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Scapula fractures: Interobserver reliability of classification and treatment
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- Neuhaus, V. (author)
- Orthopaedic Hand Service, Yawkey Center, Massachusetts General Hospital, 55 Fruit St, Boston, MA 02114, United States
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- Bot, A.G.J. (author)
- Orthopaedic Hand Service, Yawkey Center, Massachusetts General Hospital, 55 Fruit St, Boston, MA 02114, United States
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- Guitton, T.G. (author)
- Orthopaedic Hand Service, Yawkey Center, Massachusetts General Hospital, 55 Fruit St, Boston, MA 02114, United States
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- Lippincott, Williams andamp; Wilkins, 2014
- 2014
- English.
- In: Journal of Orthopaedic Trauma. - : Lippincott, Williams andamp; Wilkins. - 0890-5339 .- 1531-2291. ; 28:3, s. 124-129
- Journal article (peer-reviewed)
Abstract
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- Objectives: There is substantial variation in the classification and management of scapula fractures. The first purpose of this study was to analyze the interobserver reliability of the OTA/AO classification and the New International Classification for Scapula Fractures. The second purpose was to assess the proportion of agreement among orthopaedic surgeons on operative or nonoperative treatment. Design: Web-based reliability study. Setting: Independent orthopaedic surgeons from several countries were invited to classify scapular fractures in an online survey. Participants: One hundred three orthopaedic surgeons evaluated 35 movies of three-dimensional computerized tomography reconstruction of selected scapular fractures, representing a full spectrum of fracture patterns. Main Outcome Measurements: Fleiss kappa (κ) was used to assess the reliability of agreement between the surgeons. Results: The overall agreement on the OTA/AO classification was moderate for the types (A, B, and C, κ = 0.54) with a 71% proportion of rater agreement (PA) and for the 9 groups (A1 to C3, κ = 0.47) with a 57% PA. For the New International Classification, the agreement about the intraarticular extension of the fracture (Fossa (F), κ = 0.79) was substantial and the agreement about a fractured body (Body (B), κ = 0.57) or process was moderate (Process (P), κ = 0.53); however, PAs were more than 81%. The agreement on the treatment recommendation was moderate (κ = 0.57) with a 73% PA. Conclusions: The New International Classification was more reliable. Body and process fractures generated more disagreement than intraarticular fractures and need further clear definitions. Copyright © 2013 by Lippincott Williams and Wilkins.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine (hsv//eng)
Keyword
- New International Classification for Scapular Fractures; OTA/AO fracture classification; reliability; scapula
Publication and Content Type
- ref (subject category)
- art (subject category)
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- Neuhaus, V.
- Bot, A.G.J.
- Guitton, T.G.
- Ring, D.C.
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- MEDICAL AND HEALTH SCIENCES
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- Linköping University
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