What’s Important: Applying to Orthopaedic Surgery as a Member of the LGBTQ Community

Weaver, D. L.

doi:10.2106/jbjs.21.01310

Cited by 4 publications

(5 citation statements)

References 6 publications

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“…Clinicians should be attentive to the needs of sexual minority individuals, including members of the LGBTQIA+ community and men having sex with men (MSM) [90,91]. These populations have been disproportionately impacted and are still impacted by the HIV pandemic.…”

Section: Orthopedic Management Of Sexual Minority Individualsmentioning

confidence: 99%

Investigating and Practicing Orthopedics at the Intersection of Sex and Gender: Understanding the Physiological Basis, Pathology, and Treatment Response of Orthopedic Conditions by Adopting a Gender Lens: A Narrative Overview

Biz,

Khamisy-Farah,

Puce

et al. 2024

Biomedicines

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In the biomedical field, the differentiation between sex and gender is crucial for enhancing the understanding of human health and personalizing medical treatments, particularly within the domain of orthopedics. This distinction, often overlooked or misunderstood, is vital for dissecting and treating musculoskeletal conditions effectively. This review delves into the sex- and gender-specific physiology of bones, cartilage, ligaments, and tendons, highlighting how hormonal differences impact the musculoskeletal system’s structure and function, and exploring the physiopathology of orthopedic conditions from an epidemiological, molecular, and clinical perspective, shedding light on the discrepancies in disease manifestation across sexes. Examples such as the higher rates of deformities (adolescent idiopathic and adult degenerative scoliosis and hallux valgus) in females and osteoporosis in postmenopausal women illustrate the critical role of sex and gender in orthopedic health. Additionally, the review addresses the morbidity–mortality paradox, where women, despite appearing less healthy on frailty indexes, show lower mortality rates, highlighting the complex interplay between biological and social determinants of health. Injuries and chronic orthopedic conditions such osteoarthritis exhibit gender- and sex-specific prevalence and progression patterns, necessitating a nuanced approach to treatment that considers these differences to optimize outcomes. Moreover, the review underscores the importance of recognizing the unique needs of sexual minority and gender-diverse individuals in orthopedic care, emphasizing the impact of gender-affirming hormone therapy on aspects like bone health and perioperative risks. To foster advancements in sex- and gender-specific orthopedics, we advocate for the strategic disaggregation of data by sex and gender and the inclusion of “Sexual Orientation and Gender Identity” (SOGI) data in research and clinical practice. Such measures can enrich clinical insights, ensure tailored patient care, and promote inclusivity within orthopedic treatments, ultimately enhancing the precision and effectiveness of care for diverse patient populations. Integrating sex and gender considerations into orthopedic research and practice is paramount for addressing the complex and varied needs of patients. By embracing this comprehensive approach, orthopedic medicine can move towards more personalized, effective, and inclusive treatment strategies, thereby improving patient outcomes and advancing the field.

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Section: Orthopedic Management Of Sexual Minority Individualsmentioning

confidence: 99%

Investigating and Practicing Orthopedics at the Intersection of Sex and Gender: Understanding the Physiological Basis, Pathology, and Treatment Response of Orthopedic Conditions by Adopting a Gender Lens: A Narrative Overview

Biz,

Khamisy-Farah,

Puce

et al. 2024

Biomedicines

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show abstract

“…c This article highlights a medical student's personal experience with witnessing intolerant behavior in orthopaedics [9].…”

Section: Read This Nextmentioning

confidence: 99%

“…Perhaps younger colleagues can help emphasize the importance of promoting an inclusive environment with more seasoned surgeons. Gender-neutral language, statements about commitment to diversity, and communications that contain gender pronouns are all small steps that can be taken toward promoting a supportive environment [9]. Jokes and other language that come at the expense of maintaining a safe, welcoming environment should not be told.…”

Section: How Do We Get There?mentioning

confidence: 99%

“…This article highlights a medical student’s personal experience with witnessing intolerant behavior in orthopaedics [9]. In this fascinating analysis, the authors surveyed orthopaedic surgeons to investigate their knowledge, attitudes, and practices in relation to the care of sexual and gender minority youth at two academic hospitals [2].…”

Section: Read This Nextmentioning

confidence: 99%

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CORR Insights®: What Is the Representation of Sexual and Gender Minority Identities Among Orthopaedic Professionals in the United States?

Kolin

2024

Clin Orthop Relat Res

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“…Dr. Adam Shaner, a nonbinary orthopaedic trauma surgeon, recently tweeted about “managing some of the worst injuries imaginable with calmness, and yet [having] palpitations at the thought of being out professionally,” and received resounding support throughout the orthopaedic and medical communities 19 . More recently, JBJS published an article by Dr. Douglas Weaver entitled “What’s Important: Applying to Orthopaedic Surgery as a Member of the LGBTQ Community” 20 that received a bigoted response on Twitter from an orthopaedic surgeon. This resulted in an outpouring of support through hundreds of comments from our community and allies, including JBJS and the American Academy of Orthopaedic Surgeons (AAOS).…”

Section: Supporting Lgbtq+ Orthopaedic Surgeonsmentioning

confidence: 99%

New Beginnings and Revealing Invisible Identities

Bellamy

Fralinger

Schultzel

et al. 2022

Journal of Bone and Joint Surgery

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What’s Important: Applying to Orthopaedic Surgery as a Member of the LGBTQ Community

Cited by 4 publications

References 6 publications

Investigating and Practicing Orthopedics at the Intersection of Sex and Gender: Understanding the Physiological Basis, Pathology, and Treatment Response of Orthopedic Conditions by Adopting a Gender Lens: A Narrative Overview

Investigating and Practicing Orthopedics at the Intersection of Sex and Gender: Understanding the Physiological Basis, Pathology, and Treatment Response of Orthopedic Conditions by Adopting a Gender Lens: A Narrative Overview

CORR Insights®: What Is the Representation of Sexual and Gender Minority Identities Among Orthopaedic Professionals in the United States?

New Beginnings and Revealing Invisible Identities

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