دورية أكاديمية
The trochlear physeal line angle: a novel method to assess coronal plane alignment of the paediatric distal humerus.
| العنوان: | The trochlear physeal line angle: a novel method to assess coronal plane alignment of the paediatric distal humerus. |
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| المؤلفون: | Generoso TO; Hospital Israelita Albert Einstein., Pacífico Junior GM; Hospital Israelita Albert Einstein., Barcelos FM; Hospital Israelita Albert Einstein., Blumetti FC; Hospital Israelita Albert Einstein., Braga SR; Hospital Israelita Albert Einstein.; Santa Casa de Misericórdia de São Paulo, São Paulo, São Paulo, Brazil., Pegoraro M; Hospital Israelita Albert Einstein., Ramalho Junior A; Hospital Israelita Albert Einstein. |
| المصدر: | Journal of pediatric orthopedics. Part B [J Pediatr Orthop B] 2022 Sep 01; Vol. 31 (5), pp. 422-430. Date of Electronic Publication: 2022 Jan 31. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 9300904 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1473-5865 (Electronic) Linking ISSN: 1060152X NLM ISO Abbreviation: J Pediatr Orthop B Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Philadelphia : Lippincott Williams & Wilkins Original Publication: New York, NY : Raven Press, c1992- |
| مواضيع طبية MeSH: | Elbow Joint*/diagnostic imaging , Humeral Fractures*/diagnostic imaging, Child ; Humans ; Humerus/diagnostic imaging ; Radiography ; Reproducibility of Results |
| مستخلص: | Supracondylar humeral fractures account for 60% of elbow fractures in childhood, with cubitus varus being its most common complication. It can be avoided by accurate assessment of distal humeral alignment after fracture reduction, and the Baumann angle is the usual measurement for this purpose. However, several reports demonstrate an inconsistency of this angle, and our hypothesis is that reliability could be improved with angles drawn between the trochlear physeal line and the humeral longitudinal axis. The aim of the study was to compare intra- and interobserver reliability between the Baumann angle and angles drawn between the trochlear physeal line and (1) humeral longitudinal axis (X-angle), (2) humeral lateral cortex line (Y-angle), (3) humeral medial cortex line (Z-angle). Angle measurements were performed on 141 distal humerus' radiographs of children aged 3-10 years by five observers in a tertiary hospital. The measurements were compared for their intra- and interobserver agreement. All measurements showed good or excellent intraobserver agreement levels, with the highest for Z-angle [intraclass correlation coefficient (ICC) = 0.906] and the lowest for Baumann angle. There were also excellent interobserver agreement levels for all angles, the highest for Z-angle (ICC = 0.885). There are indications that Z-angle had higher agreement levels when compared to the others (ICC = 0.954; 0.936-0.969) in the group aged 7-10 years. The angle drawn between the humeral medial cortex and trochlear physeal line showed greater agreement than the other angles analysed, becoming a potentially useful tool for evaluation of children with supracondylar humeral fractures in daily practice. (Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.) |
| التعليقات: | Comment in: J Pediatr Orthop B. 2023 Mar 1;32(2):206. (PMID: 36700966) |
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| تواريخ الأحداث: | Date Created: 20220201 Date Completed: 20220801 Latest Revision: 20230828 |
| رمز التحديث: | 20240628 |
| DOI: | 10.1097/BPB.0000000000000949 |
| PMID: | 35102059 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1473-5865 |
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| DOI: | 10.1097/BPB.0000000000000949 |