INTER/INTRA-OBSERVER EVALUATION BETWEEN RADIOGRAPHS AND TOMOGRAPHIES FOR PROXIMAL HUMERUS FRACTURE
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Acta Ortopédica Brasileira (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522020000100036 |
Resumo: | ABSTRACT Objective: The use of images in 3D reconstruction is an instrument that facilitates the interpretation of the fracture, observations of deviations, rotations and articular surface. Objective: To evaluate the inter-observer and intra-observer reliability of the Neer x AO proximal humerus fracture classification on radiographs versus computed tomography with three-dimensional reconstruction (3D). Methods: We evaluated the digital radiographs (anteroposterior and profile) and computerized tomography with 3D reconstruction of patients presenting with a proximal humerus fracture, surgically treated at an Orthopedics and Traumatology Service. All radiographs and computed tomography were classified (Neer and AO) by eight (8) orthopedic surgeons, specialists in the upper limb and sent, following the pre-established numeration by the author, in a spreadsheet to the author of the study. Results: The Neer and AO scores were more reproducible when determined by computed tomography with 3D reconstruction, mainly in fractures of greater complexity (Neer 4 parts and AO group C). However, in absolute values, inter and intra-observer reproducibility and concordance still remain low. Conclusion: Computed tomography with 3D reconstruction allows a better analysis of fractures of group C and Neer 4 parts. However, the inter and intra-observer agreement does not increase significantly in comparison to the radiographs. Level of evidence III, Study of non-consecutive patients, without gold standard, applied uniformly. |
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Acta Ortopédica Brasileira (Online) |
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INTER/INTRA-OBSERVER EVALUATION BETWEEN RADIOGRAPHS AND TOMOGRAPHIES FOR PROXIMAL HUMERUS FRACTURETomographyProximal Humeral FractureInter and intra-observerABSTRACT Objective: The use of images in 3D reconstruction is an instrument that facilitates the interpretation of the fracture, observations of deviations, rotations and articular surface. Objective: To evaluate the inter-observer and intra-observer reliability of the Neer x AO proximal humerus fracture classification on radiographs versus computed tomography with three-dimensional reconstruction (3D). Methods: We evaluated the digital radiographs (anteroposterior and profile) and computerized tomography with 3D reconstruction of patients presenting with a proximal humerus fracture, surgically treated at an Orthopedics and Traumatology Service. All radiographs and computed tomography were classified (Neer and AO) by eight (8) orthopedic surgeons, specialists in the upper limb and sent, following the pre-established numeration by the author, in a spreadsheet to the author of the study. Results: The Neer and AO scores were more reproducible when determined by computed tomography with 3D reconstruction, mainly in fractures of greater complexity (Neer 4 parts and AO group C). However, in absolute values, inter and intra-observer reproducibility and concordance still remain low. Conclusion: Computed tomography with 3D reconstruction allows a better analysis of fractures of group C and Neer 4 parts. However, the inter and intra-observer agreement does not increase significantly in comparison to the radiographs. Level of evidence III, Study of non-consecutive patients, without gold standard, applied uniformly.ATHA EDITORA2020-02-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522020000100036Acta Ortopédica Brasileira v.28 n.1 2020reponame:Acta Ortopédica Brasileira (Online)instname:Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)instacron:SBOT10.1590/1413-785220202801215063info:eu-repo/semantics/openAccessStirma,Guilherme AugustoSecundino,Armando RomaniGonzalez,Guilherme Ferreira GarciaSola Junior,Wilson CarlosSouza,Geovanna Andrade Labres deDau,Leonardoeng2020-01-15T00:00:00Zoai:scielo:S1413-78522020000100036Revistahttp://www.actaortopedica.com.br/https://old.scielo.br/oai/scielo-oai.php1atha@uol.com.br||actaortopedicabrasileira@uol.com.br1809-44061413-7852opendoar:2020-01-15T00:00Acta Ortopédica Brasileira (Online) - Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)false |
dc.title.none.fl_str_mv |
INTER/INTRA-OBSERVER EVALUATION BETWEEN RADIOGRAPHS AND TOMOGRAPHIES FOR PROXIMAL HUMERUS FRACTURE |
title |
INTER/INTRA-OBSERVER EVALUATION BETWEEN RADIOGRAPHS AND TOMOGRAPHIES FOR PROXIMAL HUMERUS FRACTURE |
spellingShingle |
INTER/INTRA-OBSERVER EVALUATION BETWEEN RADIOGRAPHS AND TOMOGRAPHIES FOR PROXIMAL HUMERUS FRACTURE Stirma,Guilherme Augusto Tomography Proximal Humeral Fracture Inter and intra-observer |
title_short |
INTER/INTRA-OBSERVER EVALUATION BETWEEN RADIOGRAPHS AND TOMOGRAPHIES FOR PROXIMAL HUMERUS FRACTURE |
title_full |
INTER/INTRA-OBSERVER EVALUATION BETWEEN RADIOGRAPHS AND TOMOGRAPHIES FOR PROXIMAL HUMERUS FRACTURE |
title_fullStr |
INTER/INTRA-OBSERVER EVALUATION BETWEEN RADIOGRAPHS AND TOMOGRAPHIES FOR PROXIMAL HUMERUS FRACTURE |
title_full_unstemmed |
INTER/INTRA-OBSERVER EVALUATION BETWEEN RADIOGRAPHS AND TOMOGRAPHIES FOR PROXIMAL HUMERUS FRACTURE |
title_sort |
INTER/INTRA-OBSERVER EVALUATION BETWEEN RADIOGRAPHS AND TOMOGRAPHIES FOR PROXIMAL HUMERUS FRACTURE |
author |
Stirma,Guilherme Augusto |
author_facet |
Stirma,Guilherme Augusto Secundino,Armando Romani Gonzalez,Guilherme Ferreira Garcia Sola Junior,Wilson Carlos Souza,Geovanna Andrade Labres de Dau,Leonardo |
author_role |
author |
author2 |
Secundino,Armando Romani Gonzalez,Guilherme Ferreira Garcia Sola Junior,Wilson Carlos Souza,Geovanna Andrade Labres de Dau,Leonardo |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Stirma,Guilherme Augusto Secundino,Armando Romani Gonzalez,Guilherme Ferreira Garcia Sola Junior,Wilson Carlos Souza,Geovanna Andrade Labres de Dau,Leonardo |
dc.subject.por.fl_str_mv |
Tomography Proximal Humeral Fracture Inter and intra-observer |
topic |
Tomography Proximal Humeral Fracture Inter and intra-observer |
description |
ABSTRACT Objective: The use of images in 3D reconstruction is an instrument that facilitates the interpretation of the fracture, observations of deviations, rotations and articular surface. Objective: To evaluate the inter-observer and intra-observer reliability of the Neer x AO proximal humerus fracture classification on radiographs versus computed tomography with three-dimensional reconstruction (3D). Methods: We evaluated the digital radiographs (anteroposterior and profile) and computerized tomography with 3D reconstruction of patients presenting with a proximal humerus fracture, surgically treated at an Orthopedics and Traumatology Service. All radiographs and computed tomography were classified (Neer and AO) by eight (8) orthopedic surgeons, specialists in the upper limb and sent, following the pre-established numeration by the author, in a spreadsheet to the author of the study. Results: The Neer and AO scores were more reproducible when determined by computed tomography with 3D reconstruction, mainly in fractures of greater complexity (Neer 4 parts and AO group C). However, in absolute values, inter and intra-observer reproducibility and concordance still remain low. Conclusion: Computed tomography with 3D reconstruction allows a better analysis of fractures of group C and Neer 4 parts. However, the inter and intra-observer agreement does not increase significantly in comparison to the radiographs. Level of evidence III, Study of non-consecutive patients, without gold standard, applied uniformly. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-02-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522020000100036 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522020000100036 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/1413-785220202801215063 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
ATHA EDITORA |
publisher.none.fl_str_mv |
ATHA EDITORA |
dc.source.none.fl_str_mv |
Acta Ortopédica Brasileira v.28 n.1 2020 reponame:Acta Ortopédica Brasileira (Online) instname:Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) instacron:SBOT |
instname_str |
Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) |
instacron_str |
SBOT |
institution |
SBOT |
reponame_str |
Acta Ortopédica Brasileira (Online) |
collection |
Acta Ortopédica Brasileira (Online) |
repository.name.fl_str_mv |
Acta Ortopédica Brasileira (Online) - Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) |
repository.mail.fl_str_mv |
1atha@uol.com.br||actaortopedicabrasileira@uol.com.br |
_version_ |
1752122276511219712 |