Elbow Evaluation Via Telephone and Video Visit.
| Autor: | Vomer RP 2nd; Family Medicine, Mayo Clinic Jacksonville Campus, Jacksonville, USA.; Family and Community Health, Orthopedics, Sports Medicine, Duke University, Durham, USA., Carfagno D; Sports Medicine, Scottsdale Sports Medicine Institute, Scottsdale, AFG., Lewno A; Sports Medicine, University of Michigan, Ann Arbor, USA., Shah NP; Family and Community Medicine, Mayo Clinic, Jacksonville, USA., Farford BA; Family Medicine, Mayo Clinic, Jacksonville, USA., Kieneker L; Family Medicine, Mayo Clinic, Jacksonville, USA., Pujalte GGA; Family Medicine, Orthopedics, and Sports Medicine, Mayo Clinic, Jacksonville, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2023 Jun 01; Vol. 15 (6), pp. e39843. Date of Electronic Publication: 2023 Jun 01 (Print Publication: 2023). |
| DOI: | 10.7759/cureus.39843 |
| Abstrakt: | Background Elbow conditions and pathology are commonly seen in the outpatient clinic. Telephone and video visits can allow for expeditious assessment of elbow complaints, without the added challenges of commuting for a clinic-based evaluation. In the setting of a pandemic, the benefits of telemedicine are apparent, but the time and effort saved from being able to remotely evaluate musculoskeletal conditions are also useful in a non-pandemic situation. In this modern era of telemedicine, protocols need to be developed to provide guidance for a remote elbow evaluation. As with all musculoskeletal conditions, the history about the elbow complaint allows the clinician to develop a differential diagnosis, which is either supported or refuted based on physical examination and diagnostic studies. Appropriate questions asked over a telephone call can provide answers that lead the clinician to a specific diagnosis and treatment plan. Furthermore, responses to these same questions can be further supported by a video assessment of the affected elbow, which may provide additional evidence to support a diagnosis and plan of care. Aims To outline possible questions, responses, and video examination techniques to aid the clinician in elbow examinations conducted via telemedicine. Methods We have created a pathway for step-by-step evaluation to help physicians direct their patients through the typical elements of a thorough elbow examination via telehealth. Results We have created tables of questions, answers, and instructions to help guide the physician through different aspects of a telehealth elbow examination. We have also included a glossary of descriptive images that demonstrate each maneuver. Conclusion This article provides a structured guide to efficiently extracting clinically relevant information during telemedicine examinations of the elbow. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2023, Vomer et al.) |
| Databáze: | MEDLINE |
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