ABSTRACT
BACKGROUND@#Reconstruction for congenital hand anomalies, if indicated, is generally recommended during early childhood to optimize function before formal education starts and minimize the psychosocial impact. There have been limited reports on these conditions persisting beyond the recommended age for surgery.@*OBJECTIVE@#The research aimed to explore the common reasons why patients consult for late surgery and determine the baseline function of the patients prior to reconstructive surgery using the Filipino Disability of Arm Shoulder and Hand (Fil-DASH).@*METHODS@#An observational, chart review of cases from 2013-2021 was done. The reasons and indications were extracted from the history and Fil-DASH scores were recorded with available data. The results were presented using summary statistics and tabulation of qualitative data.@*RESULTS@#Twenty-five hands in 20 patients underwent reconstruction of congenital anomalies persisting beyond childhood. The most common indication for surgery was concerns regarding work opportunities. Hope for a better function, cosmesis, social pressure and hygiene were the other reasons mentioned. Most of the patients did not complain of significant problems in doing activities of daily living. This was supported by their Fil-DASH scores and employment status prior to surgery.@*CONCLUSION@#In this population, the indications to request for reconstruction of congenital anomalies beyond childhood were not necessarily due to loss of function but to increase opportunities for employment, improved appearance and hope for increased function. The results may aid in the understanding of the natural history of congenital hand anomalies and guide the physicians with more specific advice for parents with children presenting with these conditions.
ABSTRACT
@#OBJECTIVE: The study aims to assess the similarity between the results of the evaluation of students during an Objective Structured Clinical Examination (OSCE) and a video recording of the same OSCE (VOSCE). METHODS: All Orthopedic surgeon preceptors in the actual OSCE were recruited to the study. Video recordings of the students taking the OSCE were collected and later reviewed and re-evaluated by the same preceptor after at least four weeks. The grades of actual OSCE and VOSCE were collected and analyzed using Cohen’s kappa coefficient. RESULTS: High variability of intra-rater reliability was observed in different preceptors and station (slight agreement to perfect agreement). Overall intra-rater reliability between actual and video OSCE showed moderate agreement with Cohen’s kappa coefficient equal to 0.43 (n-219). CONCLUSION: Video OSCE is a reliable tool in assessing student clinical skills and knowledge in the musculoskeletal examination. Some factors have been suggested to further improve reliability.
Subject(s)
OsteosarcomaABSTRACT
@#OBJECTIVE: The study aims to assess the similarity between the results of the evaluation of students during an Objective Structured Clinical Examination (OSCE) and a video recording of the same OSCE (VOSCE). METHODS: All Orthopedic surgeon preceptors in the actual OSCE were recruited to the study. Video recordings of the students taking the OSCE were collected and later reviewed and re-evaluated by the same preceptor after at least four weeks. The grades of actual OSCE and VOSCE were collected and analyzed using Cohen’s kappa coefficient. RESULTS: High variability of intra-rater reliability was observed in different preceptors and station (slight agreement to perfect agreement). Overall intra-rater reliability between actual and video OSCE showed moderate agreement with Cohen’s kappa coefficient equal to 0.43 (n-219). CONCLUSION: Video OSCE is a reliable tool in assessing student clinical skills and knowledge in the musculoskeletal examination. Some factors have been suggested to further improve reliability.