Telemedicine in Hand and Upper-Extremity Surgery

Grandizio, Louis C.; Foster, Brian K.; Klena, Joel C.

doi:10.1016/j.jhsa.2019.09.007

Cited by 63 publications

(74 citation statements)

References 17 publications

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“…A review of telehealth in upper extremity orthopaedic surgery demonstrated that postoperative wound complications can be easily recognized during telehealth encounters. 23 With an increasing emphasis on value-based health care, 51 the cost savings associated with telehealth visits will likely drive an increase in the number of telehealth patient encounters in the coming years. Multiple studies on telehealth visits in orthopaedics have demonstrated reduced costs and similar clinical outcomes when compared with traditional outpatient visits.…”

Section: Current and Future Directions For Telehealth In Sports Medicinementioning

confidence: 99%

“…48,62 Web-based videoconferencing platforms are widely available, are user-friendly, and enable face-to-face patient-clinician interaction. 23 As a consequence of social distancing measures and imposed restrictions on in-person evaluations, clinicians and patients have been forced to embrace videoconferencing regardless of their previous notions. Several studies across an array of medical disciplines have reported that, compared with in-person visits, telehealth visits have similar patient satisfaction levels while concomitantly reducing travel costs, visit times, wait times, and overall health care costs.…”

mentioning

confidence: 99%

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The Virtual Shoulder and Knee Physical Examination

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Pinnamaneni

Swensen-Buza

et al. 2020

Orthopaedic Journal of Sports Medicine

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The COVID-19 crisis has forced a sudden and dramatic shift in the way that clinicians interact with their patients, from outpatient encounters to telehealth visits utilizing a variety of internet-based videoconferencing applications. Although many aspects of pre–COVID-19 outpatient sports medicine care will ultimately resume, it is likely that telehealth will persist because of its practicality and because of patient demand for access to efficient and convenient health care. Physical examination is widely considered a critical obstacle to a thorough evaluation of sports medicine patients during telehealth visits. However, a closer reflection suggests that a majority of the examination maneuvers are possible virtually with limited, if any, modifications. Thus, we provide a comprehensive shoulder and knee physical examination for sports medicine telehealth visits, including (1) verbal instructions in layman’s terms that can be provided to the patient before or read verbatim during the visit, (2) multimedia options (narrated videos and annotated presentations) of the shoulder and knee examination that can be provided to patients via screen-share options, and (3) a corresponding checklist to aid in documentation.

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Section: Current and Future Directions For Telehealth In Sports Medicinementioning

confidence: 99%

mentioning

confidence: 99%

The Virtual Shoulder and Knee Physical Examination

Lamplot

Pinnamaneni

Swensen-Buza

et al. 2020

Orthopaedic Journal of Sports Medicine

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show abstract

“…In particular, new services such as telehealth, virtual visits, and online tools for postoperative rehabilitation have been developed. 29,30 These technologies will accompany virtual and enhanced reality training and digitalisation of meetings in the healthcare system in the future.…”

Section: Discussionmentioning

confidence: 99%

Impact of the COVID-19 Pandemic on Trauma and Orthopaedic Service in the Republic of Ireland

Elbardesy

2020

EMJ Microbiol Infect Dis

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Background: The novel coronavirus disease-2019 (COVID-19) has been identified as the cause of a rapidly spreading respiratory illness that is thought to have originated from Wuhan, China in early December 2019. Since then, the free movement of people has decreased, which has thus reduced the number of trauma-related casualties. The Irish governments initiated strict social distancing measures in response to the COVID-19 pandemic in late March 2020. It remains challenging to quantify the impact this had on reducing the spread of the virus. The viral outbreak has led to significant changes in the lifestyle of Irish citizens. The aim of this study was to examine the impact of the pandemic on activity, related to emergencies in trauma and orthopaedics departments. Methods: Patients admitted to the Trauma and Orthopaedic Department at Cork University Hospital (CUH), Cork, Ireland and South Infirmary Victoria University Hospital (SIVUH), Cork, Ireland between the 1st of March and the 15th of April 2020 were documented and compared to the patient admissions from the same time period in 2019. Results: The total numbers of lower limb trauma cases dropped by 20.44% from 137 (females: 87; males: 50) to 109 (females: 74; male: 35), (p=0.72). Of note, there was a 30.00% reduction in the number of male cases (from 50 to 35; p<0.05), in comparison to the 14.94% reduction observed in the female population (from 87 to 74; p<0.05). The total number of upper limb trauma cases increased by 0.14% from 90 (female: 44; men: 46) to 94 (female: 54; male: 40; p=0.14). The increase reported was only applicable to the female population; the number of male cases of upper limb trauma slightly decreased from 46 to 40 (p<0.005). Conclusion: The COVID-19 crisis has led to a decrease in the total numbers of lower limb trauma surgeries but an increase in the number of upper limb fractures. The main reduction was amongst the male patients, while the number of female cases increased.

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“…2,12,14,15 Several authors have proposed that telehealth services may be best used in a postoperative setting. 1,6,13 Abel et al compared in-person and virtual visits completed 24 hours apart for patients who underwent arthroscopic knee surgery. These authors observed strong agreement between in-person and virtual visits in their documentation of range of motion, incision characteristics, and effusion size.…”

Section: Benefits Of Telehealthmentioning

confidence: 99%

The Virtual Foot and Ankle Physical Examination

et al. 2020

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The COVID-19 pandemic has necessitated a rapid and drastic shift for clinicians and patients away from traditional in-person visits and toward Internet-based virtual visits. The adoption of telehealth services is likely to persist in some capacity even as in-person visits resume, given the convenience and efficiency of telehealth consultations for patients and perhaps surgeons. A primary challenge of virtual visits, particularly in the field of orthopedic surgery, is the physical examination. However, for the foot and ankle, routine physical examination maneuvers can be completed virtually with little modification given proper patient instruction. We present a comprehensive virtual foot and ankle examination for telehealth visits, including instructions that can be provided to patients verbatim and a corresponding checklist for provider documentation. Level of Evidence: Level V, expert opinion.

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Telemedicine in Hand and Upper-Extremity Surgery

Cited by 63 publications

References 17 publications

The Virtual Shoulder and Knee Physical Examination

The Virtual Shoulder and Knee Physical Examination

Impact of the COVID-19 Pandemic on Trauma and Orthopaedic Service in the Republic of Ireland

The Virtual Foot and Ankle Physical Examination

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