Wong Seng Juong, Robertson Greg A, Connor Katie L, Brady Richard R, Wood Alexander M
University of Edinburgh, College of Medicine and Veterinary Medicine, 7/3 West Nicolson Street, Edinburgh, EH8 9DA UK.
Department of Trauma and Orthopaedics, Royal Infirmary Edinburgh, Edinburgh, UK.
BMC Sports Sci Med Rehabil. 2015 Oct 12;7:23. doi: 10.1186/s13102-015-0017-6. eCollection 2015.
With the advent of smartphones together with their downloadable applications (apps), there is increasing opportunities for doctors, including orthopaedic sports surgeons, to integrate such technology into clinical practice. However, the clinical reliability of these medical apps remains questionable. We reviewed available apps themed specifically towards Orthopaedic Sports Medicine and related conditions and assessed the level of medical professional involvement in their design and content, along with a review of these apps.
The most popular smartphone app stores (Android, Apple, Blackberry, Windows, Samsung, Nokia) were searched for Orthopaedic Sports medicine themed apps, using the search terms; Orthopaedic Sports Medicine, Orthopaedics, Sports medicine, Knee Injury, Shoulder Injury, Anterior Cruciate Ligament Tear, Medial Collateral Ligament Tear, Rotator Cuff Tear, Meniscal Tear, Tennis Elbow. All English language apps related to orthopaedic sports medicine were included.
A total of 76 individual Orthopaedic Sports Medicine themed apps were identified. According to app store classifications, there were 45 (59 %) medical themed apps, 28 (37 %) health and fitness themed apps, 1 (1 %) business app, 1 (1 %) reference app and 1 (1 %) sports app. Forty-nine (64 %) apps were available for download free of charge. For those that charged access, the prices ranged from £0.69 to £69.99. Only 51 % of sports medicine apps had customer satisfaction ratings and 39 % had named medical professional involvement in their development or content.
We found the majority of Orthopaedic Sports Medicine apps had no named medical professional involvement, raising concerns over their content and evidence-base. We recommend increased regulation of such apps to improve the accountability of app content.
随着智能手机及其可下载应用程序（应用）的出现，包括骨科运动外科医生在内的医生将此类技术融入临床实践的机会越来越多。然而，这些医疗应用的临床可靠性仍值得怀疑。我们回顾了专门针对骨科运动医学及相关病症的可用应用，并评估了医学专业人员在其设计和内容方面的参与程度，同时对这些应用进行了综述。
使用搜索词“骨科运动医学”“骨科”“运动医学”“膝关节损伤”“肩关节损伤”“前交叉韧带撕裂”“内侧副韧带撕裂”“肩袖撕裂”“半月板撕裂”“网球肘”，在最受欢迎的智能手机应用商店（安卓、苹果、黑莓、微软、三星、诺基亚）中搜索骨科运动医学主题的应用。纳入所有与骨科运动医学相关的英文应用。
共识别出76个单独的骨科运动医学主题应用。根据应用商店分类，有45个（59%）医学主题应用、28个（37%）健康与健身主题应用、1个（1%）商业应用、1个（1%）参考应用和1个（1%）运动应用。49个（64%）应用可免费下载。对于那些收取访问费用的应用，价格从0.69英镑到69.99英镑不等。只有51%的运动医学应用有客户满意度评级，39%的应用在其开发或内容方面有医学专业人员参与。
我们发现大多数骨科运动医学应用没有医学专业人员参与，这引发了对其内容和证据基础的担忧。我们建议加强对此类应用的监管，以提高应用内容的问责性。
