Research summary, original research, 2021

Occupational hazard of fluoroscopy: An invisible threat to orthopedic surgeons

Wan RC, Chau WW, Tso CY, Tang N, Chow SK, Cheung WH, et al.. Journal of Orthopaedics Trauma and Rehabilitation. 2021

Read the original paper

In plain language

In a survey of 28 orthopaedic surgeons in one academic department, almost all reported wearing lead aprons, but few used thyroid shields, eyewear or gloves, and about half positioned the fluoroscope incorrectly, suggesting a need for more training.

At a glance

Type of study
Original research, Cross-sectional survey
Who was studied
Orthopedic surgeons
Size
n = 28 orthopaedic surgeons
Summary based on
the abstract

What it found

  • Nearly all respondents reported always wearing a lead apron.

    Key figures: 96.4%

  • Use of other protective equipment was low: a third used a thyroid shield, most never used goggles, and almost none used protective gloves.

    Key figures: 33% thyroid shield; 67% never goggles; 96% never gloves

  • About half of surgeons positioned the fluoroscope incorrectly in AP and lateral views.

    Key figures: 53.6% AP; 46.4% lateral

  • The accompanying literature review described hazards including cataracts, radiation dermatitis, skin cancer and thyroid cancer, plus risks specific to women.

  • Authors strongly advise education and training on radiation hazards.

Limits to keep in mind

Small single-department self-reported survey (28 respondents) with no dose measurement; the literature review portion is narrative and its methods are not described in the abstract.

How this summary was made

ORSIF prepared this summary with AI assistance from the abstract of the paper. A program then checked that the passage supporting each finding appears word for word in that source. A person has not yet reviewed each summary, so read the original before relying on a number. ORSIF summarizes research and does not endorse any product or company. Report a problem with this summary.

Prepared November 3, 2026.