The Hip Physical Examination for Telemedicine Encounters

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

doi:10.1177/1556331620975708

Cited by 8 publications

(15 citation statements)

References 20 publications

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“…The exam begins with inspection of the frontal, sagittal and posterior views of the patient to assess for asymmetry of the iliac crests, pelvic tilt and PSIS imbalance, respectively. 11 , 30 The examiner can instruct the patient to perform a double leg squat and if possible, single leg squat to assess for dynamic medial knee valgus or medial movement of the knee during the squat. In addition, climbing up and down stairs, running, jumping, hopping on one-foot, single leg stance and rising from sitting on the floor can be assessed in younger children.…”

Section: Hipsmentioning

confidence: 99%

“…The supine patient should perform active internal and external rotation with the hips flexed at 90°, noting the furthest position which does not cause any discomfort. 4 , 11 , 30 , 31 If a caregiver is present, they can perform the same maneuvers passively as well as a leg roll to assess for internal and external rotation. 13 In a seated position, the provider can assess for the same motions using a seated FABER test 21 or with a towel wrapped around the patient’s ankle to assist in pulling the lower leg inwards or outwards.…”

Section: Hipsmentioning

confidence: 99%

“… 55 FABER (intra-articular hip pathology) No* Patient is asked to perform flexion, abduction and external rotation of the hip while seated or supine. 4 , 11 , 20 , 21 , 30–32 Patient or caregiver can stabilize the opposite pelvis with one hand while applying downward pressure on the contralateral medial knee. FADER + isometric IR (greater trochanteric pain syndrome) Yes Patient lies supine and caregiver passively flexes the hip to 90º, followed by adduction and ER.…”

Section: Hipsmentioning

confidence: 99%

See 2 more Smart Citations

The Telemedicine-Based Pediatric Examination of the Back and Lower Limbs: A Narrative Review

Noutsios

Boisvert-Plante

Laberge

et al. 2021

JPR

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The COVID-19 pandemic has accelerated the transition to virtual healthcare while also prompting an abundance of new literature highlighting telemedicine’s capabilities and limitations for various medical applications, notably musculoskeletal examinations. Telemedicine provides an opportunity to deliver timely patient- and family-centred care while maintaining physical distancing and improving access to remote communities. This review aims to narrate the current state of the literature on telemedicine applied in the context of a musculoskeletal examination for children aged 3 to 18 years. The PubMed and ScienceDirect databases were searched for relevant articles from January 2015 to August 2021 using a combination of keywords and nested searches. The general examination components relevant to the back and lumbosacral spine, hip, knee, ankle/foot, and gait are described. These components include inspection, palpation, range of motion, motor, and sensory examination as well as special testing. There is general feasibility, validity, and substantial reliability in performing most examination components, and primary diagnoses established virtually were found to be either the same or similar in the vast majority of cases. Despite the current literature focusing mainly on adult populations, we describe how each aspect of the exam can be reliably incorporated into a virtual appointment specific to the pediatric population. Currently available smartphone-based applications that measure joint range of motion were generally found to have high reliability and validity. Caregivers are needed for most of the consultation, especially in younger children, but select physical exam maneuvers can be self-performed by older children and adolescents alone. By providing an overview of the available smartphone tools as well as the reliability and validity of remote assessments, this review not only establishes a foundation for a structured pediatric musculoskeletal examination, but also aims to increase providers’ confidence in incorporating telemedicine into their practice.

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Section: Hipsmentioning

confidence: 99%

Section: Hipsmentioning

confidence: 99%

Section: Hipsmentioning

confidence: 99%

See 1 more Smart Citation

The Telemedicine-Based Pediatric Examination of the Back and Lower Limbs: A Narrative Review

Noutsios

Boisvert-Plante

Laberge

et al. 2021

JPR

View full text Add to dashboard Cite

show abstract

“…Of the 4 components of physical examination (observation, palpation, percussion, and auscultation), only the first seems directly accessible during a remote visit. Swensen-Buza et al [6] offer an accommodation to this limitation by having the patient perform self-palpation to replicate pain (and having the patient confirm that the pain produced is the same pain of which they have been complaining). This can be complemented by having the patient point to the area that hurts.…”

mentioning

confidence: 99%

“…One component of the telemedicine examinations described [1][2][3]6,7] may actually improve the patient experience. Telemedicine requires active patient participation in the observational aspect of the physical examination, in contrast to what has traditionally been a passive role.…”

mentioning

confidence: 99%

Telemedicine in Musculoskeletal Health: Adaptations, Efficacy, and Implications for Practice

Rothschild

2021

HSS Journal®: The Musculoskeletal Journal of Hospital for Speci

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Orthopädisch-unfallchirurgische Funktionsuntersuchung in der Online-Videosprechstunde – was ist heute möglich?

et al. 2022

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Zusammenfassung Hintergrund Im Rahmen der COVID-19-Pandemie hat die Online-Videosprechstunde einen zunehmenden Stellenwert in der Orthopädie und Unfallchirurgie erhalten. In der Literatur werden verschiedene Adaptationsmöglichkeiten für digitale orthopädisch-unfallchirurgische klassische Gelenk- und Funktionsuntersuchungen für eine Online-Videosprechstunde beschrieben. Methodik Es wurde eine systematische Literaturrecherche der wissenschaftlichen Publikationen für passive digitale Gelenk- und Funktionsuntersuchungen auf der Datenbank PubMed (Zeitraum: Januar 2010 bis April 2021) durchgeführt. Die identifizierten Untersuchungstechniken wurden anschließend systematisch nach Körperregion und Pathologie zusammengefasst, detailliert beschrieben und mit reproduzierten Fotografien nachgestellt. Ergebnisse Es konnten 17 Artikel eingeschlossen werden. Die beschriebenen Untersuchungstechniken waren überwiegend an die klassischen orthopädischen Tests angelehnt und so adaptiert, dass sie selbstständig durch den Patienten durchgeführt werden können. Als Hilfsmittel wurden alltägliche Gegenstände beschrieben. In 5 Publikationen wurde die Durchführung der Online-Videosprechstunde mit klassischen orthopädischen Untersuchungen verglichen. Die Funktionsuntersuchungen in der Online-Videosprechstunde zeigte im Vergleich zur Inspektion und ROM-Testung eine schlechtere Übereinstimmung mit der klassischen orthopädischen Untersuchung. Zusammenfassung In der Literatur existiert eine breite Grundlage an bereits publizierten Untersuchungstechniken für die orthopädisch-unfallchirurgische Videosprechstunde. Die beschriebenen Untersuchungen orientieren sich weitgehend an den klassischen orthopädisch-unfallchirurgischen Tests. Die vorgestellten Untersuchungsmöglichkeiten müssen in Zukunft auf ihre Evidenz geprüft, validiert und ggf. weiter angepasst werden.

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The Hip Physical Examination for Telemedicine Encounters

Cited by 8 publications

References 20 publications

The Telemedicine-Based Pediatric Examination of the Back and Lower Limbs: A Narrative Review

The Telemedicine-Based Pediatric Examination of the Back and Lower Limbs: A Narrative Review

Telemedicine in Musculoskeletal Health: Adaptations, Efficacy, and Implications for Practice

Orthopädisch-unfallchirurgische Funktionsuntersuchung in der Online-Videosprechstunde – was ist heute möglich?

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