关键词: education femoroacetabular impingement hip hip arthroscopy hip/pelvis/thigh

来  源:   DOI:10.1177/23259671241237503   PDF(Pubmed)

Abstract:
UNASSIGNED: The orthopaedic in-training examination (OITE) is a 275-question test for orthopaedic residents administered annually. As the field of orthopaedics changes, the OITE evolves its content. The incidence of hip preservation-related procedures has increased substantially over the past decade; nonetheless, an analysis of the trends of hip preservation questions on the OITE has not yet been performed.
UNASSIGNED: The purpose of the study was to evaluate the number and type of questions on the OITE related to hip preservation to determine whether trends over time paralleled the increases in hip-related care in clinical practice. It was hypothesized that the frequency of hip preservation questions on the OITE would increase with time.
UNASSIGNED: Cross-sectional study.
UNASSIGNED: Each OITE between 2002 and 2021 was reviewed for questions related to hip preservation. The types of questions included under \"hip preservation\" were those related to femoroacetabular impingement (FAI), athletic soft tissue injuries of the hip, acetabular labral tears, hip arthroscopy, and surgical management of adult hip dysplasia-excluding arthroplasty. Questions were quantified and categorized by topic, taxonomy level, associated imaging, and cited sources.
UNASSIGNED: There were 30 hip preservation-related questions between 2002 and 2021. Of these, 77% occurred within the past 10 years. Also, 14 questions (47%) had associated images in the question stem-the most common being radiographs (n = 8 questions). The most commonly tested subcategories were FAI (n = 11 questions [37%]), athletic injuries (n = 7 questions [23%]), and anatomy (n = 7 questions [23%]). Over the last 10 years, 97.9% of citations were from journal articles-the most common being the Journal of the American Academy of Orthopaedic Surgeons, Clinical Orthopedics and Related Research, and the American Journal of Sports Medicine.
UNASSIGNED: The frequency of hip preservation-related questions on the OITE has increased with time, reflecting trends in clinical practice.
摘要:
骨科培训考试(OITE)是每年对骨科住院医师进行的275个问题的考试。随着骨科领域的变化,OITE进化了它的内容。在过去的十年中,与髋关节保护相关的手术的发生率大幅增加;尽管如此,尚未对OITE上的髋关节保存问题进行趋势分析。
该研究的目的是评估与髋关节保护相关的OITE问题的数量和类型,以确定随时间的趋势是否与临床实践中髋关节相关护理的增加平行。假设OITE上的髋关节保存问题的频率会随着时间的推移而增加。
横断面研究。
对2002年至2021年之间的每种OITE进行了与髋关节保护有关的问题的审查。“髋关节保留”下包含的问题类型与股骨髋臼撞击(FAI)有关,髋关节的运动软组织损伤,髋臼唇撕裂,髋关节镜检查,成人髋关节发育不良-排除关节成形术的外科治疗。问题按主题量化和分类,分类法级别,相关成像,引用来源。
在2002年至2021年之间,有30个与髋关节保护相关的问题。其中,77%发生在过去10年。此外,14个问题(47%)在题干中有相关图像-最常见的是射线照片(n=8个问题)。最常测试的子类别是FAI(n=11个问题[37%]),运动损伤(n=7个问题[23%]),和解剖学(n=7个问题[23%])。在过去的10年里,97.9%的引用来自期刊文章-最常见的是《美国骨科医师学会杂志》,临床骨科及相关研究,和美国运动医学杂志。
关于OITE的髋关节保护相关问题的频率随着时间的推移而增加,反映临床实践的趋势。
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