title: Assessment of "YouTube" Content for Distal Radius Fracture Immobilization.
abstract: OBJECTIVE
  Distal radius fractures (DRFs) are the most common orthopedic fractures, with >70% of cases treated by closed immobilization using a short arm cast or a sugar tong splint. However, inadequate immobilization is a risk factor for loss of reduction requiring repeat reduction or surgical treatment. Therefore, education of clinical skills for appropriate immobilization of DRFs is important. With the increasing use of web-based information by medical learners, our aim was to assess the quality and quantity of videos regarding closed immobilization of DRFs on YouTube.
  
  
  METHODS
  Retrospective review of YouTube videos on distal radius fracture immobilization using specific search terms.
  
  
  METHODS
  Identified videos were analyzed for their educational value, quality of the technical skill demonstrated, and overall metrics. Educational value was scored on a 5-point scale, with "1" indicative of low quality and "5" of high quality.
  
  
  METHODS
  Not applicable.
  
  
  RESULTS
  Among the 68,366 videos identified, 16 met our inclusion criteria of being in English; performed by a health care professional or institution; and with casting being the major theme of the educational information provided. Of these 16 videos, 6 had an educational value score of 4 or 5, with the remaining 10 having a score ≤3. Although immobilization was demonstrated by cast technician specialized in orthopedics, skills were also performed by orthopedic attendants, urgent care physicians, orthopedic residents, and nurse practitioners. The credentials of the performer in 3 videos were not identified.
  
  
  CONCLUSIONS
  There is a need to promote high-quality educational videos produced by established medical school faculty members on open, web-based, portals.
authors.affiliation: Division of Orthopaedic Surgery, McGill University Health Centre, Montreal, Quebec, Canada. Electronic address: aaddar@gmail.com.
authors.forename: Abdullah
authors.initials: A
authors.lastname: Addar
authors.affiliation: Division of Orthopaedic Surgery, McGill University Health Centre, Montreal, Quebec, Canada.
authors.forename: Yousef
authors.initials: Y
authors.lastname: Marwan
authors.affiliation: Division of Orthopaedic Surgery, McGill University Health Centre, Montreal, Quebec, Canada.
authors.forename: Nizar
authors.initials: N
authors.lastname: Algarni
authors.affiliation: Division of Orthopaedic Surgery, McGill University Health Centre, Montreal, Quebec, Canada.
authors.forename: Gregory
authors.initials: G
authors.lastname: Berry
mesh_terms: D000072700:Conservative Treatment; D004503:Education, Medical, Graduate / Q000379:methods; D005260:Female; D050723:Fractures, Bone / Q000628:therapy*; D006801:Humans; D007103:Immobilization; D008297:Male; D019637:Orthopedic Procedures / Q000193:education*; D011884:Radius / Q000293:injuries*; D012189:Retrospective Studies; D014741:Video Recording
keywords: Medical Knowledge; YouTube; casting; distal radius fracture; medical education; short arm cast; sugar tong splint