YouTube videos on ulnar collateral ligament reconstruction are highly variable in terms of reliability and quality: A quantitative analysis

Author:

Megalla Martinus1ORCID,Imam Nareena2ORCID,Almadani Hamzah1,Klein Sydney2,Kohan Eitan M123,Alberta Frank G123

Affiliation:

1. Department of Orthopaedic Surgery, Hackensack Meridian School of Medicine, Nutley, NJ, USA

2. Rothman Orthopaedic Institute, Paramus, NJ, USA

3. Department of Orthopaedic Surgery, Hackensack University Medical Center, Hackensack, NJ, USA

Abstract

Background Ulnar collateral ligament reconstruction (UCLR) is commonly performed on adolescent athletes, who often turn to online sources such as YouTube for health information. The purpose of this study was to retrospectively review the accuracy, reliability, and quality of UCLR videos using validated scoring instruments. Methods YouTube was queried for “Tommy John surgery,” “UCL reconstruction,” and “ulnar collateral ligament reconstruction.” After categorization by physician, nonphysician/trainer, patient or commercial source, videos were assessed for reliability and quality using the Journal of the American Medical Association (JAMA) benchmark criteria (0–4) and DISCERN tool (16–80). Results 104 videos were included in the final analysis. 74% of videos (77/104) were made by physicians. The mean JAMA and DISCERN scores for all videos were 3.1 ± 0.8 and 46.1 ± 8.5, respectively. The majority of videos were rated as “fair” based on DISCERN score (56/104, 53.8%). JAMA scores were significantly higher for physician videos compared to nonphysician videos (3.3 ± 0.8 vs 2.6 ± 0.7, p < 0.0001), but no such difference was found for DISCERN scores (46.3 ± 7.7 vs 45.3 ± 10.57, p = 0.43). Conclusion Physicians should be cognizant of the quality and reliability of YouTube videos when instructing patients on information sources related to UCLR.

Publisher

SAGE Publications

Subject

Rehabilitation,Physical Therapy, Sports Therapy and Rehabilitation,Orthopedics and Sports Medicine,Surgery

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