The interobserver reliability of the diagnosis and classification of scaphoid fractures using high-resolution peripheral quantitative CT
| Autor: | Caroline E. Wyers, Pascal F. W. Hannemann, Anne M Daniels, Heinrich M. J. Janzing, Joop P. W. van den Bergh, Martijn Poeze, Bert van Rietbergen, Sjoerd Kaarsemaker, Sander Sassen, D. Loeffen |
|---|---|
| Přispěvatelé: | Orthopaedic Biomechanics, Interne Geneeskunde, RS: NUTRIM - R3 - Respiratory & Age-related Health, MUMC+: DA BV Medisch Specialisten Radiologie (9), MUMC+: MA Heelkunde (9) |
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male RADIOGRAPHS medicine.medical_specialty Interobserver reliability Radiography High resolution 030209 endocrinology & metabolism Scaphoid fracture Computed tomography 030218 nuclear medicine & medical imaging Fractures Bone 03 medical and health sciences 0302 clinical medicine Humans Medicine QUALITY Orthopedics and Sports Medicine COMPUTED-TOMOGRAPHY Prospective Studies IMAGING MODALITIES Aged Observer Variation Scaphoid Bone medicine.diagnostic_test RADIUS business.industry WOMEN Conventional radiographs Middle Aged medicine.disease Peripheral BONE-SCINTIGRAPHY Bone scintigraphy DENSITY Feasibility Studies Female Surgery Radiology Tomography X-Ray Computed business MICROARCHITECTURE MRI |
| Zdroj: | The Bone & Joint Journal, 102-B(4), 478-484. British Editorial Society of Bone and Joint Surgery The Bone & Joint Journal, 102B(4), 478-484. British Editorial Society of Bone & Joint Surgery |
| ISSN: | 2049-4408 2049-4394 |
| Popis: | Aims Besides conventional radiographs, the use of MRI, CT, and bone scintigraphy is frequent in the diagnosis of a fracture of the scaphoid. However, which techniques give the best results remain unknown. The investigation of a new imaging technique initially requires an analysis of its precision. The primary aim of this study was to investigate the interobserver agreement of high-resolution peripheral quantitative CT (HR-pQCT) in the diagnosis of a scaphoid fracture. A secondary aim was to investigate the interobserver agreement for the presence of other fractures and for the classification of scaphoid fracture. Methods Two radiologists and two orthopaedic trauma surgeons evaluated HR-pQCT scans of 31 patients with a clinically-suspected scaphoid fracture. The observers were asked to determine the presence of a scaphoid or other fracture and to classify the scaphoid fracture based on the Herbert classification system. Fleiss kappa statistics were used to calculate the interobserver agreement for the diagnosis of a fracture. Intraclass correlation coefficients (ICCs) were used to assess the agreement for the classification of scaphoid fracture. Results A total of nine (29%) scaphoid fractures and 12 (39%) other fractures were diagnosed in 20 patients (65%) using HR-pQCT across the four observers. The interobserver agreement was 91% for the identification of a scaphoid fracture (95% confidence interval (CI) 0.76 to 1.00) and 80% for other fractures (95% CI 0.72 to 0.87). The mean ICC for the classification of a scaphoid fracture in the seven patients diagnosed with scaphoid fracture by all four observers was 73% (95% CI 0.42 to 0.94). Conclusion We conclude that the diagnosis of scaphoid and other fractures is reliable when using HR-pQCT in patients with a clinically-suspected fracture. Cite this article: Bone Joint J 2020;102-B(4):478–484. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|