SHORTENING OF CLAVICLE FRACTURES: PHYSICAL VERSUS IMAGE EXAMINATIONS.

Autor:	Beraldo RA; Instituto Jundiaiense de Ortopedia e Traumatologia (IJOT), Jundiaí, São Paulo, Brazil.; Faculdade de Medicina de Jundiaí (FMJ), Jundiaí, SP, Brazil., Silva CIB; Instituto Jundiaiense de Ortopedia e Traumatologia (IJOT), Jundiaí, São Paulo, Brazil.; Faculdade de Medicina de Jundiaí (FMJ), Jundiaí, SP, Brazil., de Paiva HH; Instituto Jundiaiense de Ortopedia e Traumatologia (IJOT), Jundiaí, São Paulo, Brazil.; Faculdade de Medicina de Jundiaí (FMJ), Jundiaí, SP, Brazil., Alexandre Galdeano E; Faculdade de Medicina de Jundiaí (FMJ), Jundiaí, SP, Brazil.; Hospital São Vicente de Jundiaí, Nucleus of Education and Research, Jundiaí, SP, Brazil., de Moraes R; Instituto Jundiaiense de Ortopedia e Traumatologia (IJOT), Jundiaí, São Paulo, Brazil.; Faculdade de Medicina de Jundiaí (FMJ), Jundiaí, SP, Brazil.; Hospital São Vicente de Jundiaí, Nucleus of Education and Research, Jundiaí, SP, Brazil.
Jazyk:	angličtina
Zdroj:	Acta ortopedica brasileira [Acta Ortop Bras] 2024 Jun 24; Vol. 32 (2), pp. e274209. Date of Electronic Publication: 2024 Jun 24 (Print Publication: 2024).
DOI:	10.1590/1413-785220243202e274209
Abstrakt:	Objective: Determine the reliability of three different methods of evaluating bone shortening in displaced midshaft clavicle fractures (DCMF). Method: A cross-sectional analytical study evaluated bone shortening by metric tape (MT), radiography (X-ray), and computed tomography (CT). Twenty-six men had been evaluated and used clavícula not broken as control. The collection of data was of the blind type for three specialists. Differences and reliability were analyzed with the Friedman and Kappa tests and validated with the T-test (CI: 95%; significance index p<0.05; Software "R" version 3.2.2). Results: The MT measurements (control) showed abnormal distribution and significant statistical difference concerning the imaging tests (p=0.000008). There was a similarity between X-ray and CT and Kappa agreement of 0.65. The fractured clavicles presented similar measurements between the three methods (p=0.059), and the T-tests proved that the similarity was caused by chance or possible measurement errors. Conclusion: Measurement by metric tape showed a tendency to overestimate bone shortening. The CT showed more reliable results for the diagnosis; however, the X-ray was sufficient for decision-making by surgeons, and therefore, it is not possible to rule out the importance of this resource for DCMF. Level of Evidence IV; Case-Control Study. Competing Interests: All authors declare no potential conflict of interest related to this article.
Databáze:	MEDLINE
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