دورية أكاديمية
أعرض في EDS

Intrarater and Interrater Reliability of Radiographic Characteristics in Skeletally Immature Patients With Anterior Cruciate Ligament Tears: A PLUTO Study Group Reliability Study.

التفاصيل البيبلوغرافية
العنوان: Intrarater and Interrater Reliability of Radiographic Characteristics in Skeletally Immature Patients With Anterior Cruciate Ligament Tears: A PLUTO Study Group Reliability Study.
المؤلفون: Perkins CA; Children's Healthcare of Atlanta., Coene RP; Boston Children's Hospital., Miller PE; Boston Children's Hospital., Anderson CN; Tennessee Orthopaedic Alliance., Nunally KD; Boston Children's Hospital., Parikh SN; Cincinnati Children's Hospital., Busch MT; Children's Healthcare of Atlanta., Chambers HG; Rady Children's Hospital., Christino MA; Boston Children's Hospital., Cordasco FA; Hospital for Special Surgery., Edmonds EW; Rady Children's Hospital., Fabricant PD; Hospital for Special Surgery., Ganley TJ; Children's Hospital of Philadelphia., Green DW; Hospital for Special Surgery., Heyworth BE; Boston Children's Hospital., Lawrence JTR; Children's Hospital of Philadelphia., Matava MJ; Washington University St. Louis., Micheli LJ; Boston Children's Hospital., Milewski MD; Boston Children's Hospital., Nepple J; Children's Healthcare of Atlanta., Pennock AT; Rady Children's Hospital., Saluan PM; Cleveland Clinic., Shea KG; Stanford University., Wall EJ; Cincinnati Children's Hospital., Willimon SC; Children's Healthcare of Atlanta., Kocher MS; Boston Children's Hospital.
مؤلفون مشاركون: PLUTO Study Group
المصدر: Journal of pediatric orthopedics [J Pediatr Orthop] 2023 Oct 01; Vol. 43 (9), pp. e695-e700. Date of Electronic Publication: 2023 Sep 11.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 8109053 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1539-2570 (Electronic) Linking ISSN: 02716798 NLM ISO Abbreviation: J Pediatr Orthop Subsets: MEDLINE
أسماء مطبوعة: Publication: 2000- : Philadelphia : Lippincott Williams & Wilkins
Original Publication: New York Ny : Raven Press
مواضيع طبية MeSH: Anterior Cruciate Ligament Injuries*/diagnostic imaging , Anterior Cruciate Ligament Injuries*/surgery, Child ; Humans ; Cohort Studies ; Reproducibility of Results ; Extremities ; Fellowships and Scholarships
مستخلص: Background: Radiographic measurements of limb alignment in skeletally immature patients with anterior cruciate ligament (ACL) tears are frequently used for surgical decision-making, preoperative planning, and postoperative monitoring of skeletal growth. However, the interrater and intrarater reliability of these radiographic characteristics in this patient population is not well documented.
Hypothesis: Excellent reliability across 4 raters will be demonstrated for all digital measures of length, coronal plane joint orientation angles, mechanical axis, and tibial slope in skeletally immature patients with ACL tears.
Study Design: Cohort study (diagnosis).
Methods: Three fellowship-trained orthopaedic surgeons and 1 medical student performed 2 rounds of radiographic measurements on digital imaging (lateral knee radiographs and long-leg radiographs) of skeletally immature patients with ACL tears. Intrarater and interrater reliability for continuous radiographic measurements was assessed with intraclass correlation coefficients (ICCs) across 4 raters with 95% CIs for affected and unaffected side measurements. Interrater reliability analysis used an ICC (2, 4) structure and intrarater reliability analysis used an ICC (2, 1) structure. A weighted kappa coefficient was calculated for ordinal variables along with 95% CIs for both interrater and intrarater reliability. Agreement statistic interpretations are based on scales described by Fleiss, and Cicchetti and Sparrow: <0.40, poor; 0.40 to 0.59, fair; 0.60 to 0.74, good; and >0.74, excellent.
Results: Radiographs from a convenience sample of 43 patients were included. Intrarater reliability was excellent for nearly all measurements and raters. Interrater reliability was also excellent for nearly all reads for all measurements.
Conclusion: Radiographic reliability of long-leg radiographs and lateral knee x-rays in skeletally immature children with ACL tears is excellent across nearly all measures and raters and can be obtained and interpreted as reliable and reproducible means to measure limb length and alignment.
Level of Evidence: Level III.
Competing Interests: The authors declare no conflicts of interest.
(Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.)
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تواريخ الأحداث: Date Created: 20230911 Date Completed: 20230912 Latest Revision: 20230912
رمز التحديث: 20231215
DOI: 10.1097/BPO.0000000000002495
PMID: 37694605
قاعدة البيانات: MEDLINE
الوصف
تدمد:1539-2570
DOI:10.1097/BPO.0000000000002495