Advertisement

Telemedicine in Hand and Upper-Extremity Surgery

Published:November 09, 2019DOI:https://doi.org/10.1016/j.jhsa.2019.09.007
      Smartphones, computers, and Internet access continue to become more available to both patients and physicians. As these technologies develop with respect to health care, opportunities for telemedicine visits continue to emerge. The purpose of this review article was to analyze the current use and potential applications of telemedicine in hand and upper-extremity surgery. Although the literature pertaining to the use of telemedicine in hand surgery is limited, videoconferencing visits may provide benefits to patients. Particularly in rural and underserved regions, patients can decrease considerable travel burdens. Potential applications for this technology include remote inpatient and emergency room consultations, outpatient clinic visits, and postoperative care. There are unique considerations with respect to confidentiality and security. As with any new technology, it is important to analyze safety concerns. Future randomized, prospective investigations are necessary to define the economic implications of telemedicine programs more clearly within hand and upper-extremity surgery.

      Key words

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Journal of Hand Surgery
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Burrus M.T.
        • Werner B.C.
        • Starman J.S.
        • et al.
        Patient perceptions and current trends in internet use by orthopedic outpatients.
        HSS J. 2017; 13: 271-275
        • Rozental T.D.
        • George T.M.
        • Chacko A.T.
        Social networking among upper extremity patients.
        J Hand Surg Am. 2010; 35: 819-823
        • US Department of Health and Human Services
        Health Insurance Portability and Accountability Act of 1996 Privacy, Security and Breach Notification Rules.
        (Available at:)
        http://www.hhs.gov/ocr/privacy/
        Date accessed: March 10, 2019
        • US Department of Health and Human Services
        Health information privacy.
        (Available at:)
        • Naam N.H.
        • Sanbar S.
        Advanced technology and confidentiality in hand surgery.
        J Hand Surg Am. 2015; 40: 182-187
        • Friebe I.
        • Isaacs J.
        • Mallu S.
        • Kurdin A.
        • Mounasamy V.
        • Dhindsa H.
        Evaluation of appropriateness of patient transfers for hand and microsurgery to a level I trauma center.
        Hand (N Y). 2013; 8: 417-421
        • Petkovic D.
        • Wongworawat M.D.
        • Anderson S.R.
        Factors affecting appropriateness of interfacility transfer for hand injuries.
        Hand (N Y). 2018; 13: 108-113
      1. Tripod M, Tait M, Bracey J, Sexton K, Beck W, Wyrick TO. The use of telemedicine decreases unnecessary hand trauma transfers [published online ahead of print November 12, 2018]. Hand (N Y). https://doi.org/10.1177/1558944718810877.

        • Buvik A.
        • Bugge E.
        • Knutsen G.
        • Småbrekke A.
        • Wilsgaard T.
        Quality of care for remote orthopaedic consultations using telemedicine: a randomized controlled trial.
        BMC Health Serv Res. 2016; 16: 483
        • Wagner E.R.
        • Conti Mica M.
        • Shin A.Y.
        Smartphone photography utilized to measure wrist range of motion.
        J Hand Surg Eur Vol. 2018; 43: 187-192
      2. Zhao JZ, Blazar PE, Mora AN, Earp BE. Range of motion measurements of the fingers via smartphone photography [published online ahead of print January 28, 2019]. Hand (N Y). https://doi.org/10.1177/1558944718820955.

        • Meislin M.A.
        • Wagner E.R.
        • Shin A.Y.
        A comparison of elbow range of motion measurements: smartphone-based digital photography versus goniometric measurements.
        J Hand Surg Am. 2016; 41: 510-555
      3. Tofte JN, Anthony CA, Polgreen PM, et al. Postoperative care via smartphone following carpal tunnel release [published online ahead of print November 14, 2018]. J Telemed Telecare. https://doi.org/10.1177/1357633X18807606.

        • Abel K.C.
        • Baldwin K.
        • Chuo J.
        • et al.
        Can telemedicine be used for adolescent postoperative knee arthroscopy follow-up?.
        JBJS J Orthop Phys Assist. 2017; 5: e26
        • Harno K.
        • Arajärvi E.
        • Paavola T.
        • Carlson C.
        • Viikinkoski P.
        Clinical effectiveness and cost analysis of patient referral by videoconferencing in orthopaedics.
        J Telemed Telecare. 2001; 7: 219-225
        • Ohinmaa A.
        • Vuolio S.
        • Haukipuro K.
        • Winblad I.
        A cost-minimization analysis of orthopaedic consultations using videoconferencing in comparison with conventional consulting.
        J Telemed Telecare. 2002; 8: 283-289
        • Buvik A.
        • Bergmo T.S.
        • Bugge E.
        • Smaabrekke A.
        • Wilsgaard T.
        • Olsen J.A.
        Cost-effectiveness of telemedicine in remote orthopedic consultations: randomized controlled trial.
        J Med Internet Res. 2019; 21e11330
        • Sathiyakumar V.
        • Apfeld J.C.
        • Obremskey W.T.
        • Thakore R.V.
        • Sethi M.K.
        Prospective randomized controlled trial using telemedicine for follow-ups in an orthopedic trauma population: a pilot study.
        J Orthop Trauma. 2015; 29: e139-e145
        • Buvik A.
        • Bugge E.
        • Knutsen G.
        • Småbrekke A.
        • Wilsgaard T.
        Patient satisfaction with remote orthopaedic consultation by using telemedicine: a randomised controlled trial.
        J Telemed Telecare. 2019; 25: 451-459
        • De La Torre-Díez I.
        • López-Coronado M.
        • Vaca C.
        • Aguado J.S.
        • de Castro C.
        Cost-utility and cost-effectiveness studies of telemedicine, electronic, and mobile health systems in the literature: a systematic review.
        Telemed J E Health. 2015; 21: 81-85