Effectiveness of Ultrasound Imaging in Assessing the Palpation Skills of Rotating Physicians
As an important means of physical examination, palpation is usually limited to the physical examination before surgery and used as an auxiliary method for disease diagnosis in the field of surgery. In practice, palpation is also used in every aspect of the surgical procedure, and its application is...
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| Format: | Article |
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Frontiers Media S.A.
2022-06-01
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| Series: | Frontiers in Genetics |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fgene.2022.894716/full |
| _version_ | 1818470002547752960 |
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| author | Peizhen Huang Bin Zheng Shan Liu Lin Xu Chengchun Chen Shubei Zhan |
| author_facet | Peizhen Huang Bin Zheng Shan Liu Lin Xu Chengchun Chen Shubei Zhan |
| author_sort | Peizhen Huang |
| collection | DOAJ |
| description | As an important means of physical examination, palpation is usually limited to the physical examination before surgery and used as an auxiliary method for disease diagnosis in the field of surgery. In practice, palpation is also used in every aspect of the surgical procedure, and its application is of great significance to surgery. The purpose of this study was to investigate the ability of ultrasound imaging to assess the ability of rotating physicians to locate musculoskeletal structures by palpation. Rotating physicians were asked to palpate and locate the long head tendon of the biceps (LHB), posterior tibialis (TPT), acromioclavicular joint (ACJ), and medial tibiofemoral joint (TFJ) spaces on two volunteer models. After positioning, a truncated steel needle was attached to the skin and parallel to the palpable structure, and the position of the steel needle relative to the designated structure was assessed by ultrasound imaging, using the Cohen kappa test to study the inter-rater agreement. The results showed that the assessor’s Kappa coefficient for judging the location of all structures was 0.816, LHB was 1.00, TPT was 0.912, ACJ gap was 0.796, and TFJ medial space was 0.844, and the success rate of palpation for TPT was 62.2%, TFJ medial space was 37.8%, ACJ clearance was 24.3%, and LHB was 8.1%. In conclusion, the teaching methods of anatomy and palpation skills need further improvement, and ultrasound imaging is an effective tool for assessing palpation skills. |
| first_indexed | 2024-04-13T21:32:05Z |
| format | Article |
| id | doaj.art-0011e3a06be54afb955a3151710c6530 |
| institution | Directory Open Access Journal |
| issn | 1664-8021 |
| language | English |
| last_indexed | 2024-04-13T21:32:05Z |
| publishDate | 2022-06-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Genetics |
| spelling | doaj.art-0011e3a06be54afb955a3151710c65302022-12-22T02:29:06ZengFrontiers Media S.A.Frontiers in Genetics1664-80212022-06-011310.3389/fgene.2022.894716894716Effectiveness of Ultrasound Imaging in Assessing the Palpation Skills of Rotating PhysiciansPeizhen Huang0Bin Zheng1Shan Liu2Lin Xu3Chengchun Chen4Shubei Zhan5Department of Ultrasound and Imaging, Wenzhou Central Hospital, Wenzhou, ChinaWenzhou Medical University, Wenzhou, ChinaWenzhou Medical University, Wenzhou, ChinaWenzhou Medical University, Wenzhou, ChinaWenzhou Medical University, Wenzhou, ChinaDepartment of Ultrasound and Imaging, Wenzhou Central Hospital, Wenzhou, ChinaAs an important means of physical examination, palpation is usually limited to the physical examination before surgery and used as an auxiliary method for disease diagnosis in the field of surgery. In practice, palpation is also used in every aspect of the surgical procedure, and its application is of great significance to surgery. The purpose of this study was to investigate the ability of ultrasound imaging to assess the ability of rotating physicians to locate musculoskeletal structures by palpation. Rotating physicians were asked to palpate and locate the long head tendon of the biceps (LHB), posterior tibialis (TPT), acromioclavicular joint (ACJ), and medial tibiofemoral joint (TFJ) spaces on two volunteer models. After positioning, a truncated steel needle was attached to the skin and parallel to the palpable structure, and the position of the steel needle relative to the designated structure was assessed by ultrasound imaging, using the Cohen kappa test to study the inter-rater agreement. The results showed that the assessor’s Kappa coefficient for judging the location of all structures was 0.816, LHB was 1.00, TPT was 0.912, ACJ gap was 0.796, and TFJ medial space was 0.844, and the success rate of palpation for TPT was 62.2%, TFJ medial space was 37.8%, ACJ clearance was 24.3%, and LHB was 8.1%. In conclusion, the teaching methods of anatomy and palpation skills need further improvement, and ultrasound imaging is an effective tool for assessing palpation skills.https://www.frontiersin.org/articles/10.3389/fgene.2022.894716/fullultrasoundpalpationjointboneanatomy |
| spellingShingle | Peizhen Huang Bin Zheng Shan Liu Lin Xu Chengchun Chen Shubei Zhan Effectiveness of Ultrasound Imaging in Assessing the Palpation Skills of Rotating Physicians Frontiers in Genetics ultrasound palpation joint bone anatomy |
| title | Effectiveness of Ultrasound Imaging in Assessing the Palpation Skills of Rotating Physicians |
| title_full | Effectiveness of Ultrasound Imaging in Assessing the Palpation Skills of Rotating Physicians |
| title_fullStr | Effectiveness of Ultrasound Imaging in Assessing the Palpation Skills of Rotating Physicians |
| title_full_unstemmed | Effectiveness of Ultrasound Imaging in Assessing the Palpation Skills of Rotating Physicians |
| title_short | Effectiveness of Ultrasound Imaging in Assessing the Palpation Skills of Rotating Physicians |
| title_sort | effectiveness of ultrasound imaging in assessing the palpation skills of rotating physicians |
| topic | ultrasound palpation joint bone anatomy |
| url | https://www.frontiersin.org/articles/10.3389/fgene.2022.894716/full |
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