for-surgeons-v1/. Accessed on 20 September 2021.

American College of Surgeons. Clinical issues and guidance. 2020. Available at: https://www.facs.org/ about-acs/covid-19/information-for-surgeons. Accessed on 20 September 2021.

British Orthopaedic Association. Management of patients with urgent orthopaedic conditions and trauma during the coronavirus pandemic. 2020. Available at: https://www.boa.ac.uk/uploads/assets/ ee39d8a8-9457-4533-9774e973c835246d/COVID-19-BOASTs-Combined-v1FINAL.pdf. Accessed on 20 September 2021.

National Health Service. Clinical guide for the management of trauma and orthopaedic patients during the coronavirus pandemic. 2020. Available at: https://www.england.nhs.uk/coronavirus/wp-content/uploads/sites/52/2020/03/specialty-guide-orthopaedic-trauma-and-coronavirus-v1-16-march-2020.pdf. Accessed on 20 September 2021.

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Published

2022-02-25

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Original Research Articles