Distal Biceps Tendon Rupture Videos on YouTube: An Analysis of Video Content and Quality

Foster, Brian K.; Malarkey, William M.; Maurer, Timothy C.; Rocha, Daniela F. Barreto; Udoeyo, Idorenyin F.; Grandizio, Louis C.

doi:10.1016/j.jhsg.2021.10.009

Cited by 10 publications

(10 citation statements)

References 26 publications

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“…24 It is also possible that surgical technique videos or those uploaded for surgeon training may have low quality and reliability points according to patients as they are not the target mass. 25 The high number of surgical videos in this study may have been a reason for the insufficiency on the subject of patient education.…”

Section: Discussionmentioning

confidence: 95%

YouTube provides insufficient information on patellofemoral instability

Yüce¹,

İğde²,

Ergün³

et al. 2022

AOTT

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Objective: Videos uploaded to YouTube do not go through a review process, and therefore, videos related to patellofemoral instability may have little educational value. The purpose of this study was to assess the educational quality of YouTube videos regarding patellofemoral instability. Methods: A standard search was performed on the YouTube database using the following terms: “unstable kneecap,” “patellar instability,” “patellofemoral instability,” “kneecap dislocation,” and “patellar dislocation,” and the top 50 videos based on the “relevance” assignment of the YouTube algorithm were included for analysis. The properties, content, and source of each video were recorded. The educational quality of videos was analyzed according to scores obtained using DISCERN, the criteria of Journal of the American Medical Association , Global Quality Score, and Patellofemoral Instability Specific Score, and the quality of the videos was evaluated according to the groupings of these scoring systems. Results: A total of 250 videos were identified, of which 89 were included in the study for analysis. The mean video duration was 11.72 ± 22.03 minutes. The median number of views was 4516.5 (range, 3-6 044 971). The content of the videos was disease-specific in 60%, 20% were related to surgical technique or approach, and 14.1% were exercise videos. Most of the videos were uploaded by physicians (33.7%). The Global Quality Score and DISCERN scores were significantly correlated with video duration. The Patellofemoral Instability Specific Score was significantly correlated with video duration, number of views, view rate, likes, and Video Power Index. According to the DISCERN classification, 69.9% of the videos were very insufficient or insufficient. According to the Patellofemoral Instability Specific Score, 65.2% of videos were evaluated as very low or low. According to the Global Quality Score, 60.7% of videos were rated as poor quality. Conclusion: The quality of YouTube videos about Patellofemoral instability is insufficient. It was found that viewers tend to watch short and low-quality videos.

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Section: Discussionmentioning

confidence: 95%

YouTube provides insufficient information on patellofemoral instability

Yüce¹,

İğde²,

Ergün³

et al. 2022

AOTT

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“…According to a recent YouTube analysis of distal biceps tendon rupture [ 9 ], the videos submitted by academic sources did not appear to be of a higher caliber than those uploaded by non-academic sources. Our results differ from those of Brian et al as tendon repair surgery videos posted by academic sources received higher content or quality ratings than those from non-academic sources [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

YouTube as a Patient Information Source for Tendon Repair Surgery

Mishra,

Maniar,

Moody

et al. 2023

Cureus

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Background For tendon rupture, a disabling musculoskeletal injury, surgical management is considered the gold standard. The goal is to reduce complications and enable the patient to regain full mobility and strength. With the rise of modern internet accessibility and social media, YouTube has become a frequently used platform for all ages; however, the accuracy and reliability of the videos and the information therein may be a point of concern. Methodology This cross-sectional, observational study was designed to analyze tendon repair surgery information available on YouTube. Data were collected using a Google Forms questionnaire which included questions analyzing the videos and their content and the professional status of the uploaders. Quality and reliability scores were assessed through the Global Quality Score (GQS), reliability score, and Video Power Index (VPI). Statistical analysis was performed using SPSS software (IBM Corp., Armonk, NY, USA). We included videos one minute to twenty minutes in length that were relevant to the topic of tendon repair surgery and in the English language. Results A total of 82 videos were evaluated, of which 67 videos were chosen. A comparison of GQS, reliability score, and VPI based on the type of uploader was done using the Kruskal-Wallis test. The association between GQS and reliability score with that of the video uploader was found to be statistically significant (p < 0.05). Videos uploaded by hospitals had the highest GQS (4) and reliability score (4). Conclusions On comparing the uploader type, videos uploaded by hospitals had good quality and were useful for patients. The quality and reliability of the videos were almost above average. Only half discussed the signs and symptoms and even fewer discussed pre- and post-procedural care. The most important aspect, i.e., prevention, was mentioned in none of the videos. Due to our limitations, expanding the number of accounts used for search and increasing the number of videos might overcome the search algorithm.

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“…Consequently, we had to be rigorous in our inclusion criteria to ensure that videos were of sufficient quality to perform accurate analysis. Indeed, in a study looking at quality of YouTube videos in relation to DBTR, Foster et al 14 concluded that the overall quality was poor, although the scope of their study was to analyze content rather than visual clarity. They also reported that videos posted by academic and non-academic sources were of similar poor standard with reference to content and information.…”

Section: Discussionmentioning

confidence: 99%

Challenging the mechanism of distal biceps tendon rupture using a video analysis study

et al. 2022

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Aims The conventionally described mechanism of distal biceps tendon rupture (DBTR) is of a ‘considerable extension force suddenly applied to a resisting, actively flexed forearm’. This has been commonly paraphrased as an ‘eccentric contracture to a flexed elbow’. Both definitions have been frequently used in the literature with little objective analysis or citation. The aim of the present study was to use video footage of real time distal biceps ruptures to revisit and objectively define the mechanism of injury. Methods An online search identified 61 videos reporting a DBTR. Videos were independently reviewed by three surgeons to assess forearm rotation, elbow flexion, shoulder position, and type of muscle contraction being exerted at the time of rupture. Prospective data on mechanism of injury and arm position was also collected concurrently for 22 consecutive patients diagnosed with an acute DBTR in order to corroborate the video analysis. Results Four videos were excluded, leaving 57 for final analysis. Mechanisms of injury included deadlift, bicep curls, calisthenics, arm wrestling, heavy lifting, and boxing. In all, 98% of ruptures occurred with the arm in supination and 89% occurred at 0° to 10° of elbow flexion. Regarding muscle activity, 88% occurred during isometric contraction, 7% during eccentric contraction, and 5% during concentric contraction. Interobserver correlation scores were calculated as 0.66 to 0.89 using the free-marginal Fleiss Kappa tool. The prospectively collected patient data was consistent with the video analysis, with 82% of injuries occurring in supination and 95% in relative elbow extension. Conclusion Contrary to the classically described injury mechanism, in this study the usual arm position during DBTR was forearm supination and elbow extension, and the muscle contraction was typically isometric. This was demonstrated for both video analysis and ‘real’ patients across a range of activities leading to rupture. Cite this article: Bone Jt Open 2022;3(10):826–831.

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Distal Biceps Tendon Rupture Videos on YouTube: An Analysis of Video Content and Quality

Cited by 10 publications

References 26 publications

YouTube provides insufficient information on patellofemoral instability

YouTube provides insufficient information on patellofemoral instability

YouTube as a Patient Information Source for Tendon Repair Surgery

Challenging the mechanism of distal biceps tendon rupture using a video analysis study

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