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Examining the Hand in the Video Consultation
Kristian Welle1, Stefan Täger2, Roslind Karolina Hackenberg2
1Department of Orthopaedics and Trauma Surgery, Bonn University Medical Centre, Germany.
Zeitschrift Fur Orthopadie Und Unfallchirurgie
|January 21, 2021
Summary
Online video consultations enable effective telediagnosis in hand surgery, accurately assessing range of motion and symptoms. This method complements in-person visits, improving patient care beyond the COVID-19 pandemic.
Area of Science:
- Orthopedics
- Digital Health
- Surgical Innovation
Background:
- The COVID-19 pandemic necessitated remote patient care solutions, particularly in specialized fields like hand surgery.
- Existing literature supports the use of images for telediagnosis in hand emergencies.
- This study investigates the feasibility of online video consultations for hand surgery patients.
Purpose of the Study:
- To assess the feasibility and accuracy of online video consultations for hand surgery examinations.
- To compare the diagnostic capabilities of video consultations with direct physical examinations.
- To determine the potential of telemedicine to supplement traditional hand surgery care.
Main Methods:
- A structured examination protocol was developed for online video consultations.
- Medical history, motor skills, sensitivity, strength, and function tests were assessed.
- Thirty hand examinations were conducted via video and then in-person, with results compared.
Main Results:
- High correlation (R=0.995) was found in range of motion measurements between video and direct examinations.
- 84.6% of video measurements showed <5° deviation, and 92.8% showed <10° deviation from direct exams.
- Video consultations demonstrated feasibility for assessing medical history, sensitivity, function, and strength, though deficits were noted in scar detection and haptic feedback.
Conclusions:
- Online video consultations provide sufficient documentation for hand and finger movements (range of motion) and symptom evaluation.
- While not a replacement for direct examination, telemedicine effectively complements hand surgery patient care.
- The utility of video consultations extends beyond the COVID-19 pandemic, offering a valuable tool for ongoing patient management.
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