Full Text (PDF)
Short Communication

Joint Forces: Orthopedics and General Medicine in Tackling Musculoskeletal Manifestations of Systemic Diseases

Jeff Walter Rajadurai OR, Prathish Kumar

Author Information

Licence:

Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.


Journal of Orthopedic Education 10(2):p 67-69, May-August 2024. | DOI: https://doi.org/10.21088/joe.2454.7956.10224.5

How Cite This Article:

Jeff Walter Rajadurai OR, Prathish Kumar. Joint Forces: Orthopedics and General Medicine in Tackling Musculoskeletal Manifestations of Systemic Diseases. Jr. Orth. Edu. 2024;10(2):67–69.

Timeline

Received : May 16, 2024         Accepted : July 01, 2024          Published : August 25, 2024

Abstract

Systemic diseases such as diabetes mellitus, rheumatoid arthritis (RA), and chronic kidney disease (CKD) often have musculoskeletal complications that significantly impact patients’ quality of life. These complications necessitate a multidisciplinary approach involving orthopedic surgeons and other specialists to ensure early recognition, intervention, and optimized patient care. An interdisciplinary approach enables the integration of systemic and musculoskeletal health strategies, leading to better patient outcomes. For instance, diabetes-related Charcot arthropathy and osteomyelitis require both orthopedic and endocrinology care, while RA demands immunosuppressive therapies alongside orthopedic interventions. CKD, due to disruptions in calcium and phosphate metabolism, increases fracture risks and requires nephrology and orthopedic collaboration. Emerging technologies such as telemedicine and precision medicine further support collaborative care. This article underscores the importance of interdisciplinary teamwork in addressing the musculoskeletal manifestations of systemic diseases.


References

  • 1.   Lipsky BA, Berendt AR, Cornia PB, et al. Infectious Diseases Society of America Clinical Practice Guideline for the Diagnosis and Treatment of Diabetic Foot Infections. Clin Infect Dis. 2012;54(12).
  • 2.   Smolen JS, Aletaha D, McInnes IB. Rheumatoid arthritis. Lancet. 2016;388(10055):2023-2038.
  • 3.   Ketteler M, Block GA, Evenepoel P, et al. Executive summary of the 2017 KDIGO Chronic Kidney Disease-Mineral and Bone Disorder (CKD-MBD) Guideline Update: what’s changed and why it matters. Kidney Int. 2017; 92(1):26- 36.
  • 4.   Silva MJ, Brodt MD, Lynch JA. Bone loss and recovery in chronic kidney disease: Pathophysiology, treatment, and new insights. J Bone Miner Res. 2018; 33(4):663-679.
  • 5.   Jeffcoate WJ, Lipsky BA, Berendt AR, et al. Management of diabetic foot infections. JAMA. 2008; 299(7):785-795.
  • 6.   Firestein GS, McInnes IB. Immunopathogenesis of rheumatoid arthritis. Immunity. 2017;46(2):183-196.
  • 7.   Moe SM, Drüeke TB. CKD-mineral and bone disorder: core curriculum 2016. Am J Kidney Dis. 2016;68(6):1251-1260.
  • 8.   Sikka RS, Cammisa FP, Purtill JJ. Orthopaedic Surgery and Kidney Disease. ClinOrthopRelat Res. 2013;471(2):541-548.
  • 9.   Brown EA, Johansson L, Farrington K, et al. CKD and Musculoskeletal Health: A Growing Concern. Kidney Int. 2015;88(5):1008-1016.
  • 10.   Takayama Y, Ikari K, Hirano Y, et al. Joint Damage and Long-term Outcomes in Rheumatoid Arthritis. Rheumatology. 2014;53(2):227-234.

Data Sharing Statement

There are no additional data available. All raw data and code are available upon request.

Funding

This research received no funding.

Author Contributions

All authors contributed significantly to the work and approve its publication.

Ethics Declaration

This article does not involve any human or animal subjects, and therefore does not require ethics approval.

Acknowledgements

We would like to express our gratitude to the patients, their families, and all those who have contributed to this study.

Conflicts of Interest

No conflicts of interest in this work.


About this article


Cite this article

Jeff Walter Rajadurai OR, Prathish Kumar. Joint Forces: Orthopedics and General Medicine in Tackling Musculoskeletal Manifestations of Systemic Diseases. Jr. Orth. Edu. 2024;10(2):67–69.


Licence:

Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.


Received Accepted Published
May 16, 2024 July 01, 2024 August 25, 2024

DOI: https://doi.org/10.21088/joe.2454.7956.10224.5

Keywords

Musculoskeletal DiseasesDiabetes MellitusRheumatoid ArthritisChronic Kidney DiseaseInterdisciplinary Communication

Article Level Metrics

Last Updated

Saturday 22 August 2026, 00:03:16 (IST)


1964

Accesses

2
237
00

Citations


NA
NA
NA

Download citation


Article Keywords


Keyword Highlighting

Highlight selected keywords in the article text.


Timeline


Received May 16, 2024
Accepted July 01, 2024
Published August 25, 2024

licence


Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.


Access this article



Share