Megalla Martinus, Imam Nareena, Almadani Hamzah, Klein Sydney, Kohan Eitan M, Alberta Frank G
Department of Orthopaedic Surgery, Hackensack Meridian School of Medicine, Nutley, NJ, USA.
Rothman Orthopaedic Institute, Paramus, NJ, USA.
Shoulder Elbow. 2023 Dec;15(6):674-679. doi: 10.1177/17585732221129590. Epub 2022 Sep 29.
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.
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 (JAMA) benchmark criteria (0-4) and DISCERN tool (16-80).
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, < 0.0001), but no such difference was found for DISCERN scores (46.3 ± 7.7 vs 45.3 ± 10.57, = 0.43).
Physicians should be cognizant of the quality and reliability of YouTube videos when instructing patients on information sources related to UCLR.
尺侧副韧带重建术（UCLR）常用于青少年运动员，他们常常会从诸如YouTube等在线资源获取健康信息。本研究的目的是使用经过验证的评分工具，对UCLR视频的准确性、可靠性和质量进行回顾性分析。
在YouTube上搜索“汤米·约翰手术”“UCL重建”和“尺侧副韧带重建”。按照医生、非医生/训练师、患者或商业来源进行分类后，使用《美国医学会杂志》（JAMA）基准标准（0 - 4）和DISCERN工具（16 - 80）对视频的可靠性和质量进行评估。
最终分析纳入了104个视频。74%的视频（77/104）由医生制作。所有视频的JAMA评分和DISCERN评分的平均值分别为3.1±0.8和46.1±8.5。根据DISCERN评分，大多数视频被评为“中等”（56/104，53.8%）。与非医生制作的视频相比，医生制作的视频JAMA评分显著更高（3.3±0.8对2.6±0.7，P<0.0001），但DISCERN评分无此差异（46.3±7.7对45.3±10.57，P = 0.43）。
在指导患者获取与UCLR相关的信息来源时，医生应注意YouTube视频的质量和可靠性。
