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Scapula fractures: ...
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Neuhaus, V.Orthopaedic Hand Service, Yawkey Center, Massachusetts General Hospital, 55 Fruit St, Boston, MA 02114, United States
(författare)
Scapula fractures: Interobserver reliability of classification and treatment
- Artikel/kapitelEngelska2014
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Lippincott, Williams andamp; Wilkins,2014
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LIBRIS-ID:oai:DiVA.org:liu-117185
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https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-117185URI
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https://doi.org/10.1097/BOT.0b013e31829673e2DOI
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Språk:engelska
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Sammanfattning på:engelska
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Ämneskategori:ref swepub-contenttype
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Ämneskategori:art swepub-publicationtype
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Additional authors: Science of Variation GroupLars Adolfsson, LiU
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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.
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Bot, A.G.J.Orthopaedic Hand Service, Yawkey Center, Massachusetts General Hospital, 55 Fruit St, Boston, MA 02114, United States
(författare)
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Guitton, T.G.Orthopaedic Hand Service, Yawkey Center, Massachusetts General Hospital, 55 Fruit St, Boston, MA 02114, United States
(författare)
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Ring, D.C.Orthopaedic Hand Service, Yawkey Center, Massachusetts General Hospital, 55 Fruit St, Boston, MA 02114, United States
(författare)
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Orthopaedic Hand Service, Yawkey Center, Massachusetts General Hospital, 55 Fruit St, Boston, MA 02114, United States
(creator_code:org_t)
Sammanhörande titlar
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Ingår i:Journal of Orthopaedic Trauma: Lippincott, Williams andamp; Wilkins28:3, s. 124-1290890-53391531-2291
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