Introduction: The nature of orthopaedic surgery often demands a high level of physical activity that may be associated with a variety of musculoskeletal symptoms. We designed this study to identify the prevalence and variety of musculoskeletal symptoms affecting orthopaedic surgeons working in Britain.

Methods: A questionnaire was designed to explore relevant musculoskeletal symptoms. The case group included all fellows of the British Orthopaedic Association working in Britain (n=1300) and the control group was the primary anaesthetist working with that surgeon (n=1300). All questionnaires were anonymous and completed by post.

Results: The response rate was 47% (n=605) for orthopaedic surgeons and 20% for the control group (n=255). The prevalence of back pain was higher in the orthopaedic surgeons (50%) compared to controls (40%; p< 0.05) as was neck pain (28% vs 19%; p< 0.01), carpal tunnel syndrome (20% vs. 5%; p< 0.001), hand pain (20% vs 8%; p< 0.001) and shoulder pain (29% vs 19%; p< 0.005). Although orthopaedic surgeons reported more symptoms than controls, it was notable that significantly more controls used analgesics compared to surgeons (59% vs 35%; p< 0.001). The use of glucosamine was equal in both groups (3% vs 6%). There were two reports of injuries in surgeons that occurred whilst operating (meniscal tear and lumbar disc prolapse). Significantly more surgeons felt their symptoms would lead to early retirement compared to controls (15% vs 8%; p< 0.01).

Discussion: This study has shown that occupational musculoskeletal morbidity is higher in orthopaedic surgeons compared to a control group. The reasons for this are multifactoral. The cumulative nature of the symptoms may lead to early retirement in more orthopaedic surgeons compared to other specialities. This study highlights an important occupational health issue and raises the question of increased health and safety awareness from our managers when considering the demands placed on surgeons.