Please use this identifier to cite or link to this item:
|Title:||Scapula fractures: interobserver reliability of classification and treatment.|
|Epworth Authors:||Richardson, Martin|
|Other Authors:||Neuhaus, Valentin|
Bot, Arjan G.
Guitton, Thierry G.
Ring, David C.
|Keywords:||Department of Orthopaedics, Epworth HealthCare, Melbourne, Victoria, Australia.|
Musculoskeletal Clinical Institute, Epworth HealthCare, Victoria, Australia
Computerized Tomography, X Ray
Tomography, X-Ray Computed
Computer-Assisted Three-Dimensional Imaging
Imaging, Three-Dimensional, Computer Assisted
Three-Dimensional Imaging, Computer Generated
|Citation:||J Orthop Trauma. 2014 Mar;28(3):124-9.|
|Abstract:||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.|
|Journal Title:||Journal of Orthopaedic Trauma|
|Type of Clinical Study or Trial:||Reproducibility of Results|
|Appears in Collections:||Musculoskeletal|
Files in This Item:
There are no files associated with this item.
Items in EKB are protected by copyright, with all rights reserved, unless otherwise indicated.