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Are eponyms used correctly or not? A literature review with a focus on shoulder and elbow surgery
  1. Matthijs Paul Somford1,
  2. Rebecca A Nieuwe Weme2,
  3. Cornelis Niek van Dijk3,
  4. Frank FA IJpma4,
  5. Denise Eygendaal5
  1. 1Department of Orthopaedic Surgery, Ziekenhuis Rijnstate, Arnhem, Gelderland, The Netherlands
  2. 2Department of General surgery, Isala Clinics, Zwolle, The Netherlands
  3. 3Department of Orthopedic surgery, AMC Ziekenhuis, Amsterdam, The Netherlands
  4. 4Department of Surgery, University Medical Center Groningen, Groningen, The Netherlands
  5. 5Department of Orthopedic surgery, Amphia Ziekenhuis, Breda, North Brabant, The Netherlands
  1. Correspondence to: Dr Matthijs Paul Somford
    , Department of Orthopaedic Surgery, Ziekenhuis Rijnstate, Arnhem, Gelderland 9728 NT, The Netherlands; mp_somford@hotmail.com

Extract

Background Eponymous terms are used frequently in daily patient care and scientific literature. They remind us of our predecessors in surgery. It is debatable whether eponymous terms are reliable in case of information transfer. The aim of our study was to investigate whether the original meaning of eponymous terms in shoulder and elbow surgery has been preserved in its use in contemporary literature.

Objective To evaluate whether eponymous terms were used correctly, we analysed the use of frequently encountered eponymous terms from January to December 2014.

Study selection By means of a PubMed search, articles with eponymous terms were identified and analysed for the way an eponymous term was used, and we compared it with the original description. The original description was traced back to the index publication. The use of the eponymous term was scored as similar, divergent or undefined. In the search for eponymous terms, we included those eponymous terms that were used more than 10 times in the English, German and Dutch literature of 2014. 6 eponymous terms were eligible for analysis: Bankart lesion, Bristow-Latarjet procedure, Essex-Lopresti injury of the forearm, Galeazzi fracture, Hill-Sachs lesion and Monteggia fracture.

Findings We analysed 96 articles with the listed eponymous terms, of which 27 (28%) were scored divergent, 32 (33%) undefined and 37 (39%) similar. Bristow-Latarjet scored lowest, with 0% descriptions similar to the original, meaning that all articles had an undefined or divergent eponym, and Essex-Lopresti scored highest with 82% similarity.

Conclusions Eponymous terms in shoulder and elbow trauma and surgery are used inadequately and inconsistently. The use of eponymous terms probably cannot be avoided, but since the majority of eponymous terms are not used properly and understanding of its meaning and content varies from surgeon to surgeon, we should be keen on explaining the meaning of eponymous terms when using them.

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Extract

Background Eponymous terms are used frequently in daily patient care and scientific literature. They remind us of our predecessors in surgery. It is debatable whether eponymous terms are reliable in case of information transfer. The aim of our study was to investigate whether the original meaning of eponymous terms in shoulder and elbow surgery has been preserved in its use in contemporary literature.

Objective To evaluate whether eponymous terms were used correctly, we analysed the use of frequently encountered eponymous terms from January to December 2014.

Study selection By means of a PubMed search, articles with eponymous terms were identified and analysed for the way an eponymous term was used, and we compared it with the original description. The original description was traced back to the index publication. The use of the eponymous term was scored as similar, divergent or undefined. In the search for eponymous terms, we included those eponymous terms that were used more than 10 times in the English, German and Dutch literature of 2014. 6 eponymous terms were eligible for analysis: Bankart lesion, Bristow-Latarjet procedure, Essex-Lopresti injury of the forearm, Galeazzi fracture, Hill-Sachs lesion and Monteggia fracture.

Findings We analysed 96 articles with the listed eponymous terms, of which 27 (28%) were scored divergent, 32 (33%) undefined and 37 (39%) similar. Bristow-Latarjet scored lowest, with 0% descriptions similar to the original, meaning that all articles had an undefined or divergent eponym, and Essex-Lopresti scored highest with 82% similarity.

Conclusions Eponymous terms in shoulder and elbow trauma and surgery are used inadequately and inconsistently. The use of eponymous terms probably cannot be avoided, but since the majority of eponymous terms are not used properly and understanding of its meaning and content varies from surgeon to surgeon, we should be keen on explaining the meaning of eponymous terms when using them.

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Footnotes

  • Contributors MPS contributed to study design, literature search, data collection, data analysis, data interpretation and manuscript writing. RANW contributed to study design, data collection, data interpretation, figures/tables preparation and correction of manuscript. CNvD contributed to writing and correction of manuscript. FFAI contributed to data interpretation, writing and correction of manuscript. DE contributed to study design, data interpretation, writing and correction of manuscript.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.