1. A new acute scaphoid fracture assessment method: a reliability study of the ‘long axis’ measurement
- Author
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Benjamin J. F. Dean, Nicholas D. Riley, Earl Robert McCulloch, Jennifer C. E. Lane, Amy Beth Touzell, and Alastair J. Graham
- Subjects
Scaphoid ,Fracture ,Classification ,Acute ,Non-union ,Diseases of the musculoskeletal system ,RC925-935 - Abstract
Abstract 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
- Published
- 2018
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