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Interobserver Reliability of a CT-Based Fracture Classification System

Interobserver Reliability of a CT-Based Fracture Classification System ORIGINAL ARTICLE Interobserver Reliability of a CT-Based Fracture Classification System Catherine A. Humphrey, MD,* Douglas R. Dirschl, MD,† and Thomas J. Ellis, MD* Key Words: classification, fracture classification, calcaneus, inter- Objectives: This study was designed to determine whether the observer reliability interobserver reliability of a fracture classification scheme applied (J Orthop Trauma 2005;19:616–622) based on a single, carefully defined, computed tomography (CT) cut is greater than those previously reported for systems designed for use with plain radiographs. ystems for classification of fractures act as tools. Ideally, Design: Observer review of selected cases. Sthey facilitate communication regarding the nature of a fracture, guide treatment decisions, and provide information re- Setting: Four, level one, trauma centers. garding prognosis. Many fracture classification systems are Patients: Pretreatment CT scans of patients with calcaneus fractures in widespread use; however, all of the systems assessed have 1–8 were screened by the authors. Thirty cases were selected that had an demonstrated disappointing interobserver reliability. In- appropriate semicoronal CT image. Ten orthopaedic traumatologists who vestigators initially suggested that observer inexperience and were members of the Orthopaedic Trauma Association and had a min- ambiguity of the systems themselves were sources of dis- 3,7,9 imum of 5 years postresidency http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Orthopaedic Trauma Wolters Kluwer Health

Interobserver Reliability of a CT-Based Fracture Classification System

Ellis, Thomas J
Journal of Orthopaedic Trauma , Volume 19 (9) – Oct 1, 2005
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Copyright
Copyright © 2005 by Lippincott Williams & Wilkins
ISSN
0890-5339
eISSN
1531-2291
DOI
10.1097/01.bot.0000177107.30837.61
Publisher site
See Article on Publisher Site

Abstract

ORIGINAL ARTICLE Interobserver Reliability of a CT-Based Fracture Classification System Catherine A. Humphrey, MD,* Douglas R. Dirschl, MD,† and Thomas J. Ellis, MD* Key Words: classification, fracture classification, calcaneus, inter- Objectives: This study was designed to determine whether the observer reliability interobserver reliability of a fracture classification scheme applied (J Orthop Trauma 2005;19:616–622) based on a single, carefully defined, computed tomography (CT) cut is greater than those previously reported for systems designed for use with plain radiographs. ystems for classification of fractures act as tools. Ideally, Design: Observer review of selected cases. Sthey facilitate communication regarding the nature of a fracture, guide treatment decisions, and provide information re- Setting: Four, level one, trauma centers. garding prognosis. Many fracture classification systems are Patients: Pretreatment CT scans of patients with calcaneus fractures in widespread use; however, all of the systems assessed have 1–8 were screened by the authors. Thirty cases were selected that had an demonstrated disappointing interobserver reliability. In- appropriate semicoronal CT image. Ten orthopaedic traumatologists who vestigators initially suggested that observer inexperience and were members of the Orthopaedic Trauma Association and had a min- ambiguity of the systems themselves were sources of dis- 3,7,9 imum of 5 years postresidency

Journal

Journal of Orthopaedic Trauma – Wolters Kluwer Health

Published: Oct 1, 2005

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