Orthopedics and Musculoskeletal Triage, Imaging Review, and Specialist Support

> Product boundary: CareScreen closes screening care gaps: eligibility from the chart/EHR, in-clinic capture (devices and questionnaires), async specialist interpretation, and structured results back to the PCP EMR. ConsultBridge is a separate FabrixMed product for live provider-to-provider specialty consults. CareScreen does not require ConsultBridge. Referral recommendations from screening are documented in the EMR; the PCP handles next steps through normal clinical workflow. /by-specialty/orthopedics /by-specialty/musculoskeletal /by-specialty/msk These URLs can land on the same page. Orthopedic and musculoskeletal complaints are among the most common reasons patients seek care. Patients present with fractures, sprains, strains, joint pain, back pain, neck pain, shoulder injuries, knee injuries, hip pain, sports injuries, work injuries, falls, post-operative concerns, swelling, functional limitation, and abnormal imaging across urgent care centers, emergency departments, primary care clinics, rural clinics, SNFs, ALFs, correctional facilities, employer clinics, mobile health programs, and post-discharge settings. Some cases need immediate emergency escalation. Some need orthopedic review. Some need imaging review. Some need physical therapy or rehabilitation. Some need referral tracking and closed-loop follow-up. FabrixMed helps healthcare organizations build a structured orthopedic and MSK access layer with independent FabrixMed products (each specialty may use CareScreen, ConsultBridge, or both — no required handoff between them):

CareScreen and ConsultBridge independently support MSK concerns to the right specialist pathway — no product handoff required.

• ConsultBridge supports provider-to-specialist orthopedic/MSK consults, imaging-review support, injury triage, fracture/dislocation routing, post-operative concern review, and specialist recommendations.
• CareScreen supports MSK symptom intake, injury documentation, mobility/function tracking, referral tracking, physical therapy follow-up, post-op follow-up, and care-gap closure.

FabrixMed supports orthopedic and musculoskeletal workflows through both ConsultBridge and CareScreen.

ConsultBridge helps treating clinicians submit structured orthopedic/MSK questions to the right specialist. An orthopedic/MSK consult request can include:

The specialist reviews the submitted information and returns recommendations through the platform. The treating clinician remains responsible for bedside assessment, diagnosis, immobilization, treatment, prescribing, procedures, emergency escalation, transfer decisions, monitoring, and final patient management.

A patient presents to urgent care with ankle injury, knee pain, shoulder pain, wrist injury, back pain, swelling, or difficulty bearing weight. With ConsultBridge:

This supports better orthopedic routing without replacing local clinical judgment.

A resident falls or develops new pain, swelling, reduced mobility, or post-operative concern. The facility may default to ED transfer because specialist input is unavailable. With FabrixMed:

This supports better documentation and may reduce avoidable transfers when clinically appropriate.

A patient has pain, swelling, wound concern, mobility issue, medication question, hardware concern, or delayed follow-up after surgery. CareScreen can track symptoms, mobility, wound status, follow-up appointment completion, physical therapy status, and restrictions. ConsultBridge can route appropriate cases to the orthopedic provider group or contracted specialist pathway. Emergency red flags remain governed by local protocols.

CareScreen supports MSK intake, injury documentation, recovery monitoring, and follow-up workflows. It is especially useful in urgent care, primary care, employer clinics, occupational health, SNFs, correctional facilities, home health, rehab, ACOs, CINs, and health plans. CareScreen can help teams identify and track:

CareScreen does not replace orthopedic consultation. It helps identify who needs action and route them into the right pathway.

A primary care clinic sees patients with joint pain, back pain, sports injuries, chronic pain overlap, suspected arthritis, or functional decline. CareScreen can help capture symptoms, function, imaging status, and referral status. The pathway may include:

This helps reduce passive referrals and creates a closed-loop MSK pathway.

• primary care follow-up
• EMR-documented referral recommendations after CareScreen screening (live orthopedic consult via ConsultBridge only if the organization uses that separate product)
• sports medicine referral
• physical therapy referral
• rheumatology referral
• pain management referral
• emergency escalation if red flags are present
• care management follow-up

A patient is referred to physical therapy after injury, surgery, fall, or chronic MSK condition. CareScreen can track:

If the patient fails to improve or develops red flags, ConsultBridge can route the case for specialist review.

• referral completion
• visits started
• functional progress
• pain/function score if used
• mobility milestones
• return-to-work or return-to-activity status
• specialist follow-up

Traditional telemedicine is often a video visit. Orthopedic and MSK support often needs more than a visit. Effective MSK support depends on:

ConsultBridge helps route the specialist question and MSK context. CareScreen helps track injury, function, recovery, referrals, and follow-up. CareScreen and ConsultBridge each support orthopedic/MSK access — as independent products (no integrated handoff).

ConsultBridge and CareScreen can create value by helping organizations:

Treating clinicians can access orthopedic/MSK input for cases that exceed routine pathways but may not require immediate in-person specialist care.

Specialist-supported review may help facilities determine which patients require transfer and which may be managed locally or followed outpatient when clinically appropriate.

CareScreen can help track restrictions, PT, mobility, wound concerns, follow-up visits, and recovery milestones.

Health systems, ACOs, CINs, health plans, urgent care groups, and employer clinics can extend orthopedic/MSK expertise across more sites.