Osteochondritis dissecans of the humeral capitellum: reliability of four classification systems using radiographs and computed tomography
| العنوان: | Osteochondritis dissecans of the humeral capitellum: reliability of four classification systems using radiographs and computed tomography |
|---|---|
| المؤلفون: | Niels W. L. Schep, J. C. T. van der Lugt, Job N. Doornberg, M.P. Somford, C. C. J. Jaspars, Alexander L. Boerboom, Augustus D. Mazzocca, Scott F. M. Duncan, Lukas A. Lisowski, Thierry G. Guitton, Tjarco D.W. Alta, Femke M.A.P. Claessen, R. Blokzijl, Denise Eygendaal, P. Mansat, A. van Noort, Minoo Patel, A. Shafritz, Giuseppe Porcellini, Carl Ekholm, A. van Tongel, Juan Martín Patiño, M. van der Pluim, A. Heijnk, Kimberly I. M. van den Ende, D. F. P. van Deurzen, Paolo Paladini, Michel P.J. van den Bekerom, C.M. Keijser, P. van Deurzen-van Dijk, J. Cheung, Marc L. Wagener, Annechien Beumer, O. Lambers Heerspink, Grant E. Garrigues, Gregory P. Kolovich, S.G. Kaar, Peter Kloen |
| المساهمون: | Other Research, Orthopedic Surgery and Sports Medicine, Other departments, Graduate School, Surgery, Orthopedics and Sports Medicine |
| المصدر: | Journal of shoulder and elbow surgery / American Shoulder and Elbow Surgeons ... [et al.], 24(10), 1613-1618. Mosby Inc. Journal of Shoulder and Elbow Surgery, 24(10), 1613-1618. Mosby Inc. |
| سنة النشر: | 2015 |
| مصطلحات موضوعية: | Male, medicine.medical_specialty, Interobserver reliability, Radiography, Computed tomography, Arthroscopy, Classification, Humeral capitellum, Interobserver study, Osteochondritis dissecans, Sport traumatology, Clinical Competence, Elbow Joint, Female, Humans, Humerus, Observer Variation, Osteochondritis Dissecans, Reproducibility of Results, Orthopedics, Radiology, Tomography, X-Ray Computed, Medicine, Orthopedics and Sports Medicine, Stage (cooking), Reliability (statistics), Orthodontics, medicine.diagnostic_test, business.industry, Magnetic resonance imaging, General Medicine, medicine.disease, Surgery, business |
| الوصف: | Background: The radiographic appearance of osteochondritis dissecans (OCD) of the humeral capitellum varies according to the stage of the lesion. It is important to evaluate the stage of OCD lesion carefully to guide treatment. We compared the interobserver reliability of currently used classification systems for OCD of the humeral capitellum to identify the most reliable classification system. Methods: Thirty-two musculoskeletal radiologists and orthopaedic surgeons specialized in elbow surgery from several countries evaluated anteroposterior and lateral radiographs and corresponding computed tomography (CT) scans of 22 patients to classify the stage of OCD of the humeral capitellum according to the classification systems developed by (1) Minami, (2) Berndt and Harty, (3) Ferkel and Sgaglione, and (4) Anderson on a Web-based study platform including a Digital Imaging and Communications in Medicine viewer. Magnetic resonance imaging was not evaluated as part of this study. We measured agreement among observers using the Siegel and Castellan multirater kappa. Results: All OCD classification systems, except for Berndt and Harty, which had poor agreement among observers (kappa = 0.20), had fair interobserver agreement: k was 0.27 for the Minami, 0.23 for Anderson, and 0.22 for Ferkel and Sgaglione classifications. The Minami Classification was significantly more reliable than the other classifications (P |
| تدمد: | 1058-2746 |
| DOI: | 10.1016/j.jse.2015.03.029 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::d02e1e457aad10648a2e2b29acfcbfd2 https://doi.org/10.1016/j.jse.2015.03.029 |
| Rights: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....d02e1e457aad10648a2e2b29acfcbfd2 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 10582746 |
|---|---|
| DOI: | 10.1016/j.jse.2015.03.029 |