Asset Details
Do you wish to reserve the book?
A new acute scaphoid fracture assessment method: a reliability study of the ‘long axis’ measurement
Hey, we have placed the reservation for you!
By the way, why not check out events that you can attend while you pick your title.
Oops! Something went wrong.
Looks like we were not able to place the reservation. Kindly try again later.
Are you sure you want to remove the book from the shelf?
A new acute scaphoid fracture assessment method: a reliability study of the ‘long axis’ measurement
Do you wish to request the book?
A new acute scaphoid fracture assessment method: a reliability study of the ‘long axis’ measurement
Please be aware that the book you have requested cannot be checked out. If you would like to checkout this book, you can reserve another copy
We have requested the book for you!
Your request is successful and it will be processed during the Library working hours. Please check the status of your request in My Requests.
Oops! Something went wrong.
Looks like we were not able to place your request. Kindly try again later.
Journal Article
A new acute scaphoid fracture assessment method: a reliability study of the ‘long axis’ measurement
2018
Overview
Background
The aim of this study was to assess the inter observer and intra observer reliability of acute scaphoid fracture classification methods including a novel ‘long axis’ measurement, a simple method which we have developed with the aim of improving agreement when describing acute fractures.
Methods
We identified sixty patients with acute scaphoid fractures at two centres who had been investigated with both plain radiographs and a CT (Computed Tomography) scan within 4 weeks of injury. The fractures were assessed by three observers at each centre using three commonly used classification systems and the ‘long axis’ method.
Results
Inter observer reliability: based on X-rays the ‘long axis’ measurement demonstrated substantial agreement (Intraclass Correlation Coefficient (ICC) =0.76) and was significantly more reliable than the Mayo (
p
< 0.01), the most reliable of the established classification systems with moderate levels of agreement (kappa = 0.56). Intra observer reliability: the long axis measurement demonstrated almost perfect agreement whether based on X-ray (ICC = 0.905) or CT (ICC = 0.900).
Conclusions
This study describes a novel pragmatic ‘long axis’ method for the assessment of acute scaphoid fractures which demonstrates substantial inter and intra observer reliability. The ‘long axis’ measurement has clear potential benefits over traditional classification systems which should be explored in future clinical research.
Publisher
BioMed Central,Springer Nature B.V,BMC
Subject
/ Adult
/ Female
/ Fracture
/ Fractures, Bone - diagnostic imaging
/ Humans
/ Male
/ Medicine
/ Methods
/ Orthopedics and biomechanics
/ Scaphoid
/ Scaphoid Bone - diagnostic imaging
/ Studies
/ Tomography, X-Ray Computed - standards
/ Tomography, X-Ray Computed - trends
/ Wrist Injuries - diagnostic imaging
/ X-rays
