Table 1.
Summary of included studies.
Study | Participants | Joint | Context | Skills Assessed | Objective Metrics | Subjective Tools | QA | LOE |
---|---|---|---|---|---|---|---|---|
Ferguson et al., 2017 [21] | 18 medical students | Knee and shoulder | Simulator | Diagnostic arthroscopy | Task completion time; path length of subject’s hands; number of hand movements |
BAKSSS | Fair | 2 |
Li et al, 2020 [22] | 16 residents | Knee | Simulator | Remove loose bodies; triangulation; guided diagnostic |
Task completion time; camera path length; cartilage injury |
– | Good | 1 |
Alvand et al., 2011 [24] | 33 medical students | Knee and shoulder | Simulator | Triangulation; remove loose bodies |
Task completion time; path length of subject’s hands; number of hand movements |
– | Fair | 2 |
Andersen et al., 2011 [25] | 14 surgeons | Shoulder | Simulator | Diagnostic arthroscopy | Task completion time; camera and probe path length; depth and number of collisions |
– | Good | 2 |
Beaudoin et al., 2021 [26] | 30 medical students | Knee | Simulator | Diagnostic arthroscopy; meniscectomy |
Task completion time; camera path length; meniscus cutting score visual parameters; |
OAAS; CBA |
Good | 2 |
Wang et al., 2019 [37] | 28 medical students | Knee and shoulder | Simulator and cadaver | Diagnostic arthroscopy | Task completion rate | ASSET | Good | 1 |
Bhashyam et al., 2017 [27] | 48 surgeons and residents | – | Simulator | Triangulation | Highest tapped number; number of errors; visualization loss; number of lookdowns |
– | Good | 2 |
Camp et al., 2016 [39] | 45 residents | Knee | Cadaver | Diagnostic arthroscopy | Task completion time | ASSET | Good | 2 |
Cychosz et al., 2018 [28] | 43 medical students | Knee | Simulator | Diagnostic arthroscopy | Task completion time; camera path length; cartilage damage |
– | Fair | 2 |
Dunn et al., 2015 [46] | 17 residents | Shoulder | Patient | Diagnostic arthroscopy | Task completion time | 14-point diagnostic shoulder arthroscopy checklist; ASSET |
Good | 2 |
Henn et al., 2013 [41] | 17 medical students | Shoulder | Cadaver | Probing examination | Task completion time | GOALS | Fair | 2 |
Frank et al., 2019 [29] | 36 subjects | – | Simulator | Triangulation | Task completion time; task completion rate |
– | Good | 2 |
Hauschild et al, 2021 [40] | 38 residents | Shoulder | Cadaver | Anterior labral repair | – | Procedural step checklist; ASSET |
Good | 2 |
Garfjeld Roberts et al., 2019 [47] | 30 residents | Knee | Patient | Diagnostic arthroscopy | Task completion time; number of hand movements; smoothness of movements |
– | Good | 2 |
Howells et al., 2008 [48] | 20 junior trainees | Knee | Patient | diagnostic arthroscopy | – | OCAP checklist; OSATS |
Good | 2 |
Huri et al., 2021 [30] | 34 orthopaedics trainees | Shoulder | Simulator | Diagnostic arthroscopy; remove loose bodies |
Task completion time; camera and grasper path length; scratching of cartilage surfaces |
– | Fair | 2 |
Jackson et al., 2012 [31] | 19 residents | Knee | Simulator | Meniscal repair | Task completion time; path length of subject’s hands; number of hand movements |
– | Good | 2 |
Kim et al., 2017 [45] | 14 residents | Knee | Porcine knee model | Diagnostic arthroscopy | Task completion time | ASSET | Fair | 3 |
Martin et al., 2016 [34] | 48 residents | Shoulder | Simulator | Diagnostic Arthroscopy | Task completion time; probe distance and tip distance; |
– | Fair | 3 |
Ledermann et al., 2020 [32] | 11 residents | Knee | Simulator and patient | Meniscectomy | – | ASSET | Good | 2 |
Bouaicha et al., 2020 [23] | 18 medical students, 1 intern | Knee | Simulator | Triangulation | Task completion time; camera path length |
– | Good | 2 |
Martin et al., 2015 [33] | 29 interns and residents | Ankle | simulator and cadaver | Diagnostic arthroscopy | Task completion time | 15-point diagnostic ankle arthroscopy checklist; ASSET |
Good | 1 |
Middleton et al., 2016 [35] | 17 medical students or interns | Knee | Simulator | Diagnostic arthroscopy | Task completion time; number of hand movements |
BAKSSS | Good | 2 |
Rahm et al., 2018 [36] | 20 residents and 5 experts | Knee and shoulder | Simulator | Diagnostic arthroscopy probing examination |
Task completion time; camera path length |
ASSET | Fair | 3 |
Redondo et al., 2020 [43] | 28 medical students | Knee and shoulder | Cadaver | Diagnostic arthroscopy; triangulation |
Task completion rate | ASSET | Good | 2 |
Sandberg et al., 2017 [44] | 24 medical students | Knee | Cadaver | Diagnostic arthroscopy | Number of attempts to reach proficiency | BAKSSS | Good | 2 |
Rebolledo et al., 2015 [42] | 14 residents | Knee and shoulder | Cadaver | Diagnostic arthroscopy | Task completion time | Injury grading index (IGI) | Fair | 2 |
Waterman et al., 2016 [38] | 22 residents | Shoulder | Simulator and patient | Diagnostic arthroscopy | Simulator: completion time; camera and probe distance Patient: completion time |
Patient: 14-point diagnostic arthroscopy checklist; ASSET | Good | 2 |
Note: QA: quality assurance; LOE: level of evidence.