AI Scribe for Orthopedic Surgeons
Document fractures, joint replacements, and sports injuries in seconds. PatientNotes captures ROM measurements, special tests, and fracture classifications with precise orthopedic terminology.
Documentation for Every Orthopedic Visit
From trauma to sports medicine, PatientNotes handles all orthopedic documentation needs
Fracture Management
Fracture classification, reduction documentation, casting/splinting, and follow-up healing assessment.
Joint Replacement Surgery
Pre-op planning, operative notes for THA/TKA, implant documentation, and post-op rehabilitation.
Sports Injuries
ACL/MCL tears, meniscal injuries, rotator cuff tears, and return-to-play assessments.
Arthroscopy Procedures
Knee, shoulder, hip, and ankle arthroscopy with detailed findings and interventions performed.
Spine Consultations
Back pain evaluation, radiculopathy assessment, spinal imaging review, and surgical candidacy.
Post-Operative Follow-up
Wound checks, hardware assessment, range of motion progress, and rehabilitation monitoring.
Orthopedic-Specific Features
Built for the unique documentation needs of orthopedic surgery
Fracture Classification Systems
Automatic application of AO/OTA, Garden, Neer, Schatzker, and other classification systems based on fracture description and imaging.
Range of Motion Documentation
Structured ROM measurement capture for all joints with comparison to normal values and contralateral side.
Implant & Hardware Tracking
Document surgical implants including manufacturer, size, lot number, and positioning for joint replacements and fracture fixation.
Special Test Documentation
Capture Lachman, McMurray, Hawkins-Kennedy, and other orthopedic special tests with standardized grading.
Imaging Integration
Document X-ray, MRI, and CT findings with anatomic correlation. Reference imaging findings in clinical assessment.
Rehabilitation Planning
Generate post-op protocols and physical therapy prescriptions based on procedure and surgeon preferences.
Sample AI-Generated Orthopedic Note
See how PatientNotes documents an ACL tear evaluation
SUBJECTIVE: 28-year-old male presents for evaluation of right knee injury sustained during soccer game 2 days ago. Patient reports planting right foot and twisting with immediate pop, pain, and swelling. Unable to continue playing. Knee feels unstable with giving way sensation. No prior knee injuries. OBJECTIVE: Vital Signs: Stable Examination of Right Knee: Inspection: Moderate effusion, no ecchymosis, no deformity Palpation: Joint line tenderness medially, no focal bony tenderness Range of Motion: 5-120 degrees (limited by pain and effusion) - Compared to left: 0-140 degrees Ligamentous Testing: - Lachman test: 2+ positive with soft endpoint (vs 0 on left) - Anterior drawer: 1+ positive - Pivot shift: Unable to perform due to pain and guarding - Varus/valgus stress: Stable at 0 and 30 degrees Special Tests: - McMurray: Negative - Apley compression: Negative Neurovascular: Dorsalis pedis 2+, sensation intact, 5/5 ankle dorsiflexion/plantarflexion Imaging Review: X-rays (AP, lateral, tunnel, sunrise): No fracture, normal alignment, joint space preserved MRI right knee (reviewed): - Complete tear of ACL at mid-substance - Bone contusion lateral femoral condyle and lateral tibial plateau - Intact PCL, MCL, LCL - Medial and lateral menisci intact ASSESSMENT: 1. Complete tear of anterior cruciate ligament, right knee (traumatic) 2. Bone contusion lateral femoral condyle and proximal tibia 3. Knee joint effusion (hemarthrosis) PLAN: 1. Discussed diagnosis, natural history, and treatment options 2. Recommend ACL reconstruction given age, activity level, and instability symptoms 3. Physical therapy pre-operative: focus on ROM, quad strengthening, gait normalization 4. Surgical planning: Arthroscopic ACL reconstruction with hamstring autograft 5. Risks discussed including infection, stiffness, re-tear, neurovascular injury, DVT 6. Patient elects to proceed with surgery 7. Pre-operative appointment scheduled, surgery scheduled for 2 weeks 8. Prescribed: Crutches, knee brace, ibuprofen 600mg TID with food 9. Return to clinic for pre-op visit in 1 week
Intelligent ICD-10 Suggestions
PatientNotes suggests the codes most commonly used in orthopedics
S82.001AFracture of unspecified patella, initial encounterM25.561Pain in right kneeM17.11Unilateral primary osteoarthritis, right kneeS83.511ASprain of anterior cruciate ligament of right knee, initialM75.100Unspecified rotator cuff tear, unspecified shoulderM16.11Unilateral primary osteoarthritis, right hipS72.001AFracture of unspecified part of neck of right femur, initialM54.5Low back painAI suggests relevant codes based on your documentation—review and select with one click.
Frequently Asked Questions
Can PatientNotes document fracture classifications?
Yes. PatientNotes captures detailed fracture descriptions including anatomic location, fracture pattern (transverse, oblique, comminuted), displacement, angulation, and classification systems (Garden, AO/OTA, Neer, etc.). It integrates imaging findings with clinical examination.
Does PatientNotes handle joint examination documentation?
Yes. PatientNotes documents comprehensive joint exams including range of motion measurements, stability testing (Lachman, drawer, varus/valgus stress), special tests, and comparison to contralateral side.
Can I create operative notes for joint replacements?
Yes. PatientNotes has specialized templates for total hip arthroplasty, total knee arthroplasty, and other joint replacements including implant details, approach, alignment, cement/cementless fixation, and component sizes.
How does PatientNotes handle sports medicine documentation?
PatientNotes includes templates for ACL reconstruction, meniscal repair, rotator cuff repair, and other sports injuries. Documentation includes mechanism of injury, special tests, MRI correlation, and return-to-play planning.
See More Patients, Document Less
Join orthopedic surgeons saving 2+ hours daily on documentation. PatientNotes handles the charting so you can focus on your patients.
No credit card required. $50/month after trial.