Interobserver Variability in the Treatment of Little Finger Metacarpal Neck Fractures
2014; Elsevier BV; Volume: 39; Issue: 9 Linguagem: Inglês
10.1016/j.jhsa.2014.05.023
ISSN1531-6564
AutoresRick Tosti, Asif M. Ilyas, Jos J. Mellema, Thierry G. Guitton, David Ring, Andy B. Spoor, Adam B. Shafritz, Andreas Platz, Arne Berner, Andrew L. Terrono, A. Jubel, B.E. Kreis, Bernard F. Hearon, Craig A. Bottke, Henry M. Broekhuyse, Richard Buckley, Barry Watkins, Carlos Henrique Fernandes, C. Metzger, Chihab Taleb, L.C. Bainbridge, Carol E. Cornell, Derek F.P. van Deurzen, Daniel A. Osei, Daniël Haverkamp, D.O. Oloruntoba, Denise Eygendaal, Diederik O. Verbeek, David M. Kalainov, Daniel B. Polatsch, Parag Melvanki, Mohamed Shafi, Roger van Riet, David E. Ruchelsman, Scott F. M. Duncan, Emilija Stojkovska Pemovska, Eric T. Tolo, Evan D. Schumer, Frede Frihagen, F. J. Raia, Gregory L. DeSilva, George S.M. Dyer, Gary K. Frykman, George Kontakis, R. Glenn Gaston, Grant E. Garrigues, Goretti Hernández, Hans Grünwald, George W Balfour, Michael Nancollas, Carolyn Young, Gary M. Pess, Holger Durchholz, Kubilay Erol, J. Biert, Jack Choueka, J.M. Wolf, Job N. Doornberg, Kees-Jan Ponsen, Sanjeev Kakar, Ken Eng, Kyle J. Jeray, K. Lee, Kevin M. Rumball, Koroush Kabir, Gerald Kraan, L.M.S.J. Poelhekke, M. Ladislav, Linda K. Weiss, Lars C. Borris, Luis H. Paz Rios, Matthew A. Mormino, Mariusz Bonczar, E. Mark Hammerberg, Matej Kastelec, Maurizio Calcagni, Augustus D. Mazzocca, Michael Darowish, Ralph M. Costanzo, Mahmoud Abdel-Ghany, Michael A. Baskies, Minoo Patel, Michael J. Prayson, Minos Tyllianakis, Nelson Elias, Nicholas Shortt, Nicky L. Leung, N. Kanakaris, Reza Omid, E. Forigua Jaime, Palle Brink, Peter Kloen, P. V. van Eerten, P. Lygdas, Prosper Benhaim, Flávio Luís Garcia, L. Guenter, Robert Haverlag, Robert I. Liem, Robin M. Smith, Richard S. Page, A Schmidt, Scott L. Mitchell, Seth D. Dodds, Betsy M. Nolan, Sam Moghtaderi, Todd E. Siff, Thierry Bégué, Thomas A. Hughes, Thomas G. Stackhouse, Theodoros H. Tosounidis, V. Philippe, Christopher J. Wall, Warren C. Hammert, Yoram A. Weil, Wojciech Satora, J. Fischer, A. L. van der Zwan, J.E. Adams, Alessandro Garcia, Anne J. H. Vochteloo, Antonio Barquet, A. Kristan, H. Brent Bamberger, Michel P.J. van den Bekerom, William Dias Belangero, Wesley Benjamin, Frank L. Walter, Martin I. Boyer, Brian P.D. Wills, Ryan P. Calfee, Carl Ekholm, Carrie R. Swigart, Charles Cassidy, Cesar Dario Oliveira Miranda, Caitlin Wilson, Jesús Moreta, Caitlin Wilson, Constanza L. Moreno-Serrano, C. Manke, Colwyn Jones, Cyrus Klostermann, Gino Rocca, Camilo Jose Romero Barreto, Maqdooda Merchant, Drago Brilej, N. Bijlani, D.M. Silva, Elise Johansen Harvey, Erik T. Walbeehm, Fabio Suárez, Francisco Lopez-Gonzalez, Gabriel Caro, Christos Garnavos, George S. Athwal, George C. Babis, George Kohut, Gertraud Gradl, Georg M. Huemer, Charles A. Goldfarb, Grant Bayne, Luiz Augusto Bittencourt Campinhos, Andrew P. Gutow, Stanley C. Marczyk, Lewis Lane, H. Goost, Harold Alonso Villamizar, Erik H. Hofmeister, Iain McGraw, J. Carel Goslings, J.F. Di Giovanni, Joshua M. Abzug, John A. McAuliffe, Jonathan Isaacs, John M. Itamura, Joseph Conflitti, John Munyak, Jose Nolla, Johan Scheer, Jennifer M. Erickson, Jeffrey Wint, Karel Chivers, D.K. Kirkpatrick, K.J. Malone, K. Dickson, Lars Adolfsson, Michiel A. J. van de Sande, Michael J. Richard, M. P. A. Menon, Maximillian Soong, Makenzie Wood, M. Quell, Michael J. Behrman, Michael W. Kessler, M. Jason Palmer, Marinis Pirpiris, Michael Grafe, Niels W. L. Schep, Divya Nelson, Neil Wilson, John T. Capo, James H. Calandruccio, Oleg M. Semenkin, Christian Veillette, Matthew Richardson, Prashanth Inna, Peter L. Althausen, Paul A. Martineau, Philip Blazar, Paul Hahn, P. Schandelmaier, Paul M. Guidera, Peter Jebson, W.A. Batson, Ramon de Bedout, Russell A. Shatford, Sergio Rowinski, Renato Fricker, Randy M. Hauck, Richard Wallensten, Rick F. Papandrea, Richard S. Gilbert, Marco Rizzo, Richard L. Hutchison, Robert Zura, Rachel Gomes Cardoso, Rodrigo Pesántez, Steffie Spruijt, Stephen A. Kennedy, Satyen Mehta, Steven Beldner, Saul J. Kaplan, Scott G. Kaar, S.A.G. Meylaerts, Philipp N. Streubel, Timothy J. O’Mara, M.F. Swiontkowski, Taco Gosens, Thomas A. DeCoster, Taizoon Baxamusa, Thomas Dienstknecht, Fatih Kaplan, Thomas F. Higgins, Thomas Mittlmeier, Thomas Apard, Tin Fischer, Tomo Havliček, Theresa O. Wyrick, Vincenzo Giordano, Valentin Neuhaus, Vasilios Nikolaou, Thomas W. Wright, Charalampos G. Zalavras,
Tópico(s)Reliability and Agreement in Measurement
ResumoTo address the null hypothesis that surgeons shown radiographs of little finger metacarpal neck fractures with measured fracture angulation would recommend surgery as often as surgeons shown unmarked radiographs.Members of the Science of Variation Group, an international collaboration of fully trained orthopedic and trauma surgeons, were asked to review 20 little finger metacarpal neck fracture cases, which included a vignette and 3 high-quality radiographs. Members were then randomized to review radiographs with or without measured fracture angulation on the lateral view and select operative or nonoperative management.Surgeons shown radiographs with measured angulation were more likely to recommend surgery, and there was less variability among these surgeons, particularly for fractures with less angular deformity.Measured fracture angulation has a small but significant influence on treatment recommendations for little finger metacarpal neck fractures.Diagnostic III.
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