Evaluation of Judet view radiographs accuracy in classification of acetabular fractures compared with three-dimensional computerized tomographic scan: a retrospective study
| Autor: | Shima Ghafourian Noroozi, Ali Yeganeh, Mansour Bahardoust, Meysam Salehzadeh, Mikaiel Hajializade, Sepideh Abdi Tazeabadi, H Farahini |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty lcsh:Diseases of the musculoskeletal system Sports medicine Radiography Plain radiograph Three-dimensional computerized tomographic scan 03 medical and health sciences Imaging Three-Dimensional 0302 clinical medicine Rheumatology Humans Medicine Orthopedics and Sports Medicine 030212 general & internal medicine Retrospective Studies Acetabular fracture Observer Variation 030222 orthopedics Kappa value Hip Fractures business.industry Reproducibility of Results Acetabulum Retrospective cohort study Middle Aged medicine.disease Judet view Plain radiography Orthopedic surgery Female Plain radiographs lcsh:RC925-935 Tomography X-Ray Computed business Nuclear medicine Research Article |
| Zdroj: | BMC Musculoskeletal Disorders, Vol 21, Iss 1, Pp 1-6 (2020) BMC Musculoskeletal Disorders |
| ISSN: | 1471-2474 |
| Popis: | Background In the current diagnostic procedure, generally, both plain radiographs and 3D-CT scans are used for the diagnosis of acetabular fractures. There is no consensus regarding the value of a three-dimensional computerized tomographic (3D-CT) scan alone in the classification of acetabular fractures. In this study, we compared the accuracy of 3D-CT scan and plain radiography through the evaluation of their agreement with the intraoperative surgeon’s classification. Method In a retrospective study, patients who were referred to our center with an acetabular fracture and underwent surgical treatment were included. The classification of acetabular fractures was performed once using Judet view plain radiographs and once using a 3D-CT scan by the corresponding one Experienced musculoskeletal radiologist one independent trauma fellowship-trained orthopaedic who routinely treat acetabular fractures and based on Letournel and Judet classification (17 and 23 years of experience respectively). Cohen’s kappa value was used for the assessment agreement between the two imaging modalities, as well as between the imaging modalities and intraoperative classification. Results Medical files of 152 patients with acetabular fracture were retrospectively reviewed. A kappa value of 0.236 was obtained as the agreement level between radiographs and intraoperative findings (p p p Conclusions 3D-CT scans are reliable enough in the classification of acetabular fractures, and plain radiographs could be omitted to avoid radiation exposure as well as to reduce the cost for patients who sustain acetabular fractures. |
| Databáze: | OpenAIRE |
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