Dr. Myriam Fraser

As an Chirurgien orthopédiste, Dr. Myriam Fraser diagnoses and treats a wide spectrum of injuries and conditions affecting the musculoskeletal system, including but not limited to:

Degenerative Joint Diseases

• Rheumatoid Arthritis (Orthopedic Management): Addressing the musculoskeletal consequences of autoimmune joint diseases in collaboration with rheumatologists.
• Osteoarthritis: Managing joint pain, stiffness, and loss of function caused by wear-and-tear arthritis affecting joints like the hip, knee, shoulder, hand, or spine.
• Avascular Necrosis (Osteonecrosis): Treating bone death caused by a loss of blood supply, commonly affecting the hip, knee, or shoulder, which can lead to joint collapse.

Bone Joint Disorders General

• Bone Infections (Osteomyelitis - Surgical Debridement): Operative treatment to remove infected bone and tissue.
• Tendonitis and Bursitis (Persistent/Severe): Surgical management for chronic or severe cases of tendon inflammation (tendonitis) or bursa inflammation (bursitis) unresponsive to conservative care.
• Nonunions and Malunions of Fractures: Surgical correction of fractures that have failed to heal (nonunion) or have healed in an incorrect position (malunion).

Sports Injuries

• Ligament Tears (e.g., ACL, MCL, Rotator Cuff): Diagnosing and treating tears of major ligaments in the knee (ACL, PCL, MCL, LCL), shoulder (rotator cuff, labrum), ankle, and elbow, often requiring surgical repair or reconstruction.
• Tendon Injuries (e.g., Achilles, Patellar, Biceps Tendon Rupture): Surgical and non-surgical management of acute tendon ruptures and chronic tendinopathies.
• Meniscus Tears: Managing tears of the meniscus (cartilage pads in the knee) through conservative treatment or arthroscopic surgery (repair or meniscectomy).
• Shoulder Instability and Dislocations: Addressing problems that cause the shoulder joint to slip out of place.

Traumatic Injuries

• Fractures (Broken Bones): Management of acute fractures of the upper extremity, lower extremity, and axial skeleton.
• Dislocations: Managing joint dislocations where bones are forced out of their normal position, often requiring reduction and immobilization.
• Sprains and Strains: Diagnosing and treating ligament sprains (stretching or tearing of ligaments) and muscle/tendon strains (injuries to muscles or tendons).
• Complex Musculoskeletal Trauma: Advanced surgical management for high-energy trauma affecting the musculoskeletal system.

This list provides examples of conditions commonly managed. A comprehensive diagnosis and treatment plan, which may be surgical or non-surgical, are always based on an individual assessment by Dr. Fraser, typically following referral. If your specific concern isn't listed, please discuss with your referring physician or contact the clinic.

• Hip Replacement Surgery (Total & Partial): Surgical reconstruction of the hip joint, including total hip arthroplasty and hemiarthroplasty, for conditions like osteoarthritis, rheumatoid arthritis, or hip fractures.
• Diagnostic Imaging Interpretation (Musculoskeletal): Integrating imaging findings with clinical assessment to guide treatment decisions.
• Knee Replacement Surgery (Total & Partial): Advanced techniques to restore knee function and alleviate pain through arthroplasty.
• Therapeutic Joint and Soft Tissue Injections: Utilizing image guidance (e.g., ultrasound) for precise injection placement when necessary.
• Shoulder Replacement Surgery: Performing total shoulder arthroplasty and reverse total shoulder arthroplasty for conditions like osteoarthritis, rotator cuff tear arthropathy, and complex fractures.

Note: This list highlights some of the key services offered by Dr. Fraser. Not all services may be listed, and the suitability of any procedure or treatment depends on individual assessment and referral. For a comprehensive understanding or to discuss your specific medical needs, please schedule a consultation.

All surgical and non-surgical treatments by Dr. Myriam Fraser adhere to the scope of practice for Chirurgien orthopédistes in QC and the standards of The Collège des médecins du Québec (CMQ).

At Clinique médicale Pierre Boucher, the focus is on partnering with you to restore function, alleviate pain, and help you return to your desired activities. Dr. Fraser frequently works with patients towards outcomes such as:

• At Dr. Fraser's clinic, addressing pain and weakness after a bad fall or accident means focusing on patient goals. Achieving improved mobility and ability to walk, climb stairs, or move more freely helps them get back to enjoying life, including being able to dressing themselves, including putting on socks and shoes.
• With Dr. Fraser's compassionate and skilled orthopedic care, managing their hip hurting all the time, making it hard to sleep or get around is focused on achieving a clear diagnosis and understanding of their musculoskeletal condition. This empowers patients to get back to what they love, such as being able to reaching overhead or behind their back comfortably (for shoulder issues) without severe physical limitations.
• It's always a professional highlight for Dr. Fraser to see patients who were troubled by their child being born with a clubfoot or hip problems successfully achieve learning strategies to prevent re-injury or manage their chronic condition. This directly translates to their ability to return to and enjoy important activities like performing personal hygiene tasks independently.

Your personalized treatment plan, whether surgical or non-surgical, developed in consultation with Dr. Fraser, will be carefully designed to help you achieve your specific musculoskeletal goals. Dr. Fraser is committed to providing expert orthopedic care to help you regain mobility and improve your quality of life.

Dr. Fraser's practice, Clinique médicale Pierre Boucher, is situated in the Vieux-Longueuil (Longueuil West) neighborhood of Longueuil. The clinic is conveniently located near Place Longueuil and is accessible via Réseau de transport de Longueuil (RTL). Please inquire about parking options if you have mobility concerns.

What can I expect at my first orthopedic consultation with Dr. Fraser at Clinique médicale Pierre Boucher?

The first visit will typically involve a comprehensive musculoskeletal assessment. This includes a detailed discussion of your medical history, the specific problem (e.g., pain, injury, loss of function), how it started, what makes it better or worse, and its impact on daily activities and quality of life. Dr. Fraser will review any previous treatments and will perform a thorough physical examination of the affected area(s), assessing range of motion, strength, stability, and tenderness. Any prior imaging (X-rays, MRI, CT scans) will be reviewed. Based on this evaluation, Dr. Fraser will discuss her diagnostic impressions, may recommend further investigations if needed, and will outline potential treatment options, both non-surgical and surgical, working with you to establish goals.

What does an Orthopedic Surgeon like Dr. Fraser do?

An Orthopedic Surgeon like Dr. Fraser is a medical doctor (physician) who specializes in diagnosing, treating, preventing, and rehabilitating injuries and diseases of the body's musculoskeletal system. This includes bones, joints, ligaments, tendons, muscles, and nerves. They manage a wide range of conditions such as fractures, arthritis, sports injuries, spinal disorders, and congenital deformities. While they are surgeons, Orthopedic Surgeons use both surgical methods (like joint replacements, fracture repair, arthroscopy) and non-surgical methods (like medication, injections, bracing, or recommending physiotherapy) to treat patients. Their goal is to restore function, alleviate pain, and improve quality of life.

Are services provided by an Orthopedic Surgeon like Dr. Fraser covered by provincial health insurance (e.g., Régie de l'assurance maladie du Québec (RAMQ))?

Most physician consultations, medically necessary assessments, and approved surgical procedures by a registered Orthopedic Surgeon like Dr. Fraser are typically covered by provincial health plans such as Régie de l'assurance maladie du Québec (RAMQ) in QC, provided the patient has a valid health card and appropriate referral. Diagnostic imaging ordered is also usually covered. However, some specific items like certain braces, custom orthotics, or advanced biologic injections may not be fully covered or may have associated fees. It's always best for patients to inquire with Clinique médicale Pierre Boucher about any potential out-of-pocket costs and to check with their private insurance, if any, regarding coverage for adjunctive therapies or devices.

How long is the recovery time after orthopedic surgery with Dr. Fraser?

Recovery time after orthopedic surgery varies greatly depending on the type of surgery performed (e.g., arthroscopy vs. joint replacement vs. fracture fixation), the specific joint or bone involved, the patient's age and overall health, and their adherence to the post-operative rehabilitation plan. Some minor procedures may have a recovery of a few weeks, while major surgeries like total joint replacements can take several months for full recovery and return to all activities. Dr. Fraser will discuss the expected recovery timeline for a specific procedure during the pre-operative consultation.

Do I typically need a referral to see an Orthopedic Surgeon like Dr. Fraser?

Yes, in QC, a referral from a family doctor (GP) or another specialist (e.g., sports medicine physician, rheumatologist) is generally required to see an Orthopedic Surgeon like Dr. Fraser for consultations and potential surgical treatments covered by provincial health plans like Régie de l'assurance maladie du Québec (RAMQ). This referral helps ensure the consultation is appropriate and that Dr. Fraser has the necessary background medical information. Speak with your primary care physician or referring doctor if you believe you need an orthopedic surgical assessment.

How does Dr. Fraser treat broken bones (fractures)?

Orthopedic Surgeons like Dr. Fraser are experts in treating all types of bone fractures. Treatment depends on the type and severity of the fracture, its location, and the patient's overall health. Non-surgical treatment may involve realigning the bone (reduction) and then immobilizing it with a cast, splint, or brace to allow it to heal. Surgical treatment might be necessary for more complex fractures, open fractures (where the bone breaks the skin), or fractures that are unlikely to heal well with casting alone. Surgical options include internal fixation (using plates, screws, rods, or pins to hold the bone pieces together) or external fixation (using a frame outside the body connected to pins in the bone). Dr. Fraser will determine the most appropriate treatment to ensure the bone heals correctly and function is restored.

What is joint replacement surgery, and when might Dr. Fraser recommend it?

Joint replacement surgery, or arthroplasty, is a procedure where damaged or arthritic parts of a joint (like the hip, knee, or shoulder) are removed and replaced with artificial components (prostheses) made of metal, plastic, or ceramic. Dr. Fraser might recommend joint replacement if a patient has severe joint pain and loss of function, typically due to advanced osteoarthritis, rheumatoid arthritis, or a significant injury, and non-surgical treatments (like medication, injections, physiotherapy) are no longer providing adequate relief. The goal is to reduce pain, improve mobility, and enhance quality of life.

Clinique médicale Pierre Boucher
365-1615 boul Jacques Cartier E
Longueuil, QC, J4M 2X1

Phone: (450) 463-2034

Dr. Myriam Fraser is a licensed Chirurgien orthopédiste in QC, regulated by The Collège des médecins du Québec (CMQ) under the Code des professions & Loi médicale (Québec).

License Number: 80137

Verify registration with The Collège des médecins du Québec (CMQ): https://www.cmq.org/en/directory/physicians?number=80137

A referral from a family physician or another specialist is generally required to see Dr. Fraser. Dr. Fraser and the team are dedicated to providing expert orthopedic care. If you have a medical emergency, please proceed to the nearest hospital emergency department or call 911.