Are plain radiographs reliable in Lichtman classification?
| Autor: | Ahmet Nadir Aydemir, Mehmet Yücens, Cengiz Eren Cansu, Ahmet Fahir Demirkan |
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| Přispěvatelé: | Aydemir, Ahmet Nadir, Yucens, Mehmet, Cansu, Cengiz Eren, Demirkan, Ahmet Fahir |
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Male
Kienböck Radiography Traumatology Wrist Musculoskeletal disorder health personnel attitude Surveys and Questionnaires REPRODUCIBILITY middle aged Orthopedics and Sports Medicine traumatology Orthodontics Observer Variation Preoperative planning Agreement classification Kienbock Lichtman reliability Rehabilitation Osteonecrosis Middle Aged Classification Reliability female medicine.anatomical_structure Plain radiographs Female Original Article medicine.medical_specialty Attitude of Health Personnel KIENBOCKS-DISEASE medicine Humans human procedures bone necrosis reproducibility business.industry questionnaire Reproducibility of Results Orthopedic Surgeons orthopedic surgeon medicine.disease Orthopedics Orthopedic surgery Surgery business Kappa |
| Zdroj: | Joint Diseases and Related Surgery |
| Popis: | Objectives: This study aims to investigate the reliability of the Lichtman classification among residents, orthopedic surgeons, and hand surgeons. Materials and methods: This study was carried out with 30 male observers (mean age 37.8 years; range, 26 to 62 years) who agreed to participate in the study. All observers were orthopedic surgeons. The observers were separated into three groups that consist of 10 residents, 10 orthopedic surgeons, and 10 hand surgeons. The anteroposterior and lateral wrist radiographs of 20 patients (12 males. 8 females; mean age 49 years; range, 38 to 74 years) diagnosed as Kienbock's disease were sent to observers via e-mail as a survey. All 40 radiographs were asked to be kept classified. Results: The classification of Kienbock's disease was analyzed by 30 observers on 40 digital radiographs. The overall agreement with the Lichtman classification was fair within all of the observers (kappa=0.203). When groups were evaluated within themselves, the agreement level was found poor in group 1 (kappa=0.162) and fair in group 2 (kappa=0.210) and group 3 (kappa=0.252). Conclusion: A useful classification system in orthopedics and traumatology should classify the type of musculoskeletal disorder reliably, facilitate communication in clinical practice, guide preoperative planning, and enable comparison of results between studies. The Lichtman classification alone is insufficient and should be supported by other imaging and measurement techniques. C1 [Aydemir, Ahmet Nadir; Yucens, Mehmet; Demirkan, Ahmet Fahir] Pamukkale Univ, Dept Orthoped & Traumatol, Fac Med, TR-20070 Denizli, Turkey. [Cansu, Cengiz Eren] Marmara Univ, Dept Orthoped & Traumatol, Fac Med, Istanbul, Turkey. |
| Databáze: | OpenAIRE |
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