Arthroscopy: The Journal of Arthroscopic & Related Surgery
Systematic ReviewYouTube As an Information Source for Femoroacetabular Impingement: A Systematic Review of Video Content
Section snippets
Search Strategy
YouTube was searched on September 7, 2013 for videos containing information relating to FAI using the following search terms: (1) FAI, (2) femoroacetabular impingement, and (3) hip impingement. The standard YouTube search setting of “relevance” was used. Search results were restricted to the first 3 pages of results on the assumption that users would not look beyond the third page of results for video information. Videos were excluded if they were non-English or were not related to pathologic
Results
The search identified 1,288,324 videos (search term FAI = 1,280,000 videos, femoroacetabular impingement = 674 videos, and hip impingement = 7,650 videos). After limiting the review to the first 3 pages of search results, 159 videos were identified. After applying exclusion criteria, 52 videos were included for analysis (Fig 1). Reasons for exclusion included 21 videos duplicated by different search terms, 39 non-English videos, 19 videos not related to pathologic conditions of the hip, and 28
Discussion
Patients searching YouTube for information on FAI will be presented with considerable content volume that is of wide ranging but overall low quality. According to our assessment scoring, no videos were found to score within the excellent group for diagnosis or treatment. There were 3 videos and one video, respectively, that were determined to be very useful for diagnosis and treatment information. Most videos were found to be moderately useful or somewhat useful, and a minority were not useful.
Conclusions
Patients searching YouTube for videos pertaining to FAI will be presented with a sizeable repository of content of overall low quality. As such, physicians need to recognize the potential influence of YouTube videos on patients' preconceptions of their conditions and the effect on the physician-patient consultation. This review highlights the need for evidence-based comprehensive educational videos addressing FAI diagnosis and treatment.
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Dr Mohit Bhandari is funded in part by a Canada Research Chair.
The authors report the following potential conflict of interest or source of funding in relation to this article: M.B. funded in part by a Canada Research Chair and receives support from Smith & Nephew, Stryker, Zimmer, Moximed, Bioventus, DePuy, and Eli Lily; O.R.A. receives support from Smith & Nephew.