The Knee Examination for Video Telemedicine Encounters

Posted on 23.02.2021 - 15:13

Although over the past 2 decades improvements in audiovisual communication technologies have led to an increased use of telemedicine across many health care disciplines [1,27], it had not been widely adopted in orthopedic surgery and other musculoskeletal specialties within the United States until the onset of the COVID-19 pandemic [19]. However, mandated social distancing measures and restrictions on in-person consultations have forced both clinicians and patients to become familiar with web-based videoconferencing platforms for care delivery. To continue providing musculoskeletal care during the pandemic, there has been a dramatic increase in telemedicine visits [2,20]. Previous studies on telemedicine have shown that these visits increase access to care while having lower overall costs and maintaining patient satisfaction [5,9]. With increased access to high-speed videoconferencing platforms, widely available personal computing devices, and patient demand for high-quality, convenient, efficient specialty care, telemedicine is an effective medium for musculoskeletal care that will endure beyond the COVID-19 pandemic [2,19,20,22,24,28]. One particular challenge to the long-term adoption of telemedicine in musculoskeletal specialties has been a widely held perception that remote visits are markedly limited by the inability to perform an in-person physical examination [3,12,13,29,30]. In particular, it has been thought that examination maneuvers requiring manual motor testing for strength, motion assessment, stability, and provocative testing for pain may be difficult to perform remotely [20]. However, in a randomized controlled trial of orthopedic visits in which telemedicine encounters were compared with in-person consultations, physicians rated their ability to examine patients as good or very good in 98% of telehealth visits, with no significant differences between groups and no adverse safety events [4]. When specifically considering the physical examination of the knee, closer review suggests that most of the examination can actually be successfully performed remotely with some modifications.

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Taylor, Samuel A.; Lamplot, Joseph D.; Pinnamaneni, Sridhar; Swensen-Buza, Stephanie; Lawton, Cort D.; Dines, Joshua S.; et al. (2021): The Knee Examination for Video Telemedicine Encounters. SAGE Journals. Collection. https://doi.org/10.25384/SAGE.c.5315358.v1
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HSS Journal®: The Musculoskeletal Journal of Hospital for Special Surgery

AUTHORS (9)

Samuel A. Taylor
Joseph D. Lamplot
Sridhar Pinnamaneni
Stephanie Swensen-Buza
Cort D. Lawton
Joshua S. Dines
Danyal H. Nawabi
Warren K. Young
Scott A. Rodeo

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